Clinical Care RN

Clinical Care Lead RNWe 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.Key ResponsibilitiesMonitor and respond to patient messages and check-ins in a timely, compassionate, and professional mannerIdentify, assess, and triage clinical concerns, SDOH needs, and care coordination barriersDevelop and update personalized care plans for patients; help educate and motivate patients to adhere to the care planOversee 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 outcomesDevelop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalabilityLead quality improvement initiatives, complete case review and chart audits, and host team meetingsIdentify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvementsCollaborate with CMAs, LPNs/RNs, NPs, and Social Workers to ensure timely escalation and follow-throughRequirementsRegistered Nurse with active, unrestricted compact license required with 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 teamStrong critical thinking and problem-solving skills in a fast-paced environmentAbility to independently manage a digital patient panel and prioritize escalations effectivelyExcellent written communication and documentation skillsComfort using EMRs, care coordination platforms, digital messaging tools and fast learner of new technologiesMust have access to reliable internet and a secure/private environmentThis role may require travel of up to 10%, including potential overnight travelPreferred Requirements4+ years of experience, 2-year RN Associate Degree OR 2+ years experience + BSNBilingual (Spanish) is a bonus but not requiredKnowledge of Medicare CCM/APCM programs a plusCompensation & BenefitsCompetitive compensation commensurate with experiencePotential to earn equity based on performanceMedical, dental, and vision coverage for employees and dependents at a nominal costPaid maternity leaveFSA and Dependent Care account options401(k) Eligibility after 6 months of full-time employmentCollaborative, mission-driven work environmentThis position is responsible for complying with all organizational security, privacy, and compliance policies applicable to the role, including separation of duties requirements, and for protecting the confidentiality, integrity, and availability of the information and systems they access.Equal Employment OpportunityPhamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.