Lead Nurse (Denver, CO / Hybrid)

FreedomCare•Denver, CO

3d•Hybrid

About The Position

FreedomCare is a healthcare company dedicated to revolutionizing the home care industry since 2016, supporting patients across the U.S. by empowering them to choose their caregivers. The Lead Nurse for the Colorado team will provide clinical leadership, oversight, and support to the Care Management Team. This role involves supervising Care Managers, ensuring safe and compliant clinical services, and partnering with various departments to manage clinical workflows, documentation, regulatory compliance, and quality improvement. The Lead Nurse acts as the primary clinical resource for Colorado, ensuring adherence to state requirements and company policies, while also focusing on developing clinical processes, improving efficiency, and fostering a culture of accountability and continuous improvement.

Requirements

Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states or willingness to obtain strongly preferred).
Bachelor of Science in Nursing (BSN) required.
Minimum 3–5 years clinical nursing experience working with elders and/or adults with disabilities in home- and community-based settings (HCBS), long-term services and supports (LTSS), case management, or chronic disease management.
2+ years in a clinical leadership, supervisory, or program management role, preferably within Medicaid-funded programs.
Minimum 1 year of experience developing, writing, or implementing Standard Operating Procedures (SOPs) or similar policies, workflows, or clinical process documentation.
Experience supporting patients and caregivers in a homecare environment including caregiver coaching, care plan development, and long-term services coordination.
Strong regulatory compliance orientation with the ability to translate state requirements into internal workflows and training.
Experience serving as a subject-matter expert, escalation point, or clinical resource for staff.
Strong communication and interpersonal skills.
Proficiency in using office software (e.g., Microsoft Office suite).
Problem-solving and decision-making abilities.
Organizational and multitasking skills.
Excellent communication, critical thinking, and organizational skills.
Experience using a CRM (Salesforce is a plus).
Self-motivated.
Able to thrive in a fast-paced start-up environment.

Nice To Haves

Master’s degree in nursing, Healthcare Administration, Public Health, or related field preferred.
Compact licensure to serve multiple states or willingness to obtain strongly preferred.

Responsibilities

Provide day-to-day leadership, mentorship, and clinical guidance to the Colorado Care Management team.
Serve as the primary clinical subject matter expert (SME) for Colorado operations.
Support Care Managers with complex clinical cases, escalations, and changes in participant condition.
Review and approve care plans to ensure they accurately reflect participant needs, authorizations, and regulatory requirements.
Assist Operations leadership in planning, implementing, and evaluating new clinical programs and initiatives.
Ensure compliance with Colorado Medicaid regulations, contractual requirements, and FreedomCare clinical policies by overseeing caregiver qualifications and training records, service authorizations, care plan implementation, documentation standards, and critical incident reporting.
Monitor clinical documentation for accuracy, completeness, and timeliness.
Conduct routine chart audits and documentation reviews to maintain audit readiness.
Identify compliance risks, documentation gaps, and workflow improvement opportunities while implementing corrective actions as needed.
Participate in internal audits, quality improvement initiatives, and regulatory reviews.
Support investigation and follow-up of incidents, hospitalizations, complaints, and changes in participant condition.
Supervise, coach, and develop Care Managers through regular feedback, mentorship, and performance management.
Partner with Operations leadership to assist with recruiting, interviewing, onboarding, and training new clinical team members.
Promote consistent clinical practices through education, competency development, and ongoing coaching.
Foster a collaborative, positive work environment aligned with FreedomCare's core values.
Monitor day-to-day clinical operations by analyzing workflows, productivity, and quality metrics.
Develop and improve clinical workflows, standard operating procedures (SOPs), and best practices.
Support the implementation of new clinical programs, operational initiatives, and regulatory changes while ensuring successful adoption by the Care Management team.
Partner with Operations, Compliance, and other departments and external vendors to improve clinical operations and patient outcomes.
Support caregiver oversight in collaboration with Care Managers.
Monitor clinical capacity and assist in workload distribution to ensure timely patient services.