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Phamily

HIPAA-compliant AI platform for chronic care

Clinical Care RN

Medical, Clinical & VeterinaryPosted on Nov 12
Full-timeNew Lenox, IL, USA

About the Job

Requirements

  • Registered Nurse with an active, unrestricted compact license and at least four years of experience in care management or clinical care coordination, such as primary care, chronic care management, or home health.
  • Previous experience managing a team.
  • Ability to think critically and solve problems in a fast-paced environment.
  • Ability to independently manage a digital patient panel and prioritize escalations effectively.
  • Strong written communication and documentation skills.
  • Comfort using electronic medical records, care coordination platforms, and digital messaging tools, and ability to learn new technologies quickly.
  • Access to reliable internet and a secure, private work environment.
  • Ability to travel up to 10%, potentially including overnight travel.
  • Compliance with applicable organizational security, privacy, and compliance policies, including separation-of-duties requirements, and protection of the confidentiality, integrity, and availability of accessed information and systems.

Responsibilities

  • Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner.
  • Identify, assess, and triage clinical concerns, social determinants of health needs, and care coordination barriers.
  • Develop and update personalized patient care plans, and educate and motivate patients to adhere to them.
  • Oversee the clinical quality of the team by analyzing data and trends, managing direct reports, training, orienting, and onboarding new and tenured staff, and improving outcomes.
  • Develop, implement, and revise care coordination workflows and protocols to improve efficiency and scalability as the care model evolves.
  • Lead quality-improvement initiatives, complete case reviews and chart audits, and host team meetings.
  • Identify and troubleshoot issues arising during new program iterations, escalating critical impacts or opportunities for system-wide improvement to leadership.
  • Collaborate with certified medical assistants, licensed practical nurses, registered nurses, nurse practitioners, and social workers to ensure timely escalation and follow-through.

Desired Qualifications

  • At least four years of experience and a two-year RN associate degree, or at least two years of experience and a Bachelor of Science in Nursing.
  • Knowledge of Medicare Chronic Care Management or Advanced Primary Care Management programs.
  • Bilingual Spanish skills.

About the Company

Phamily

HIPAA-compliant AI platform for chronic care

Phamily provides a HIPAA-compliant software platform for proactive chronic care management that helps medical groups, health systems, and other providers run between-visit care and bill for CCM/APCM services. The core product is an AI-powered two-way text communication system that keeps care teams and patients connected, with an AI Care Copilot suggesting personalized check-ins and triage. It enables one care manager to support up to 500 patients through scalable workflows, rapid enrollment, care plans, automated documentation, and precise time-tracking for billing. Phamily aims to help providers build financially sustainable proactive care programs, improve patient engagement, and achieve better clinical outcomes while generating revenue under value-based and fee-for-service models.

Company size
51-200
Company stage
Debt Financing
Total funding
$25M
Headquarters
Blue Ash, OH
Founded
2013

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