ChenMed · 1 day ago
Intensive Community Manager, Complex Care (RN)
Memphis, TN
Full-time
Onsite
Mid Level
$36.90/hr - $52.70/hrChenMed is a family-owned and physician-led company transforming healthcare for seniors. The Intensive Community Manager, Complex Care (RN) will serve as a clinical lead, coordinating care for high-risk patients and ensuring effective transitions and engagement in care.
Health CarePrimary and Urgent Care
Responsibilities
Provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital
Provides home visits to perform initial assessment of patient and the development of care plan for the Licensed Practical Nurse (LPN) to use as they perform the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient
Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management
Performs clinical and Social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting
Provides oversight for the License Practical Nurse (LPN) with clear plan of care and education which is mandatory during all LPN visits
Conducts/coordinates initial case management assessment of patients to determine outpatient needs
Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits
Completes individual plan of cares with patients, family/care giver and care team members
Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly
Assesses the environment of care, e.g., safety and security
Assesses the caregiver capacity and willingness to provide care
Assesses patient and caregiver educational needs
Coordinates, reports, documents and follows-up on multidisciplinary team meetings
Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks
Coordinates the delivery of services to effectively address patient needs
Facilitates and coaches’ patients in using natural supports and mainstream community resources to address supportive needs
Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients
Establishes a supportive and motivational relationship with patients that support patient self-management
Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services
Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate
Home visit under the direction of the patient’s primary care physician to meet urgent patient needed
Performs other duties as assigned and modified at manager’s discretion
Qualification
Required
Registered Nurse (RN) license
Experience in community care or similar healthcare setting
Ability to perform initial assessments and design comprehensive plans of care
Clinical supervision experience
Strong communication skills
Ability to coordinate multidisciplinary team efforts
Knowledge of health education and self-care instructions
Experience with high-risk patient management
Ability to navigate healthcare systems and connect patients with community resources
Ability to assess patient and caregiver educational needs
Experience in conducting home visits and telephonic visits
Ability to monitor quality and appropriateness of healthcare services
Ability to establish supportive relationships with patients
Ability to assist patients and families with access to community/financial resources
Benefits
Great compensation
Comprehensive benefits
Career development and advancement opportunities
Great work-life balance
Company
ChenMed
ChenMed is a full-risk primary care market leader that is transforming healthcare for seniors.
Founded in 1985
1001-5000 employees
H1B Sponsorship
ChenMed has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (4)
2023 (13)
2022 (26)
2021 (31)
2020 (23)
Funding
Current Stage
Late StageLeadership Team
Christopher Chen, MD
Chief Executive Officer
Michael Redmond
Chief Financial Officer
Recent News
2025-06-27
Google Patent
2025-05-05
Company data provided by crunchbase