Complex Case Manager (RN or LPN)

Job description

**About Us** Greenbrook Medical is building the new standard in primary care. We deliver high-touch, relationship-based care through neighborhood clinics, grounded in a simple belief: every senior deserves the kind of care we would want for our own families. Our model prioritizes time with patients, strong care coordination, and a personalized approach that improves outcomes while lowering total cost of care. We take full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution. That commitment shows up in our results, including a patient Net Promoter Score of 91, compared to 32 for typical healthcare organizations. Rooted in Tampa Bay and partnered with Tampa General Hospital, we are entering an exciting phase of growth. Backed by strong unit economics, experienced operators, and a proven playbook, we are looking for builders and operators who want to help scale a healthcare platform designed to deliver better care, better coordination, and better outcomes for seniors. **About The Role** Our highest-risk patients deserve our highest level of coordination. As our Complex Case Manager, you'll own the longitudinal clinical management of Greenbrook's most medically complex patients. You'll help identify patients at greatest risk, develop proactive care strategies, coordinate across their care teams, and ensure critical needs are addressed before they become acute problems. This is far more than traditional case management. You'll help manage patients with multiple chronic conditions, identify gaps in care, address barriers to successful outcomes, and ensure that the action items identified through Greenbrook's clinical review processes are translated into meaningful patient care. You'll become one of the most connected people in our care model, partnering closely with physicians, center managers, medical assistants, pharmacists, the Acute Care & Transitions team, specialists, and community partners to improve outcomes for the patients who need us most. You'll report to our VP, Market Medical Director and work alongside physicians, center managers, medical assistants, and our broader care management team. **Location:** Greater Tampa Bay Area (travel between clinics and care settings on a daily basis) **What You’ll Do** Own Longitudinal Care for High-Risk Patients - Manage a defined population of Greenbrook's highest-risk and most medically complex patients. - Develop and maintain individualized care plans based on patients' clinical needs, utilization patterns, risks, and goals. - Proactively identify patients at risk for deterioration, avoidable utilization, or gaps in care. - Coordinate with physicians, clinic teams, specialists, pharmacists, and community resources to address barriers to optimal care. - Follow patients over time to ensure care plans are implemented and adjusted as their needs change. Drive Proactive Care Management - Use clinical data, utilization trends, and patient information to prioritize outreach and intervention. - Identify recurring patterns or gaps that may contribute to avoidable ED visits, hospitalizations, or other poor outcomes. - Support patients with multiple chronic conditions and complex psychosocial needs. - Connect patients and families with appropriate community resources and support services. - Partner with the Acute Care & Transitions team when patients experience hospitalization, ED visits, or SNF stays to ensure continuity of the broader care plan. Drive Accountability for High-Risk Patients - Own the action item lists generated during Panel Review and Burden of Disease (BoD) meetings. - Track progress, follow up relentlessly, and ensure critical patient care activities are completed on time. - Monitor whether care plans and interventions are producing the desired outcomes. - Use data and reporting to identify opportunities for improvement and prioritize the highest-impact work. - Escalate clinical or operational barriers to physicians and leadership when needed. Build Strong Clinical Partnerships - Develop trusted relationships with physicians, clinic teams, specialists, pharmacists, community organizations, and other care partners. - Serve as a clinical resource and thought partner to clinic teams managing complex patients. - Collaborate with the Acute Care & Transitions Manager to ensure patients move seamlessly between acute care and longitudinal care management. - Help strengthen Greenbrook's overall approach to managing high-risk patients across the continuum. **What Success Looks Like** - High-risk patients have clear, current, and actionable care plans. - Critical Panel Review and Burden of Disease action items are consistently completed. - High-risk patients receive proactive outreach before problems become acute. - Gaps in care, utilization patterns, and emerging risks are identified and addressed. - Strong collaboration exists between Complex Case Management, Acute Care & Transitions, physicians, and clinic teams. - Reduced avoidable utilization and improved outcomes among Greenbrook's highest-risk patients. - Physicians and clinic teams view you as a trusted partner in managing their most complex patients. **About You** You bring: - Active RN or LPN license. - 3+ years of nursing, care management, or complex care coordination experience. - Experience in managed care, Medicare Advantage, or value-based primary care. - Strong clinical judgment and ability to assess complex patient needs. - Experience coordinating care across multiple providers and care settings. - Strong Excel skills and comfort using data to prioritize work and identify opportunities. - A mindset grounded in our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. You’ll stand out if you: - Have case management experience, especially if you possess the CCM (Certified Case Manager). - Have experience supporting complex Medicare Advantage populations. - Have experience managing patients with multiple chronic conditions and/or significant social needs. - Have knowledge of local community resources and social determinants of health. - Thrive in highly autonomous roles where you build systems instead of waiting for direction. - Are exceptionally organized, proactive, and known for following through. - Build trust quickly with physicians, nurses, patients, and external partners. - Constantly think one step ahead to prevent problems before they happen. - Are bilingual in Spanish. **Why You’ll Love Working Here** **Make An Impact Every Day** Be part of a mission-driven team transforming primary care for seniors. Your work directly supports better outcomes, better coordination, and better experiences for some of the most vulnerable patients in healthcare. **Work That Actually Matters** We’re not a volume-driven system, we’re accountable for outcomes. That means your work directly contributes to quality care, patient satisfaction, and meaningful improvements in how healthcare is delivered. **Build And Grow With Us** We’re building more than a company, we’re building careers. As we expand, you’ll have opportunities to grow your skills and take on new challenges. **Strong, Transparent Compensation & Benefits** - $100,000 base salary, based on experience and qualifications - Generous annual performance bonus - Health, dental, and vision insurance - Paid time off - 401(k) with company match We believe in fair, equitable pay that reflects your experience and impact. **Our Selection Process** Application → Initial interview → Skills/experience interview → Values interview → Clinic Visit + Case Study interview → References **Equal Employment Opportunity and Commitment to Diversity** At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at [recruiting@greenbrookmedical.com](mailto:recruiting@greenbrookmedical.com).