Case Management Nurse

RN Case Manager Chamber Cardio – Where Care Comes Together About Chamber Cardiovascular disease remains the leading cause of death in America. At Chamber, we’re rebuilding the system for cardiology, creating a world where outcomes, not volume, define success. We partner with independent cardiologists to help them lead population health efforts in their communities, equipping them with technology, data, and operational tools that turn complex insights into better care for patients. Our model blends clinical expertise, thoughtful design, and a modern operating platform that supports physicians, patients, and payers alike. We believe innovation and empathy go hand in hand, and by combining cutting-edge AI tools with a relentless focus on human care, we can transform heart health at scale. Role Overview: The Case Manager RN collaborates with the care team to develop and execute patient-centered care plans, ensuring timely care progression, safe transitions, and optimal outcomes. This role is responsible for managing patients across the care continuum, identifying barriers, coordinating services, and driving adherence to evidence-based care pathways. Key Responsibilities: Care Coordination & Progression Review cases within 24–48 hours of admission/trigger and daily thereafter to support care progression Partner with providers to develop and execute care plans Identify and address clinical, social, and system barriers impacting care and discharge Assessment & Planning • Complete comprehensive assessments to identify patient needs, risks, and resource gaps • Develop and coordinate individualized transition plans in collaboration with interdisciplinary teams • Align care plans with evidence-based guidelines and organizational goals Transitions of Care • Facilitate safe and timely transitions, including post-discharge follow-up and referrals • Communicate care plans clearly to patients, caregivers, and care teams • Ensure patients and families are equipped with resources for success post-discharge Utilization & Outcomes Management • Support appropriate utilization of services and adherence to clinical guidelines • Identify high-risk patients and initiate interventions to reduce readmissions • Monitor and document key metrics including LOS, avoidable delays, and care progression Communication & Documentation • Maintain clear, timely documentation of assessments, care plans, and interventions • Communicate effectively with interdisciplinary teams, escalating issues as needed • Serve as a resource on care management processes and regulatory requirements Quality & Compliance • Ensure adherence to organizational policies, NCQA standards, and payer requirements • Participate in multidisciplinary rounds and quality improvement initiatives What Success Looks Like: • Timely care progression with reduced delays and avoidable days • High-quality transitions of care with strong patient and caregiver engagement • Measurable impact on readmissions, utilization, and patient outcomes Requirements • RN compact unrestricted RN license required; BSN preferred • 3–5+ years of case management, care coordination, or acute care nursing experience • Strong clinical judgment and understanding of care transitions • Experience with utilization management, discharge planning, or population health preferred • Excellent communication, organization, and problem-solving skills Location: This is a remote role, but you must be based in the United States and have access to reliable wifi. Chamber Values Our values guide how we lead, collaborate, and care: • Low Ego: We stay grounded, curious, and open to feedback. • Empathy: We build trust through compassion and thoughtful communication. • Courage: We take action, think critically, and challenge ideas respectfully. • Ownership: We follow through with integrity and hold ourselves to high standards. • Grit: We push through ambiguity, move with urgency, and solve problems with horsepower and heart.