Complex Care Manager (RN)
About The Position
Greenbrook Medical is seeking a Complex Care Manager (RN) to coordinate the care of their highest-risk patients. This role involves managing patients from hospital admission through recovery, ensuring seamless and proactive care by coordinating with hospitals, skilled nursing facilities, specialists, and clinic teams. The position aims to prevent avoidable emergency department visits, reduce unnecessary SNF utilization, coordinate transitions of care, support in-clinic triage, and ensure critical follow-up is completed. The Complex Care Manager will partner closely with physicians, center managers, pharmacists, hospitalists, SNFs, and community partners to improve outcomes for patients in need. The role reports to the VP, Market Medical Director and requires travel within the Greater Tampa Bay Area.
Requirements
- Active RN or LPN license.
- 3+ years of nursing, care management, or complex care coordination experience.
- Experience in managed care, Medicare Advantage, or value-based primary care.
- Strong clinical judgment and patient triage skills.
- Experience coordinating care across hospitals, SNFs, specialists, and outpatient settings.
- Strong Excel skills and comfort using data to prioritize work and identify opportunities.
- A mindset grounded in our core values of Heart, Excellence, Accountability, Resilience, and Teamwork.
Nice To Haves
- Case management experience.
- Experience supporting complex Medicare Advantage populations.
- Knowledge of local community resources and social determinants of health.
- Thrive in highly autonomous roles where you build systems instead of waiting for direction.
- Exceptionally organized, proactive, and known for following through.
- Build trust quickly with physicians, nurses, patients, and external partners.
- Constantly think one step ahead to prevent problems before they happen.
Responsibilities
- Coordinate the care of Greenbrook's highest-risk patients across the full continuum.
- Monitor hospital and SNF admissions daily and proactively manage transitions back into primary care.
- Ensure patients receive timely follow-up appointments, medication reconciliation, and ongoing care planning.
- Serve as a clinical resource for patient triage and urgent needs.
- Evaluate incoming concerns and guide patients toward the most appropriate level of care.
- Support same-day access, execute Greenbrook's ER diversion protocols, and perform IV placement in the clinic when appropriate.
- Develop trusted relationships with hospitalists, inpatient care managers, skilled nursing facilities, specialists, and community partners throughout your market.
- Collaborate closely with Greenbrook physicians to coordinate complex care plans and remove barriers to successful transitions.
- Own the action item lists generated during Panel Review and Burden of Disease (BoD) meetings.
- Track progress, follow up relentlessly, and ensure critical patient care activities are completed on time.
- Use data and reporting to identify gaps, prioritize outreach, and continuously improve patient outcomes.
Benefits
- $100,000 base salary, based on experience and qualifications
- Generous annual performance bonus
- Health, dental, and vision insurance
- Paid time off
- 401(k) with company match
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
