Monogram Health | Care Manager RN

5 days ago

Chester, United States Monogram Health Full time

Care Manager RN - Philadelphia, PA

Position: Be a Care Manager - Registered Nurse at Monogram

"I have never felt more supported by a company"

"Management is always shouting out employees for the wins they are doing for their patients. You can see the passion that everyone has for these patients. It really does feel like a team. I was very nervous walking away from bedside, but I could not be happier to be working with such an amazing group of people." - Registered Nurse

Position: Care Manager - RN As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care.

At Monogram Health, our mission is to transform the way health care is delivered for those with kidney disease so they can lead healthier, happier, and more fulfilling lives.

This transformation is urgently needed. In our healthcare system, the patient has too often become secondary due to processes and incentives that don't positively impact the patient for the long term.

The Care Manager - RN is a key member of an integrated Care Team which includes a an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

Roles and Responsibilities

* Work closely with patients' nephrologists to develop and continually adapt care plan

* Perform in-home care management visits to execute care management plan

* Monitor biometric data and follow approved protocols for any necessary interventions

* Inventory and reconcile medications and coordinate with pharmacists and prescribers

* Perform patient health assessments and surveys as required

* Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities

* Encourage medication and treatment adherence through frequent contact with patients

* Engage family and social support groups in the education and care of patients

* Serve as the primary point of contact and be the first call when patients have questions

* Provide education and coaching around diet, exercise, and lifestyle choices

* Educate patients and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities and proactive AV fistula placement

* Obtain vital signs when visiting patient and escalate any concerns to the nephrologist

* Facilitate nephrologist contact with other physicians to ensure comorbidities are managed

* Initiate patient relationships through enrolment and onboarding processes

* Perform post-op and hospital discharge visits to help patients through vulnerable transitions

* Review and document patient updates and progress in care management platform

* Coordinate with dialysis providers to ensure transitions of care are seamless

Position Requirements

* Infrequent domestic travel may be required, primarily to Brentwood, TN

* Self-starter with the ability to work independently with minimal supervision

* Ability to show empathy and quickly build relationships with patients and physicians

* Graduate of an accredited School of Nursing

* Currently licensed as a Registered Nurse in the State of the posted location

* 2+ years previous experience working in care management and/or with CKD/ESRD patients

* Ability to take call remotely on some nights and weekends

* Excellent verbal communication skills both in person and on the phone

* Familiarity with Microsoft Office and mobile phone and web-based applications

Benefits

* Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care

* Competitive salary

* Comprehensive medical, dental, vision and life insurance

* Flexible paid leave and vacation policy

* 401(k) plan with matching contributions

About Monogram Health

Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to transform the way nephrology, primary care and chronic condition treatment is delivered. Monogram's in-home approach utilizes a national nephrology practice supported by case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs. By increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

  • Care Manager RN

    2 weeks ago

    Chester, United States Monogram Health Full time

    Care Manager RN - Philadelphia, PAPosition: Be a Care Manager - Registered Nurse at Monogram! "I have never felt more supported by a company!" "Management is always shouting out employees for the wins they are doing for their patients. You can see the passion that everyone has for these patients. It really does feel like a team. I was very nervous walking...

  • Nurse Practitioner

    6 months ago

    Chester, PA, United States Monogram Health Full time

    Nurse PractitionerJob Description: Nurse Practitioner Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The...

  • Home Health Care Nurse Specialist

    7 days ago

    Chester, New Jersey, United States BAYADA Home Health Care Full time

    About UsBAYADA Home Health Care is a leading provider of home health care services. We strive to deliver exceptional patient care and foster a culture that values work-life balance.Role OverviewWe are seeking a highly skilled Registered Nurse (RN) to join our team as a Home Health Care Nurse Specialist. This role involves providing one-on-one care to...

  • Registered Nurse

    5 months ago

    Chester, United States Penn Home Health Care Full time

    Company Overview: Founded in 2016, Penn Home Health Care has been dedicated to providing compassionate, quality care services to individuals and families in need of medical or non-medical assistance within the comfort of their homes. Our core belief is an honest commitment to each patient and client, recognizing that every person has unique needs. We listen...

  • Healthcare Professional for Home Health RN Contract

    1 week ago

    Chester, South Carolina, United States Supplemental Health Care Full time

    Supplemental Health Care, a leading provider of healthcare staffing services, is seeking a skilled Healthcare Professional to fill a Home Health RN contract in South Carolina.About the OpportunityThis 13-week contract offers an estimated weekly compensation of $1,900-$2,066*, including tax-free stipends for meals, housing, and incidentals. As a Home Health...

  • Community Health Care Professional

    2 weeks ago

    Chester, Pennsylvania, United States CHESPENN HEALTH SERVICES Full time

    About ChesPenn Health ServicesChesPenn Health Services is a network of community health centers spanning Chester and Delaware Counties. Our mission is to provide quality, integrated, and culturally sensitive medical, dental, and behavioral healthcare to adults and children regardless of their income, insurance status, or ability to pay.We are seeking a...

  • Home Health Field Rn

    1 week ago

    Chester, United States Northwell Health Full time

    FlexStaff is seeking an experienced Field RN to join our client‘s team, a leader in home health care. This position covers Orange County, NY Fri (12.75hr shift, Sat (13hr shift), and Mon (13hr shift)The Field RN is an essential component of the certified agency team who will manage all aspects of patient care related to services provided in the home....

  • Home Health Care Professional

    4 days ago

    Chester Springs, Pennsylvania, United States BAYADA Home Health Care Full time

    At BAYADA Home Health Care, we pride ourselves on delivering exceptional care to our clients. We are seeking a skilled and compassionate Registered Nurse (RN) to join our team as a Home Health professional.About the OpportunityThis is a full-time or part-time opportunity for a Registered Nurse to provide home health visits in Chester Springs, Pennsylvania....

  • RN 1:1 - Home Care

    4 weeks ago

    Chester, United States BAYADA Home Health Care Full time

    Come for the Flexibility, Stay for the Culture Needing more 'life' in your work-life balance? Apply to our talent network today! BAYADA offers our RNs: One on one care Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included) PTO Short commute times - we match you with cases nearest you Medical,...

  • RN 1:1 - Home Care

    4 weeks ago

    Chester, United States BAYADA Home Health Care Full time

    Come for the Flexibility, Stay for the Culture Needing more ‘life’ in your work-life balance? Apply to our talent network today! BAYADA offers our RNs: One on one care Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included) PTO Short commute times – we match you with cases nearest you...

  • RN 1:1 - Home Care

    6 months ago

    Chester, United States BAYADA Home Health Care Full time

    Come for the Flexibility, Stay for the Culture Needing more ‘life’ in your work-life balance? Apply to our talent network today! BAYADA offers our RNs: One on one care Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included) PTO Short commute times – we match you with cases nearest you...

  • RN 1:1 - Home Care

    2 months ago

    Chester, United States BAYADA Home Health Care Full time

    Job DescriptionJob DescriptionCome for the Flexibility, Stay for the Culture Needing more ‘life’ in your work-life balance? Apply to our talent network today!BAYADA offers our RNs:One on one careFlexible scheduling based on your preferencesWeekly payPreventive Care Coverage for ALL employees (PRN included)PTOShort commute times – we match you with...

  • RN 1:1 - Home Care

    5 months ago

    Chester, United States BAYADA Home Health Care Full time

    Come for the Flexibility, Stay for the Culture Needing more ‘life’ in your work-life balance? Apply to our talent network today! BAYADA offers our RNs: One on one care Flexible scheduling based on your preferences Weekly pay Preventive Care Coverage for ALL employees (PRN included) PTO Short commute times – we match you with cases nearest...

  • Home Health Field RN

    4 weeks ago

    Chester, United States Northwell Health Full time

    FlexStaff is seeking an experienced Field RN to join our client's team, a leader in home health care. This position covers Orange County, NY, 8hr shifts, Monday-Friday. The Field RN is an essential component of the certified agency team who will manage all aspects of patient care related to services provided in the home. Responsibilities include, conducting...

  • Home Health Physical Therapist

    4 weeks ago

    Chester, Pennsylvania, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is seeking an experienced Physical Therapist to join our team for home health visits in Chester, Pennsylvania.Job Description & RequirementsSpecialty: Physical TherapistDiscipline: TherapyDuration: OngoingEmployment Type: StaffBAYADA Home Health Care is currently seeking an experienced Physical Therapist, PT, for a part-time...

  • Home Health Field RN

    1 month ago

    Chester, United States Northwell Health Full time

    FlexStaff is seeking an experienced Field RN to join our client's team, a leader in home health care. This position covers Orange County, NY, 8hr shifts, Monday-Friday. The Field RN is an essential component of the certified agency team who will manage all aspects of patient care related to services provided in the home. Responsibilities include, conducting...

  • Home Health Physical Therapist

    7 days ago

    Chester, Pennsylvania, United States BAYADA Home Health Care Full time

    About the JobBAYADA Home Health Care is seeking a skilled Home Health Physical Therapist to join our team in Chester, Pennsylvania.As a vital member of our multidisciplinary healthcare team, you will be responsible for providing high-quality, patient-centered care to adult and geriatric clients in their homes.Job ResponsibilitiesMake home visits to clients...

  • Career Opportunities for a Registered Nurse in Home Health Care

    4 days ago

    West Chester, Pennsylvania, United States BAYADA Home Health Care Full time

    Job OverviewBAYADA Home Health Care is seeking a Registered Nurse to lead our Habilitation team in West Chester, PA. As a Clinical Manager, you will oversee care plans and supervise staff to deliver exceptional service to clients with Intellectual and Developmental Disabilities.Compensation PackageWe offer a competitive salary of $85,000 per year, paid...

  • Home Health RN

    4 days ago

    West Chester, Pennsylvania, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is a leading provider of home health care services, seeking a compassionate and skilled Registered Nurse (RN) to join our team in Chester, New Jersey.About UsAt BAYADA, we believe that healthcare gets better when clients get better care at home – the place they most want to be. Our mission is to deliver high-quality,...

  • Registered Nurse

    2 weeks ago

    Chester, United States Crossroads Hospice & Palliative Care Full time

    Registered Nurse Case Managers deliver direct care to patients in their homes, whether it's at home or in a care facility. Nurses provide more than just medical assistance; they also listen attentively to patients' needs and honor their wishes. One of the most important aspects of being a Registered Nurse Case Manager is building trusting relationships...