Nurse Care Manager

2 months ago

Philadelphia, United States Evergreen Nephrology Full time
Who You Are

You are devoted and compassionate, and enjoy being on the front lines of healthcare, changing the lives of your patients. You're passionate about digging in to get to the root cause of a patient's conditions, remove social determinants of healthcare, and ensure the highest possible quality of life and best outcomes for those in your care. You believe patients living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your team and patients that you would to your own family member. You thrive in innovative and evolving environments with high rates of change. You are driven by process improvements. Does this sound like you? If so, we should talk.

Who We Are

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care and we are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients.

We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

Your Role

As a Nurse Care Manager with Evergreen Nephrology, you will collaborate with a team of Physicians, Advanced Practice Providers, and interdisciplinary team members to manage an assigned patent panel and address patients' specialized needs based on their individual conditions. Your job duties will include taking full ownership of patients within your panel, with an additional focus on helping patients with kidney disease navigate the kidney care continuum and manage all their additional chronic conditions. You will perform assessments to identify their needs based on their values, goals, and preferences. From this assessment, you will develop comprehensive care plans for each member. These care plans will be used to coordinate patient care delivery with Evergreen and our JV partner clinicians, network providers, contracted vendors, and community-based services.

Primary functions for the Nurse Care Manager include:
•
  • Quickly build empathetic relationships with patients and families
  • Evaluate and identify patient's needs based on their respective values, goals, and preferences, then translate these needs into clinical needs
  • Interface with Nephrology Partners, Primary Care Physicians, Advanced Practice Providers, Specialists, and various disciplines on the development of case management plans/programs
  • In conjunction with the Nephrologist partner/APP, implement care/treatment plan by coordinating access to health services across multiple providers/disciplines
  • Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources
  • Effectively coordinate patient education (including family involvement as appropriate) regarding treatment options, and advocate for access to the preferred treatment option
  • Monitor and evaluate the effectiveness of the case management plans based on quality and cost drivers and modifies as necessary
  • Coordinate the interdisciplinary approach to providing continuity of care, including kidney disease progression management, utilization management, kidney care coordination, needed for outside services for patients/families
  • Act as a clinical liaison, per their specialty, with outside agencies such as County CCS, non-plan facilities, outside providers, employers and/or workers' compensation carriers, and third-party administrators
  • Prepare reports, communicate program changes to appropriate staff, and develop protocols in accordance with compliance requirements
  • Coordinate and advocate for effective transition of care when appropriate/needed
  • Engage internal resources to identify and respond to Social Determinants of Health such as lack of transportation, stable housing, or food resources
  • Participate in the data collection, formulation and implementation, and monitoring of action strategies and outcomes of care or customer service
  • Ensure that accurate records are maintained of the care associated with each patient
  • Interpret regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies
  • Actively participate in huddles, IDT sessions, and patient case conferences
  • Commendably represent Evergreen to patients, their families, and the community
  • This position is a hybrid position. The candidate will work in an office environment 3 days a week and will have the option to work remote 2 days a week.
How You Qualify
•
  • You reviewed the Who You Are section of this job posting and immediately felt the need to read on. That makes you a match for our innovative culture
  • You accept that things change quickly in a startup environment and are willing to pivot quickly on priorities
  • Current RN License is required, BSN preferred.
  • 1+ years of utilization management experience preferred.
  • 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly
  • Case management experience required, CCM preferred but not required.
  • Disease management and/or physician office experience
How You are Supported
  • You will benefit from Evergreen Nephrology's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at four weeks for full-time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
  • We are proud to offer family-friendly policies that support paid parental leave and flexible work arrangements.
  • We commit to a robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology
  • As an inclusive and diverse team, you will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Evergreen Nephrology's high-quality, value-based care model.
  • Pay range for this role is 77,823 to 91,441, with exact pay determined based on experience, education, demand for role, and other role-specific criteria.

Evergreen Nephrology is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about your EEO rights as an applicant (Opens in a new window).

Evergreen Nephrology will not discriminate or retaliate against applicants who inquire about, disclose, or discuss their compensation or that of other applicants. United States Department of Labor. Learn more (Opens in a new window).

Evergreen Nephrology is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email hwasielewski-lopez@evergreennephrology.com for assistance. Reasonable accommodations will be determined on a case-by-case basis.

  • Critical Care Nurse

    4 days ago

    Philadelphia, Pennsylvania, United States Travel Nurse Source Full time

    About the PositionWe are seeking a skilled and compassionate Critical Care Nurse to join our team at Travel Nurse Source. As a critical care nurse, you will provide high-quality patient care to critically ill patients who require close monitoring and advanced interventions.Key ResponsibilitiesMonitor patients' vital signs and administer medications as...

  • Nurse Care Manager

    1 day ago

    Philadelphia, Pennsylvania, United States Project Home Full time

    Nurse Care Manager Role at Project Home**Job Summary:**The Registered Nurse (RN) Care Manager provides a holistic, trauma-informed, and patient-centered approach in caring for patients seen through Project Home's Healthcare Services. Key responsibilities include: Serving as a key member of the Project Home Healthcare Services team and contributing to its...

  • Nursing Home Administrator

    18 hours ago

    Philadelphia, Pennsylvania, United States Caldera Care Full time

    Job Summary:Caldera Care, a leading provider of skilled nursing services, is seeking an experienced Nursing Home Administrator to join our team. As a key member of our leadership team, you will be responsible for overseeing the daily operations of our skilled nursing facilities, ensuring the highest level of care and service for our residents.Key...

  • Care Management Nurse

    22 hours ago

    Philadelphia, Pennsylvania, United States ACCELerate Philadelphia - Philadelphia, PA Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse to join our team at ACCELerate Philadelphia in Philadelphia, PA. As a Care Management Nurse, you will play a critical role in providing high-quality patient care and coordinating with the nursing team to develop effective plans of care.Key Responsibilities:Perform comprehensive nursing assessments...

  • Nurse Care Manager

    3 weeks ago

    Philadelphia, United States Spectrum Health Full time

    Job Descriptions: Job Summary: Working in collaboration with providers from the hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high risk or complex medical, behavioral health and/or psychosocial problems through practice and home-based visits and...

  • Nurse Care Manager

    4 weeks ago

    Philadelphia, United States Spectrum Health Services, Inc Full time

    Job DescriptionJob DescriptionJob Summary:Working in collaboration with providers from the hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high risk or complex medical, behavioral health and/or psychosocial problems through practice and home-based visits...

  • Nurse Care Manager

    1 week ago

    Philadelphia, United States Spectrum Health Services, Inc Full time

    Job DescriptionJob DescriptionJob Summary:Working in collaboration with providers from the hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high risk or complex medical, behavioral health and/or psychosocial problems through practice and home-based visits...

  • Critical Care Travel Nurse

    1 week ago

    Philadelphia, Pennsylvania, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a Critical Care Travel Nurse RN for an exciting opportunity in the Intensive Care Unit (ICU).Position OverviewSpecialty: ICU - Intensive Care UnitDiscipline: RNEmployment Type: TravelJob Summary:Supplemental Health Care is collaborating with a healthcare facility to recruit skilled ICU RNs. With over 30 years of...

  • Nurse Care Manager 1

    3 weeks ago

    Philadelphia, United States Project H.O.M.E. Full time

    Nurse Care Manager 1Job Summary: The Nurse Care Manager is a key member of an integrated health care team and instrumental to its success. The primary focus for this position is providing care management to targeted patients at the Stephen Klein Wellness Center. Essential Duties and Responsibilities: Provides nursing assessments and triage to walk-in...

  • Care Management RN

    4 weeks ago

    PHILADELPHIA, United States Fresenius Medical Care Full time

    b>POSITION FEATURES:Paid TrainingGrowth OpportunitiesFull Time PositionSupportive TeamPURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including...

  • Nurse Care Manager 1

    4 weeks ago

    Philadelphia, United States Project H.O.M.E. Full time

    Nurse Care Manager 1 Job Summary: The Nurse Care Manager is a key member of an integrated health care team and instrumental to its success. The primary focus for this position is providing care management to targeted patients at the Stephen Klein Wellness Center. Essential Duties and Responsibilities: Provides nursing assessments and triage to walk-in...

  • Traveling Intensive Care Unit Registered Nurse

    5 days ago

    Philadelphia, Pennsylvania, United States Travel Nurse Source Full time

    About the PositionWe are seeking a qualified ICU/Critical Care Registered Nurse to join our team at a reputable healthcare facility in Pennsylvania.Job DetailsPay Information: $1,432 per weekShift Details: 12H Variable (12:00 AM-12:00 PM) 24 hours per weekLength: 8 weeksAbout the FacilityThe facility is a leading healthcare provider in the region, offering a...

  • Home Health Care LPN

    1 day ago

    Philadelphia, Pennsylvania, United States Care and Help Home Care Full time

    Job SummaryThe Licensed Practical Nurse (LPN) will be responsible for providing high-quality patient care and services to individuals in their homes or other independent living environments. This role will involve administering care plans, ensuring compliance with regulatory standards, and collaborating with healthcare teams to deliver exceptional patient...

  • Hospice RN Case Manager

    3 months ago

    Philadelphia, United States Ennoble Care Full time

    Job DescriptionJob DescriptionAbout UsEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care...

  • Long Term Care Director

    1 day ago

    Philadelphia, Pennsylvania, United States Long Term Care Full time

    Job SummaryThe Director of Nursing is a key role in our Long Term Care organization. We have both temporary and full-time positions available in the states of New Jersey, Pennsylvania, Delaware, and Maryland.Key ResponsibilitiesThe Director of Nursing provides nursing management, sets resident care standards for all direct care providers, and provides...

  • Travel Nurse RN

    1 month ago

    Philadelphia, United States Supplemental Health Care Remote Work Freelance Full time

    Supplemental Health Care is seeking a travel nurse RN Manager for a travel nursing job in Philadelphia, Pennsylvania.Job Description & RequirementsSpecialty: ManagerDiscipline: RNStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hours, nightsEmployment Type: TravelJob Description:Supplemental Health Care has been partnering with Registered Nurses...

  • Care Manager II

    22 hours ago

    Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time

    About the RoleAmeriHealth Caritas is seeking a skilled Care Manager II to join our team. As a key member of our healthcare team, you will play a vital role in assisting members achieve their optimal level of health.Key ResponsibilitiesAssess members to determine care coordination and case management needs.Complete comprehensive assessments of environmental,...

  • Care Manager RN

    3 weeks ago

    philadelphia, 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...

  • Dialysis Clinical Manager Registered Nurse

    1 month ago

    Philadelphia, United States Fresenius Medical Care Full time

    Level Description'Management' Leveling Guide consists of jobs with the responsibility, accountability, and decision-making authority to develop and implement strategies, initiatives, policies, and programs. The labels of Supervisor, Manager, Director, etc., are not limited to a distinct level (i.e., not all Senior Managers are level XX)- these are rough...

  • Home Health Care Professional

    1 day ago

    Philadelphia, Pennsylvania, United States Always Best Care Full time

    Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team at Always Best Care. As a vital member of our home health care team, you will provide high-quality nursing care to patients in their homes, promoting optimal health outcomes and improving their quality of life.Key ResponsibilitiesAssessment and Care Planning: Conduct...