Registered Nurse - Care Management
1 day ago
Austin
Job Description About aivid Health At aivid Health, we believe healthcare should be smarter, more connected, and built around people — not paperwork. We partner with providers like hospitals and clinics to improve patient outcomes, close care gaps, and make healthcare more accessible, equitable, and sustainable. Our work blends technology, compassion, and teamwork — and we’re looking for nurses who see case management as more than a checklist, but as a chance to change lives. The Opportunity We’re seeking a Registered Nurse with strong case management skills to join our LSCC pilot program. This role uses Chronic Care IQ (CCIQ) as the aivid Health single source of truth for all care management activities, fully integrated with AthenaHealth — LSCC’s primary system of record — to ensure data accuracy and seamless provider coordination. You’ll be the first line of outreach for a dedicated patient panel—providing person-centered care coordination, closing care gaps, and ensuring that all actions are documented in CCIQ (and synced to Athena). This is a role for someone who thrives in a structured, metric-driven environment while keeping patient relationships at the center of everything. You’ll work in an agile, fast-paced setting where innovation is encouraged, collaboration is constant, and the culture is as fun as it is mission-driven. What You’ll Do Patient Outreach & Case Management • Manage a starting panel of 500 assigned patients in CCIQ, integrated with AthenaHealth, • Conduct outreach (minimum 3 contact attempts in 10 business days) via phone and electronic methods, • Obtain and document consent for case management services in CCIQ, • Complete comprehensive assessments, risk stratification, and care plans in CCIQ (synced with Athena), • Identify, coordinate, and submit referrals within 4 hours of need, • Close care gaps according to LSCC quality metrics, • Coordinate with medical, behavioral health, and social service providers, • Accurately document all patient interactions in CCIQ within 24 hours, ensuring sync with AthenaHealth, • Follow HIPAA, HITECH, and all applicable privacy regulations, • Meet all credentialing and licensing requirements, • Participate in interdisciplinary team meetings (weekly, monthly, quarterly), • Meet or exceed outreach, documentation, and billing SLAs, • Respond to urgent patient needs within 1 hour during business hours, • Active RN license in Texas (multi-state compact license preferred), • Minimum 2 years’ clinical experience (primary care, population health, or care management preferred), • Strong proficiency with care management platforms; experience with CCIQ and/or AthenaHealth a plus, • Knowledge of chronic disease management, preventive care, and care coordination best practices, • Excellent communication skills and a patient-first mindset, • Comfort working in a remote, metric-driven environment with tight SLAs, • Impact: Directly improve health outcomes for underserved communities, • Innovation: Work at the intersection of clinical care and advanced health technology, • Culture: Agile, transparent, and mission-driven — no silos, just teamwork If you believe healthcare should be more personal, more proactive, and more effective — we’d love to meet you. Company Descriptionaivid Health is a Health Tech Value-Added Partner (VAP) based in Austin, Texas, committed to reimagining healthcare through innovation, collaboration, and the intelligent use of data. Our mission is to foster sustainable, healthy communities by transforming how care is delivered—breaking down silos and creating continuous feedback loops between patients, clinicians, and caregivers. We believe the real magic happens at the intersection of the human touch and the digital touch. Technology should enhance—not replace—the relationships that drive healing. We work alongside primary care providers and federally qualified health centers (FQHCs), unifying fragmented data across episodic care, remote monitoring, and social determinants of health (SDOH). Our AI-powered platform ingests structured and unstructured data from wearables, mobile apps, digital touchpoints, and clinical systems, turning it into actionable insights that fuel proactive, personalized care. By bridging the gap between insight and action, aivid Health helps clinics scale value-based care models—without drowning in complexity. We exist to challenge and disrupt without distraction, exploring the adjacent possible to make healthcare more connected, equitable, and affordable for all.aivid Health is a Health Tech Value-Added Partner (VAP) based in Austin, Texas, committed to reimagining healthcare through innovation, collaboration, and the intelligent use of data. Our mission is to foster sustainable, healthy communities by transforming how care is delivered—breaking down silos and creating continuous feedback loops between patients, clinicians, and caregivers.\r\n\r\nWe believe the real magic happens at the intersection of the human touch and the digital touch. Technology should enhance—not replace—the relationships that drive healing.\r\n\r\nWe work alongside primary care providers and federally qualified health centers (FQHCs), unifying fragmented data across episodic care, remote monitoring, and social determinants of health (SDOH). Our AI-powered platform ingests structured and unstructured data from wearables, mobile apps, digital touchpoints, and clinical systems, turning it into actionable insights that fuel proactive, personalized care.\r\n\r\nBy bridging the gap between insight and action, aivid Health helps clinics scale value-based care models—without drowning in complexity. We exist to challenge and disrupt without distraction, exploring the adjacent possible to make healthcare more connected, equitable, and affordable for all.