RN Care Manager

Job Description

Job Description

Registered Nurse (RN) Care Manager – Community-Based

Wayne County, Michigan

Make a Difference with TANDEM365!

Are you a Registered Nurse looking for a meaningful role that offers autonomy, flexibility, and the opportunity to make a real impact in your community? TANDEM365 is seeking a Registered Nurse (RN) Navigator to serve Wayne County, Michigan as part of our innovative, community-based care model. TANDEM365 offers Registered Nurses a meaningful opportunity to practice at the top of their license while building lasting relationships with individuals who need care the most. As an RN Navigator, you play a critical role in guiding participants through complex medical systems—meeting them where they are, advocating for their goals, and helping them remain safely at home.

Why Choose TANDEM365?

• Hybrid Work Model – A blend of remote work and in-person community visits
• Supportive Interdisciplinary Team – Collaborate with social workers, community paramedics, medical assistants, and providers
• Mission-Driven Culture – Focused on improving lives and reducing gaps in care
• Mileage Reimbursement – Starts from the moment you leave home
• Autonomous Work Environment – Manage your day while building meaningful participant relationships
• Time to Build Real Relationships – Smaller caseloads and a community-based model allow you to develop trust and long-term connections with participants
• Purpose-Driven Work – Every day is centered on meaningful impact, advocacy, and helping individuals remain safely in their homes
• Supportive, Balanced Culture – A team that values collaboration, flexibility, and work/life balance

Who We Are

TANDEM365 is a complex medical case management and community paramedicine program delivering innovative, participant-centered care. We support individuals with complex medical, behavioral health, and social needs through in-home and community-based services designed to:

• Help participants remain safely in their homes
• Reduce unnecessary emergency department visits and hospitalizations
• Improve navigation of the healthcare system and community resources

Our interdisciplinary model brings together registered nurses, medical social workers, community paramedics, and medical assistants to create a coordinated and seamless care experience.

What It’s Like to Work Here

At TANDEM365, we believe that when team members feel supported, trusted, and valued , they do their best work. We offer a self-paced orientation , strong team collaboration, and a culture that prioritizes work/life balance , while allowing nurses to practice at the top of their license.

What You’ll Do as an RN Navigator

As an RN Navigator , you will provide community-based clinical case management to participants with complex medical and psychosocial needs. You will conduct in-home and telephonic assessments, develop individualized plans of care, and partner closely with the interdisciplinary team to support participants across the continuum of care.

Key Responsibilities:

• Conduct in-home and phone-based clinical assessments to inform individualized plans of care
• Develop and monitor person-centered care plans in collaboration with participants and the care team
• Coordinate care across primary care, specialty providers, hospitals, hospice, and community agencies
• Assess health literacy and provide participant-centered education
• Empower participants through self-management education and goal setting
• Facilitate challenging, goal-focused conversations with participants and families
• Support transitions of care , including hospice when appropriate
• Partner with the care team to prevent unnecessary hospital utilization
• Maintain timely, accurate documentation in electronic systems
• Participate in on-call coverage as part of a shared team rotation

What You’ll Need to Succeed

• Flexibility, resilience, and adaptability in a fast-paced, community-based environment
• Ability to work independently and autonomously while remaining connected to a team
• Strong organizational and prioritization skills
• Comfort navigating multiple technologies and electronic documentation systems
• Excellent communication skills , including comfort with complex and sensitive conversations
• A collaborative, team-oriented mindset

Education & Experience Requirements

• Active Registered Nurse (RN) license in the State of Michigan
• Minimum of 2 years of nursing experience
• Experience in community-based care, case management, home care, population health, or care coordination strongly preferred
• Experience supporting individuals with chronic medical conditions and behavioral health needs preferred
• Knowledge of community resources and care coordination across settings

Ready to Make an Impact? Apply Today!

Join TANDEM365 and be part of a team that is redefining community-based care and improving the lives of individuals throughout Wayne County .