Location: Remote within 30min of New Lenox, IL
Job Type: Full-Time
Salary Range:
Hours: 8:30am-5pm
About Us
Jaan Health is a strategic care transformation partner for health systems, medical groups, and large physician organizations. With over a decade of experience supporting providers in proactive care delivery, our clinical experts use our AI-powered platform, Phamily, to extend personalized, proactive care across entire patient populations, driving better clinical outcomes and sustainable revenue while helping care teams deliver high-quality care between visits.
OVERVIEW
Jaan Health is seeking dynamic and motivated Clinical Care Leads to join our care team and will report to the Clinical Operations Manager. This role requires strong clinical knowledge, adaptability, and the ability to thrive in a fast-paced, patient-centered environment. The Clinical Care Lead will support chronic care management (CCM) and advanced primary care models (APCM) by providing direct patient engagement, care plan support, and clinical triage. This position is remote and offers health benefits as well as a retirement plan and paid days off.
About the Role
We are seeking a compassionate, organized, and tech-savvy Clinical Care Lead to support patients with chronic conditions in our text-based Advanced Primary Care Management (APCM) program. This remote role focuses on delivering proactive, high-quality care through digital communication tools, driving better health outcomes for Medicare and older adult populations.
This position is ideal for healthcare professionals who thrive in a virtual care setting, value patient engagement, and are skilled in critical thinking and care coordination.
Key Responsibilities
- Serve as the first line of communication for patients via a secure, text-based platform
- Monitor and respond to patient messages and check-ins in a timely, compassionate, and professional manner
- Identify, assess, and triage clinical concerns, SDOH needs, and care coordination barriers
- Develop and update personalized care plans for patients with chronic conditions (e.g., hypertension, diabetes, COPD)
- Develop, implement, and revise care coordination workflows or protocols to support the evolution of the care model to improve efficiency and scalability
- Analyze patient data or trends to identify care gaps or improve outcomes
- Independently making decisions on patient outreach priorities, resource allocation, or escalation paths
- Lead quality improvement initiatives or case review meetings
- Serve as a liaison for payer utilization management, interpreting policy, and advising on compliance
- Track engagement, log care time, and document all communication per HIPAA and program guidelines
- Identify and troubleshoot issues that arise during new program iterations, escalating to leadership when there are critical impacts or opportunities for system-wide improvements
- Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through
Key Skills & Qualifications
- 2+ years of experience in a clinical or care coordination role (primary care, chronic care management, home health, etc.)
- RNs w/ current license
- Strong critical thinking and problem-solving skills in a fast-paced environment
- Ability to independently manage a digital patient panel and prioritize escalations effectively
- Excellent written communication and documentation skills
- Comfort using EMRs, care coordination platforms, and digital messaging tools
- Knowledge of Medicare CCM/APCM programs a plus
- Bilingual (Spanish) is a bonus but not required
- Must be located within the continental United States and have access to reliable internet and ability to work in a specified time zone - either CST, EST, or PST depending on client and candidate location
- Access to Internet 5G
Schedule & Work Environment
- Full-time, Monday–Friday from 8:30am-5pm
- Flexible remote schedule across CST, EST, or PST time zones
- 1-hour lunch break, daily huddles with manager/team
- Ongoing support from a multidisciplinary care team
Our Compensation & Benefits
- Medical, dental, and vision coverage for employees and dependents at a nominal cost
- Paid maternity leave
- FSA and Dependent Care account options
- 401(k) Eligibility after 6 months of full-time employment
- Collaborative, mission-driven work environment
If you take pride in delivering results, embrace challenges, and proactively seek improvement, then this is the place for you. You’ll join a smart, humble, and collaborative team dedicated to improving healthcare.
Equal Employment Opportunity
Phamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.