Clinical Nephrology Specialist
2 weeks ago
At Strive Health, we're dedicated to revolutionizing the kidney care system through early identification, engagement, and comprehensive coordinated care. Our goal is to significantly improve outcomes for individuals with kidney disease, reducing emergency dialysis and inpatient utilization. We strive to set a new standard in kidney care by embracing diversity, celebrating successes, and supporting each other.
Role OverviewThis role is a critical part of our patient care team, supporting individuals with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD). As an RN Care Manager, you'll work closely with local care teams and healthcare professionals to coordinate services, optimize care delivery, and ensure seamless transitions. This hybrid role involves both telecommunication and on-site visits to various healthcare settings or patient homes.
Responsibilities- Craft personalized and thorough care plans addressing clinical and non-clinical needs of patients.
- Conduct regular assessments onsite and virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks.
- Initiate proactive outreach to patients and/or clinics as outlined in program guidelines to evaluate their status, offer assistance, and address inquiries promptly.
- Manage a diverse patient panel, swiftly and accurately evaluating individual needs while adhering to NCQA standards for complex case management.
- Communicate updates to the care team and family members, identifying gaps in patient understanding of their health status and delivering tailored education and resources to promote informed decision-making.
- Act as a liaison with dialysis facilities, conveying care plan updates to facilitate smooth transitions in care, and maintains accurate program software records.
- Leverage Strive data platforms to identify trends, anomalies, and areas requiring focus.
- Provide culturally sensitive care to meet the diverse needs of Strive patients, fostering collaboration and communication among all clinical team members to enhance care provision.
- Associate's degree from an accredited school of nursing.
- Current Registered Nurse (RN) license in the state of practice.
- 3+ years combined of related education, experience, or certification.
- Current BLS or CPR Certification required.
- Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs.
- Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency
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