Community Registered Nurse (RN) Care Manager
About The Position
Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Its mission is to improve healthcare access by meeting patients where they are through relationship-based, value-driven care that supports healthier, more independent lives. The Registered Nurse (RN) Care Manager is a community-based, field role that partners with Nurse Practitioners and the interdisciplinary care team to provide coordinated, relationship-focused care to older adults in affordable housing communities. This is not a traditional bedside nursing, home health, or private duty position. The RN Care Manager extends the primary care team by helping patients navigate chronic conditions, coordinating care across providers and community resources, supporting transitions of care, and empowering patients through education and long-term relationship building. The role calls for someone comfortable working independently, building trusted relationships, and making a meaningful difference in patients' lives.
Requirements
- Active, unrestricted Registered Nurse (RN) license.
- Minimum of 3 years of RN experience.
- Strong communication, organization, and relationship-building skills.
- Passion for serving older adults and improving healthcare access.
- Comfort working independently while collaborating with an interdisciplinary care team.
- Experience with electronic health records (EHRs) and healthcare technology.
- Valid driver's license and reliable transportation.
Nice To Haves
- Experience working independently in community, home-based, or field settings.
- Experience in care management, case management, primary care, value-based care, home health, or chronic disease management.
Responsibilities
- Conduct comprehensive nursing assessments in patients' homes and community settings.
- Partner with Nurse Practitioners and Medical Directors to support high-risk and rising-risk patients.
- Coordinate care with specialists, primary care providers, hospitals, health plans, and community organizations.
- Educate patients on chronic disease management, medication adherence, preventive care, and healthy lifestyle choices.
- Support patients through transitions of care following hospitalizations or emergency department visits.
- Help identify and close quality care gaps through patient outreach, education, and care coordination.
- Reinforce care plans developed by providers while documenting barriers and follow-up needs.
- Build trusted, long-term relationships with patients and their families.
- Document patient interactions and care activities using Athena, Salesforce, and other technology platforms.
Benefits
- Medical, dental, and vision insurance.
- Employer-funded HSA options.
- Employer-paid life and disability insurance.
- Optional supplemental insurance plans.
- Access to Matter Health's in-person and virtual care services.
- Competitive salary.
- 401(k) with company match beginning on Day 60.
- Financial wellness resources.
- Up to 4 weeks of Paid Time Off.
- 10 paid company holidays.
- 2 paid Volunteer Days each year.
- Annual CME allowance for continuing education and certifications.
- Dedicated paid CME days for conferences and professional development.
- Opportunity to work within an innovative, community-based healthcare model.
- Collaborative interdisciplinary clinical support team.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
