Clinical Care RN (Indianapolis)

Phamily; Indianapolis (IN); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid maternity leave

FSA and Dependent Care accounts

401(k) eligibility after 6 months

Equity based on performance

Collaborative, mission-driven work env

Job summary

Phamily, as part of Jaan Health, is seeking a compassionate Clinical Care Lead RN to support patients in a text-based Advanced Primary Care Management (APCM) program. The role delivers proactive care via digital communication, improving health outcomes and patient engagement in a virtual care setting.

Ideal candidates are patient advocates with strong critical thinking, care coordination skills, and experience leading teams in a care management context.

Qualifications

• 4+ years in a care management or clinical care coordination role (primary care, chronic care, etc.)
• Previous experience managing a team
• Strong critical thinking and problem-solving skills in a fast-paced environment
• Ability to manage a digital patient panel and prioritize escalations
• Excellent written communication and documentation skills
• Comfort using EMRs, care coordination platforms, and digital messaging tools
• Must have reliable internet and a secure/private environment
• Travel up to 10%, including potential overnight travel

Responsibilities

• Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner
• Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers
• Develop and update personalized care plans for patients; educate and motivate patients to adhere to the plan
• Oversee clinical quality of the team, analyze data to manage direct reports, and train new staff
• Develop, implement, and revise care coordination workflows to improve efficiency and scalability
• Lead quality improvement initiatives, conduct case reviews and chart audits, and host team meetings
• Identify and troubleshoot issues during new program iterations and escalate to leadership
• Collaborate with CMAs, LPNs/RNs, NPs, and Social Workers for timely escalation

Skills

Critical thinking

Problem solving

Written communication

EMR software

Education

RN Associate Degree

BSN preferred

Tools

Care coordination platforms

Digital messaging tools

EMR/EHR systems

Job description

Location : Indianapolis. Hybrid schedule initially, with an expected transition to fully in-office.

_ We’re currently in the process of building out a hub and are taking a proactive approach to identifying and engaging qualified candidates. There isn’t a confirmed start date at this time, but we’re looking to build a strong pipeline so we’re prepared as hiring needs develop. _

Job Type : Full Time, Multiple Shifts

Job Reports To : Director of Clinical Operations

About Jaan Health/Phamily

Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients.

Phamily, the company’s core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care. Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com.

Job Role/Description

We are seeking a compassionate, organized, and tech-savvy Clinical Care Lead RN to support patients in our text-based Advanced Primary Care Management (APCM) program. This role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for our patient populations. Ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, are passionate patient advocates and are skilled in critical thinking and care coordination.

Key Responsibilities

• Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner
• Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers
• Develop and update personalized care plans for patients; help educate and motivate patients to adhere to the care plan
• Oversee the clinical quality of the team, by analyzing data or trends to manage direct reports, and help train, orient, and onboard new and tenured staff, and improve overall outcomes
• Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability
• Lead quality improvement initiatives, complete case review and chart audits, and host team meetings
• Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements
• Collaborate with CMAs, LPNs/RNs, NPs, and Social Workers to ensure timely escalation and follow-through

Requirements

• Registered Nurse with active, unrestricted compact license required with 4+ years of experience in a care management or clinical care coordination role (primary care, chronic care management, home health, etc.)
• Previous experience managing a team
• Strong critical thinking and problem-solving skills in a fast-paced environment
• Ability to independently manage a digital patient panel and prioritize escalations effectively
• Excellent written communication and documentation skills
• Comfort using EMRs, care coordination platforms, digital messaging tools and fast learner of new technologies
• Must have access to reliable internet and a secure/private environment
• This role may require travel of up to 10%, including potential overnight travel

Preferred Requirements

• 4+ years of experience, 2-year RN Associate Degree OR 2+ years experience + BSN
• Bilingual (Spanish) is a bonus but not required
• Knowledge of Medicare CCM/APCM programs a plus

Compensation & Benefits

• Competitive compensation commensurate with experience
• Potential to earn equity based on performance
• Medical, dental, and vision coverage for employees and dependents at a nominal cost
• Paid maternity leave
• FSA and Dependent Care account options
• 401(k) Eligibility after 6 months of full-time employment
• Collaborative, mission-driven work environment

This position is responsible for complying with all organizational security, privacy, and compliance policies applicable to the role, including separation of duties requirements, and for protecting the confidentiality, integrity, and availability of the information and systems they access.

Equal Employment Opportunity

Phamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.