Home Health RN Case Manager

Job Description

Job Description

About Abby Care

Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time : family caregiving.

Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious : to train and employ family caregivers so they can get paid for the care they already provide at home.

Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.

We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations. We're supported by top, mission-driven VCs to empower families throughout the country.

The Role

We're looking for a passionate Registered Nurse to join our team as a RN Case Manager . This role will report into the Director of Nursing in Massachusetts. This is a Full-Time Hybrid opportunity based in the Central Massachusetts Area, specifically Worcester, MA .

The RN Case Manager at Abby Care is responsible for overseeing the comprehensive care and coordination of services for patients within their caseload. This role requires a nurse with excellent organizational skills, strong communication abilities, and a dedication to providing high-quality patient care. The RN Case Manager will work closely with patients, families, Primary Care Physicians (PCPs), therapy providers, and internal support teams to ensure optimal patient outcomes.

Key Responsibilities :

• Patient Care and Coordination :
• Manage a diverse caseload, ensuring quality patient care and efficient care coordination.
• Provide coaching, oversight, and support to Home Health Aides (HHAs) to ensure high-quality patient care and adherence to clinical standards.
• Develop and implement individualized care plans based on patient assessments and goals.
• Coordinate with PCPs, therapy providers, and internal support teams to ensure comprehensive care.
• Provide education and support to patients and families regarding their health care needs and treatment plans.
• Clinical Documentation :
• Maintain accurate and timely electronic charting, with a preference for real-time documentation.
• Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.
• Communication and Collaboration :
• Establish and maintain effective communication with PCPs, therapy providers, and internal support teams.
• Escalate appropriate issues to Clinical Leads in a timely manner, such as order management and patient concerns.
• Participate in on-call rotation (approximately one weekend per month), holiday rotation, and possible phone triage night coverage during weekdays.
• Quality Assurance :
• Achieve caregiver satisfaction by providing high-quality, compassionate care and support.
• Monitor and work to improve patient readmission rates.
• Ensure extended visits remain within acceptable ranges and administrative tasks (e.g., mileage reimbursements) are completed thoroughly.

The Requirements :

Our Values

Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, "Would we want this for our own families?"

Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand .

As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.

We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.

We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.

Benefits :

This is a Full-Time position with an estimated annual salary of $89,000-$95,000 + bonus and benefits.

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.