Registered Nurse

Job Description

About the Organization

We are an innovative health and wellness company dedicated to eliminating barriers and improving access to quality care in high-need, urban, and rural communities. Our mission is to enhance the health and well-being of those who need care the most meeting them where they are, in their homes and communities.

Position Overview

The Nurse Case Manager will oversee coordination of Healthy Start (HS) Program participants’ whole-person care, including assessments, care planning, team coordination, monitoring, and care transitions. This role is ideal for a compassionate, detail-oriented nurse who thrives in a collaborative environment focused on improving maternal health outcomes.

Key Responsibilities

• Lead the coordination of participants’ medical, behavioral, and social care needs.
• Partner with Community Health Worker Supervisors to facilitate non-clinical interventions, targeted education, and social support.
• Conduct clinical assessments using evidence-based tools under the guidance of program leadership.
• Develop and maintain participant-centered care plans.
• Coordinate and monitor implementation of care plans and triage changes in patient status.
• Facilitate transitions of care between home, hospital, and other healthcare settings.
• Lead daily huddles and weekly case conferences to review participant needs and outcomes.
• Conduct reassessments, update care plans, and manage participant discharges per program guidelines.
• Complete home, virtual, or telephonic visits as directed.
• Coordinate participant educational materials in collaboration with program leaders.
• Report significant medical changes and maintain accurate documentation.

Required Qualifications

Benefits

We care for our team holistically—offering flexible, comprehensive benefits so you can thrive while delivering exceptional care.

Working Environment

This position involves both field and office-based work with frequent travel for home visits, hospital coordination, and community partnerships. In-office work occurs in a traditional setting with conditioned air, artificial lighting, and open workspaces. Occasional lifting (up to 30 lbs.) and extended sitting may be required.

Equal Opportunity Statement

We are an Equal Opportunity Employer committed to building an inclusive environment for all employees. We provide equal employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Reasonable accommodations are available during the application and employment process.