RN case manager
Job Duties:
Job Title: RN Case Manager – MSO Division
Location: Hybrid (Remote + On-Site Visits Across Regional Client Practices)
Reports To: Regional Clinical Director / MSO COO
Employment Type: Full-Time
About the Organization
We are a national healthcare management organization transforming independent medical practices into high-efficiency, data-driven, and patient-centered businesses. Our MSO partners with solo and multi-provider clinics to double their revenue, halve their workload, and elevate patient outcomes using automation, AI, and a scalable nurse-led management model.
The RN Case Manager will play a pivotal role in operationalizing this model — serving as the clinical and administrative liaison between client practices, patients, and the MSO’s central leadership team.
Position Summary
The RN Case Manager is the frontline leader responsible for coordinating care, managing chronic disease workflows, optimizing ancillary testing programs (ANS, BrainView, Echo, Carotid, LEA/LEV, AAA, PFT, HST), and driving operational performance for assigned client practices.
You will work closely with physicians, nurse practitioners, and office teams to implement the SERVE MD Operating System, integrating technology, remote staff, and automation to maximize quality and efficiency.
Core Responsibilities
1. Care Coordination & Patient Management
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Manage high-risk and chronic disease patients (e.g., CHF, COPD, diabetes) using data-driven protocols.
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Oversee care transitions, medication reconciliation, and follow-up appointments.
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Ensure all Medicare wellness visits, labs, and diagnostics are completed on schedule.
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Drive patient engagement initiatives via text, email, and remote monitoring programs.
2. Practice Optimization
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Audit clinical workflows and identify revenue-leakage or inefficiency points.
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Coordinate implementation of in-office diagnostics (ANS, BrainView, vascular and cardiac testing).
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Collaborate with billing and operations teams to ensure accurate documentation and coding.
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Train front-office and MAs on new SOPs and Serve MD OS protocols.
3. Leadership & MSO Integration
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Serve as the MSO’s on-site ambassador for assigned practices (5–15 per RN).
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Report performance metrics (EBITDA lift, visit volumes, patient compliance) to MSO leadership weekly.
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Partner with virtual assistants, scribes, and AI-enabled automation systems to streamline daily operations.
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Support provider burnout reduction by standardizing workload and leveraging remote staff.
4. Quality & Compliance
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Maintain adherence to CMS and state regulatory standards.
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Monitor quality measures (HEDIS, MIPS, CCM, TCM).
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Ensure HIPAA compliance across patient communications and technology use.
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Assist in accreditation and audit preparation as required.
Required Qualifications
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Registered Nurse (RN) – active, unrestricted license (multi-state compact preferred).
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Minimum 3 years of clinical experience (Internal Medicine, Family Medicine, or Geriatrics preferred).
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Prior experience in case management, population health, or care coordination required.
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Strong understanding of EHRs (eClinicalWorks preferred) and virtual care technology.
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Excellent communication, problem-solving, and leadership skills.
Preferred Skills
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Experience with Medicare Advantage, CCM/PCM, and value-based care programs.
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Familiarity with AI-based workflow automation, telehealth platforms, and CRM systems.
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Ability to analyze performance dashboards and recommend process improvements.
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Entrepreneurial mindset — eager to help small practices scale and succeed.
Compensation & Benefits
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Competitive base salary ($85,000 – $110,000 annually DOE).
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Quarterly performance bonuses based on client practice growth (EBITDA and patient outcomes).
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Full benefits package including health, dental, vision, PTO, and continuing education.
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Laptop, software access, and travel stipends provided.
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Pathway to MSO leadership or regional director roles for top performers.
Why Join Us
This isn’t a traditional nursing job. It’s a clinical-entrepreneurial leadership role at the intersection of healthcare, business, and technology. You’ll directly shape how independent practices thrive in a value-based care future — while enjoying autonomy, innovation, and measurable impact on hundreds of patients’ lives.
If you thrive on independence, systems thinking, and helping physicians win again — this is your calling.