Registered Nurse (RN) Care Manager – Community-Based
Wayne County, Michigan
Make a Difference with TANDEM365!
Are you a Registered Nurse looking for a meaningful role that offers autonomy, flexibility, and the opportunity to make a real impact in your community? TANDEM365 is seeking a Registered Nurse (RN) Navigator to serve Wayne County, Michigan as part of our innovative, community-based care model. TANDEM365 offers Registered Nurses a meaningful opportunity to practice at the top of their license while building lasting relationships with individuals who need care the most. As an RN Navigator, you play a critical role in guiding participants through complex medical systems—meeting them where they are, advocating for their goals, and helping them remain safely at home.
Why Choose TANDEM365?
- Hybrid Work Model – A blend of remote work and in-person community visits
- Supportive Interdisciplinary Team – Collaborate with social workers, community paramedics, medical assistants, and providers
- Mission-Driven Culture – Focused on improving lives and reducing gaps in care
- Mileage Reimbursement – Starts from the moment you leave home
- Autonomous Work Environment – Manage your day while building meaningful participant relationships
- Time to Build Real Relationships – Smaller caseloads and a community-based model allow you to develop trust and long-term connections with participants
- Purpose-Driven Work – Every day is centered on meaningful impact, advocacy, and helping individuals remain safely in their homes
- Supportive, Balanced Culture – A team that values collaboration, flexibility, and work/life balance
Who We Are
TANDEM365 is a complex medical case management and community paramedicine program delivering innovative, participant-centered care. We support individuals with complex medical, behavioral health, and social needs through in-home and community-based services designed to:
- Help participants remain safely in their homes
- Reduce unnecessary emergency department visits and hospitalizations
- Improve navigation of the healthcare system and community resources
Our interdisciplinary model brings together registered nurses, medical social workers, community paramedics, and medical assistants to create a coordinated and seamless care experience.
What It’s Like to Work Here
At TANDEM365, we believe that when team members feel supported, trusted, and valued, they do their best work. We offer a self-paced orientation, strong team collaboration, and a culture that prioritizes work/life balance, while allowing nurses to practice at the top of their license.
What You’ll Do as an RN Navigator
As an RN Navigator, you will provide community-based clinical case management to participants with complex medical and psychosocial needs. You will conduct in-home and telephonic assessments, develop individualized plans of care, and partner closely with the interdisciplinary team to support participants across the continuum of care.
Key Responsibilities:
- Conduct in-home and phone-based clinical assessments to inform individualized plans of care
- Develop and monitor person-centered care plans in collaboration with participants and the care team
- Coordinate care across primary care, specialty providers, hospitals, hospice, and community agencies
- Assess health literacy and provide participant-centered education
- Empower participants through self-management education and goal setting
- Facilitate challenging, goal-focused conversations with participants and families
- Support transitions of care, including hospice when appropriate
- Partner with the care team to prevent unnecessary hospital utilization
- Maintain timely, accurate documentation in electronic systems
- Participate in on-call coverage as part of a shared team rotation
What You’ll Need to Succeed
- Flexibility, resilience, and adaptability in a fast-paced, community-based environment
- Ability to work independently and autonomously while remaining connected to a team
- Strong organizational and prioritization skills
- Comfort navigating multiple technologies and electronic documentation systems
- Excellent communication skills, including comfort with complex and sensitive conversations
- A collaborative, team-oriented mindset
Education & Experience Requirements
- Active Registered Nurse (RN) license in the State of Michigan
- Minimum of 2 years of nursing experience
- Experience in community-based care, case management, home care, population health, or care coordination strongly preferred
- Experience supporting individuals with chronic medical conditions and behavioral health needs preferred
- Knowledge of community resources and care coordination across settings
Ready to Make an Impact? Apply Today!
Join TANDEM365 and be part of a team that is redefining community-based care and improving the lives of individuals throughout Wayne County.
