Complex Case Manager

This role will support multiple clinics across Pasco and Hernando Counties and candidates should reside in those counties.

About Us

Greenbrook Medical is building the new standard in primary care.

We deliver high-touch, relationship-based care through neighborhood clinics, grounded in a simple belief: every senior deserves the kind of care we would want for our own families. Our model prioritizes time with patients, strong care coordination, and a personalized approach that improves outcomes while lowering total cost of care.

We take full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution. That commitment shows up in our results, including a patient Net Promoter Score of 91, compared to 32 for typical healthcare organizations.

Rooted in Tampa Bay and partnered with Tampa General Hospital, we are entering an exciting phase of growth. Backed by strong unit economics, experienced operators, and a proven playbook, we are looking for builders and operators who want to help scale a healthcare platform designed to deliver better care, better coordination, and better outcomes for seniors.

About The Role

Our highest-risk patients deserve our highest level of coordination.

As our Complex Case Manager, you'll own the longitudinal clinical management of Greenbrook's most medically complex patients. You'll help identify patients at greatest risk, develop proactive care strategies, coordinate across their care teams, and ensure critical needs are addressed before they become acute problems.

This is far more than traditional case management. You'll help manage patients with multiple chronic conditions, identify gaps in care, address barriers to successful outcomes, and ensure that the action items identified through Greenbrook's clinical review processes are translated into meaningful patient care.

You'll become one of the most connected people in our care model, partnering closely with physicians, center managers, medical assistants, pharmacists, the Acute Care & Transitions team, specialists, and community partners to improve outcomes for the patients who need us most.

You'll report to our VP, Market Medical Director and work alongside physicians, center managers, medical assistants, and our broader care management team.

Location: Greater Tampa Bay Area (travel between clinics and care settings on a daily basis)

What You’ll Do

Own Longitudinal Care for High-Risk Patients

• Manage a defined population of Greenbrook's highest-risk and most medically complex patients.
• Develop and maintain individualized care plans based on patients' clinical needs, utilization patterns, risks, and goals.
• Proactively identify patients at risk for deterioration, avoidable utilization, or gaps in care.
• Coordinate with physicians, clinic teams, specialists, pharmacists, and community resources to address barriers to optimal care.
• Follow patients over time to ensure care plans are implemented and adjusted as their needs change.

Drive Proactive Care Management

• Use clinical data, utilization trends, and patient information to prioritize outreach and intervention.
• Identify recurring patterns or gaps that may contribute to avoidable ED visits, hospitalizations, or other poor outcomes.
• Support patients with multiple chronic conditions and complex psychosocial needs.
• Connect patients and families with appropriate community resources and support services.
• Partner with the Acute Care & Transitions team when patients experience hospitalization, ED visits, or SNF stays to ensure continuity of the broader care plan.

Drive Accountability for High-Risk Patients

• Own the action item lists generated during Panel Review and Burden of Disease (BoD) meetings.
• Track progress, follow up relentlessly, and ensure critical patient care activities are completed on time.
• Monitor whether care plans and interventions are producing the desired outcomes.
• Use data and reporting to identify opportunities for improvement and prioritize the highest-impact work.
• Escalate clinical or operational barriers to physicians and leadership when needed.

Build Strong Clinic