Care Manager RN

2 days ago

Naples, Florida, United States Monogram Health Full time
Care Manager RN Job Description

Monogram Health is seeking a skilled Registered Nurse to join our team as a Care Manager RN. As a Care Manager RN, you will play a key role in building trusting relationships with patients and their families, providing education and coaching on chronic kidney disease (CKD) and end-stage renal disease (ESRD), and facilitating conversations around proactive care decisions.

Key Responsibilities:
  • Work closely with patients' medical providers to develop and continually adapt care plans
  • Perform in-home care management visits to execute care management plans
  • 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
  • Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
  • Facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
Requirements:
  • Frequent local travel to perform in-home visits
  • Infrequent domestic travel may be required, primarily to Brentwood, TN for training
  • 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
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. We seek to transform the way nephrology, primary care, and chronic condition treatment is delivered. Our 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.

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