Nurse Case Manager

Incredible Health seeks a Nurse Case Manager to support better staffing and patient outcomes across our hospital partners. You'll use your clinical expertise to assess nurse and employer needs, coordinate care-focused hiring workflows, and advise on best practices that improve retention and patient care. In this mission-driven, data-informed environment, you'll collaborate with product, customer success, and data teams to refine tools and resources for clinicians.

Join a fast-growing, healthcare-centered company that values diversity, empathy, and practical technology that helps nurses and hospitals at scale.

Responsibilities

• Perform comprehensive clinical assessments and develop individualized patient care plans across the continuum of care.
• Coordinate services and resources among patients, families, providers, and community agencies to support safe transitions and optimal outcomes.
• Conduct utilization review using established clinical criteria and payer guidelines to support appropriate level of care and length-of-stay management.
• Collaborate with physicians, bedside nurses, social workers, therapists, and payers to facilitate timely discharge planning and follow-up care.
• Document assessments, interventions, and outcomes accurately within EHR and digital case management platforms.
• Identify gaps in care and contribute to quality improvement initiatives, leveraging data and analytics from Incredible Health's platform.
• Educate patients and families on diagnoses, treatment options, medications, and available community resources to promote self-management.
• Participate in cross-functional projects that enhance technology-enabled case management workflows and operational efficiency.
• Maintain current knowledge of regulatory requirements, payer policies, and evidence-based case management practices.

Required Skills

• Clinical assessment
• Utilization review
• Care coordination
• Discharge planning
• Chronic disease management
• Electronic health records (EHR) documentation
• Interdisciplinary collaboration
• Patient advocacy
• Healthcare data analysis
• Insurance and payer coordination
• Regulatory compliance (CMS, Joint Commission)
• Telehealth care management
• Time management
• Care plan development
• Risk stratification