Nurse Care Manager - Complex Case Management

Job Description

Job Description

Over the past 30+ years, Rhode Island Primary Care Physician's Corporation (RIPCPC) has grown to become the largest independent provider association of primary and pediatric care in the state, delivering exceptional care to over 200,000 Rhode Islanders. RIPCPC delivers support services that are essential to providing high quality, cost-effective medicine to patients, while also preserving community-based practices. In 2023, RIPCPC joined Akido Labs, becoming a key east coast hub for healthcare innovation within the Akido Care medical network.

Akido Care's fast-growing medical network is known for its ability to integrate innovative technology into the healthcare infrastructure, relieving the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families.

We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team!

The Opportunity

Are you a nurse looking to get back to the heart of patient care—building long-term relationships, educating patients, and truly making a difference? Rhode Island Primary Care Physicians Corporation (RIPCPC) is seeking a Nurse Care Manager – Complex Case Management (CCM) to join our innovative, interdisciplinary team. Reporting to the Nurse Manager, you'll provide holistic care management to high-risk patients, helping improve their health outcomes while working in a supportive, team-based, and values-driven environment. With regular weekday hours, paid time off, and no weekend shifts, this is your opportunity to use your nursing skills in a more rewarding and sustainable way.

What you'll do

• Identify, engage, and enroll high-risk patients into the Complex Case Management program using provided risk lists
• Perform comprehensive assessments of patients' medical, social, psychological, and environmental needs
• Develop and implement personalized, culturally competent care plans in partnership with patients, caregivers, and providers
• Collaborate with a multidisciplinary team including PCPs, pharmacists, behavioral health specialists, and community health workers
• Provide education, support, and coaching for chronic disease self-management and health promotion
• Coordinate transitions of care and reduce unnecessary readmissions by communicating with hospitals and discharge planners
• Monitor labs, medications, and clinical outcomes to ensure alignment with care guidelines and PCP plans
• Conduct home visits and in-office face-to-face visits as needed to engage and support patients
• Refer and connect patients to community-based services, and monitor progress to avoid service duplication
• Participate in quality improvement initiatives, care conferences, and clinical program development

Who you are

Benefits

Location & Specialties hiring :

Physical Demands :

Salary range

$80,000—$90,000 USD

Rhode Island Primary Care Physician's Corporation (RIPCPC) is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.