Intensive Community Care RN — Complex Care Lead

ChenMed; Portsmouth (VA); On-site; USD 70,000 - 100,000; Full time

Job summary

ChenMed in Portsmouth, VA seeks an Intensive Community Care Manager (ICCM), a Registered Nurse who leads high-need patients and a care team. You coordinate field nursing interventions, design comprehensive care plans, and work with primary care physicians to keep patients safe and engaged at home.

The ICCM focuses on safe transitions, stabilization of the highest risk ambulatory patients, and proactive outreach to those not actively engaged in care, driving actions to prevent unnecessary

Qualifications

• Licensed Registered Nurse with an active license.
• Experience in complex/high-need patient care or case management.
• Strong assessment, care planning, and collaboration skills.

Responsibilities

• Serve as clinical lead for the Complex Care Team and coordinate efforts.
• Assess, evaluate, and design comprehensive care plans for high-risk patients.
• Drive transitions from facilities to primary care teams and stabilize ambulatory patients.
• Proactively outreach to patients assigned to the ICCM and ensure engagement in care.

Skills

RN

Case management

Clinical leadership

Care coordination

Education

RN license

Job description

ChenMed in Portsmouth, VA seeks an Intensive Community Care Manager (ICCM), a Registered Nurse who leads high-need patients and a care team. You coordinate field nursing interventions, design comprehensive care plans, and work with primary care physicians to keep patients safe and engaged at home.

The ICCM focuses on safe transitions, stabilization of the highest risk ambulatory patients, and proactive outreach to those not actively engaged in care, driving actions to prevent unnecessary