Intensive Community Manager, Complex Care (RN)

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

We’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.
The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home.
The Intensive Community Managers (ICCMs) will serve as a clinical lead for the Complex Care Team. They will assess, evaluate, and coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform assessments and design comprehensive plans of care, and drive the actions needed to keep the most complex patients safely