RN Care Manager, Population Health Programs

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🕒 March 20

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Duet

WebsiteLinkedInAll Job Openings

11 - 50 employees

🤝 B2B

☁️ SaaS

💰 Seed Round - Duet on 2023-01

B2B • SaaS

Duet is a business and technology company that helps nurse practitioners launch, grow, and optimize NP-led primary care practices. It provides billing and coding optimization, revenue cycle management, payer contracting, patient engagement automation, and practice-launch support — combining software tools with human advisors to increase revenue, reduce administrative burden, and enable NP practice scaling.

📋 Description

• Conduct comprehensive assessments for Medicare beneficiaries, including medical, behavioral, and social needs • Develop and manage individualized care plans aligned with evidence-based guidelines • Provide chronic condition management (e.g., diabetes, CHF, COPD, hypertension) • Perform medication reconciliation and adherence support • Deliver patient education, coaching, and self-management support • Coordinate care across primary care, specialists, hospitals, post-acute, and community resources • Manage transitions of care following ED visits or hospitalizations • Close care gaps related to preventive care, screenings, and quality measures • Design and refine care management workflows from enrollment through ongoing engagement • Build documentation standards to support APCM and other care management billing programs • Partner with analytics and operations to define caseload models, outreach triggers, and performance metrics • Identify gaps in process and implement scalable solutions • Help select and optimize care management tools and EHR workflows • Contribute to hiring plans, onboarding materials, and training content as the team grows • Serve as a clinical thought partner to leadership on ACO and value-based strategy • Support ACO quality and utilization goals (HEDIS, STARs, TCM, etc.) • Document care management activities to support billing (e.g., APCM / care management programs) • Identify opportunities to reduce avoidable ED visits and hospital admissions • Partner with operations and analytics teams to track outcomes and performance • Serve as a core member of the interdisciplinary care team • Communicate regularly with patients, caregivers, and providers via phone and video settings • Escalate clinical concerns appropriately and support clinical decision-making

🎯 Requirements

• Active RN license (New York State) • 3+ years of clinical nursing experience (primary care, care management, population health, or related field preferred) • Experience working with Medicare populations strongly preferred • Demonstrated ability to build or improve clinical workflows • Strong operational mindset with comfort in ambiguity and early-stage environments • Familiarity with value-based care models (ACO, MSSP, APCM, CCM) • Strong care coordination, documentation, and patient engagement skills • Comfortable working in a hybrid NYC-based role with in-person collaboration • Knowledge of social determinants of health and community-based resources

🏖️ Benefits

• Health insurance • Retirement plans • Flexible work arrangements • Professional development opportunities