Clinical Care RN

Phamily • Atlanta, GA

9h • Hybrid

About The Position

Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients. Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care. Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com. We are seeking a compassionate, organized, and tech-savvy Clinical Care Lead RN to support patients in our text-based Advanced Primary Care Management (APCM) program. This role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for our patient populations. Ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, are passionate patient advocates and are skilled in critical thinking and care coordination.

Requirements

• Registered Nurse with active, unrestricted compact license required
• 4+ years of experience in a care management or clinical care coordination role (primary care, chronic care management, home health, etc.)
• Previous experience managing a team
• Strong critical thinking and problem-solving skills in a fast-paced environment
• Ability to independently manage a digital patient panel and prioritize escalations effectively
• Excellent written communication and documentation skills
• Comfort using EMRs, care coordination platforms, digital messaging tools and fast learner of new technologies
• Must have access to reliable internet and a secure/private environment

Nice To Haves

• 4+ years of experience, 2-year RN Associate Degree OR 2+ years experience + BSN
• Bilingual (Spanish) is a bonus but not required
• Knowledge of Medicare CCM/APCM programs a plus

Responsibilities

• Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner
• Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers
• Develop and update personalized care plans for patients; help educate and motivate patients to adhere to the care plan
• Oversee the clinical quality of the team, by analyzing data or trends to manage direct reports, and help train, orient, and onboard new and tenured staff, and improve overall outcomes
• Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability
• Lead quality improvement initiatives, complete case review and chart audits, and host team meetings
• Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements
• Collaborate with CMAs, LPNs/RNs, NPs, and Social Workers to ensure timely escalation and follow-through

Benefits

• Medical, dental, and vision coverage for employees and dependents at a nominal cost
• Paid maternity leave
• FSA and Dependent Care account options
• 401(k) Eligibility after 6 months of full-time employment
• Collaborative, mission-driven work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree