Community Registered Nurse (RN) Care Manager
About the role
Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is to improve healthcare access by meeting patients where they are. Through relationship-based, value-driven care, we help older adults live healthier, more independent lives while reducing barriers to quality healthcare.
Responsibilities
- Conduct comprehensive nursing assessments in patients' homes and community settings
- Partner with Nurse Practitioners and Medical Directors to support high-risk and rising-risk patients
- Coordinate care with specialists, primary care providers, hospitals, health plans, and community organizations
- Educate patients on chronic disease management, medication adherence, preventive care, and healthy lifestyle choices
- Support patients through transitions of care following hospitalizations or emergency department visits
- Identify and close quality care gaps through patient outreach, education, and care coordination
- Reinforce care plans developed by providers while documenting barriers and follow-up needs
- Build trusted, long-term relationships with patients and their families
- Document patient interactions and care activities using Athena, Salesforce, and other technology platforms
Requirements
Active, unrestricted Registered Nurse (RN) license
Minimum of 3 years of RN experience
Experience working independently in community, home-based, or field settings preferred
Experience in care management, case management, primary care, value-based care, home health, or chronic disease management preferred
Qualifications
Strong communication, organization, and relationship-building skills
Passion for serving older adults and improving healthcare access
Comfortable working independently while collaborating with an interdisciplinary care team
Experience with electronic health records (EHRs) and healthcare technology
Valid driver's license and reliable transportation
Benefits
Competitive salary
401(k) with company match beginning on Day 60
Health & Wellness:
- Medical, dental, and vision insurance
- Employer-funded HSA and FSA options
- Employer-paid life and disability insurance
- Optional supplemental insurance plans
- Access to Matter Health's in-person and virtual care services
Pay
Competitive salary
Schedule
Full-time