Care Manager, RN (Moreland, Georgia/ Field-Based)

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.
We pride ourselves on our values which drive the level of care that we deliver to our patients:
Here For You (An attitude of service, empathy, and availability)
Own It (Drive and ownership)
Do the Right Thing (High integrity)
Be Positive (Great attitude and a can-do positive approach to challenges)
Join our team and make a positive impact on the lives of others! We are looking for a Care Care Manager (RN) for our Georgia team.
This is a full time field-based position that requires frequent travel to patient's homes in Jonesboro, Medonogh, Lawrenceville and Moreland counties.
Department & Position Overview:
FreedomCare’s Georgia operations support Structured Family Caregiving (SFC), a Medicaid home and community-based service option that helps eligible individuals receive daily care from a qualified live-in family caregiver, with coaching and oversight to support safe care at home.
The Care Manager, RN collaborates closely with patients, caregivers, and interdisciplinary care teams to assess needs, develop individualized plans of care, and facilitate the seamless initiation and delivery of services. Through regularly scheduled home visits, the RN evaluates patient and caregiver well-being, monitors the quality and effectiveness of care, and identifies opportunities to enhance health outcomes, safety, and regulatory compliance. The Care Manager, RN proactively communicates clinical concerns, changes in condition, and potential barriers to care with the appropriate team members, Case Management Agency, to ensure timely intervention, effective care coordination, and optimal patient outcome in addition to providing education to caregivers and patients to ensure optimal patient outcomes.
Every Day You Will:
Conduct initial and semi-annual in person visits, in-person RN supervisory visits and coordinate timely service activation, ensuring all required documentation, approvals, and standard procedures are completed.
Complete self-scheduling for any in person visits according to company policy.
Complete a minimum of 16-20 in person visits weekly. Fluctuation may occur dependent on established needs and territory.
Complete any in-person related visit documentation or care coordination the same business day of in-person visit.
Follow safety protocols in the field including PPE use when indicated, PPE. Follow equipment and privacy rules per company policy. Follow HIPAA laws to ensure patient privacy is upheld.
Ability to drive self independently to and from place of residence to patient’s residence to complete required in-home visits. Drive time can be up to 2 hours, but occasionally there may be a need outside your assigned territory dependent on need.
Develop, implement, and manage individualized coaching care plans, making and documenting revisions as the patient’s needs or condition change.
Educate patients, caregivers, and internal teams regarding care needs, safety considerations, service requirements, caregiver responsibilities, and next steps.
Coordinate patient care through timely communication and documentation with clinical disciplines, internal partners, case management agencies and appropriate community resources.
Provide ongoing education and coaching to support effective use of established best practices, promote caregiver competency, and connect patients and families with appropriate resources.
Provide SFC-specific clinical consultation and guidance to Health Coaches, Care Specialists, and caregivers when health concerns, caregiver training needs, documentation issues, safety concerns, care gaps, or changes in the patient’s condition are identified.
Review caregiver daily notes and related care documentation for each assigned active SFC case a minimum of every 14 calendar days. Document completion of each review through a signature, electronic authentication, or other auditable method and respond appropriately to identified health, safety, environmental, documentation, or service concerns.
Identify and timely escalate changes in condition, health or safety concerns, unmet care needs, service gaps, incidents, and other urgent concerns in accordance with established clinical protocols. Coordinate applicable concerns with Case Management including any identified concerns noted through assessments, visits, clinical observations, care-plan updates, incidents, daily notes, communications. The RN must complete follow-up actions accurately, thoroughly, and within required timeframes.
Complete requirements using only approved methods and systems of documentation, phones calls, and systems for customer outreach (Salesforce, TalkDesk, Email, Teams, CareConnect, MedFlyt).
Identify clinical process gaps, documentation risks, recurring concerns, and opportunities to strengthen SFC oversight, consultation, escalation, and compliance-monitoring workflows. Support policy implementation, compliance reviews, audit preparation, record validation, and corrective follow-up related to assigned SFC clinical-oversight responsibilities.
Maintain compliance with applicable federal and Georgia requirements, Medicaid and EDWP program requirements, CCSP and SOURCE requirements, SFC service requirements, professional nursing sta