Patient Outcomes Specialist

3 days ago

Falls Church, Virginia, United States Somatus Full time

About Somatus

Somatus is a leading value-based kidney care company that empowers patients with chronic kidney disease to live healthier at home and out of the hospital.

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

  • Authenticity: We believe in real dialogue, being true to ourselves, and communicating effectively with patients, partners, vendors, and teammates.
  • Collaboration: We appreciate the unique contributions of every team member and strive to achieve more together.
  • Empowerment: We ensure that every voice is heard, especially when it comes to patient care or partner success.
  • Innovation: We continuously seek new solutions to improve patient outcomes and deliver exceptional care.
  • Tenacity: We view challenges as opportunities for growth and improvement, making a positive impact on patients and partners.

Job Summary

We are seeking a Patient Outcomes Specialist - Renal Care Coordination to join our team This role will play a critical part in improving patient outcomes by coordinating care across multiple settings, promoting home dialysis modalities, and educating patients on self-management.

Responsibilities

  • Conduct comprehensive assessments, identifying gaps in care and barriers to good health, managing a panel of approximately 150 assessed patients.
  • Create and implement care plans tailored to individual patient needs, collaborating with healthcare teams to address identified issues.
  • Care coordination involves advocating for patients, facilitating transitions between care settings, and minimizing avoidable readmissions.
  • Assess patient knowledge of renal conditions and provide education and support for self-management.
  • Provide ongoing reassessment and follow-up to continually improve patient outcomes.
  • Clinical oversight includes delegating tasks to non-licensed support teams and social workers.

Requirements

  • At least 1 year of experience in case management or care management, preferably coordinating care across multiple settings.
  • 2+ years of healthcare-related experience.
  • Current, unrestricted compact Registered Nurse license.
  • Maintain current BLS certification from a licensed AHA or American Red Cross training facility.
  • Demonstrate core values aligned with a patient-centered approach to care.
  • Proactively act as a patient advocate and respond with resolve.
  • Knowledge and experience empowering patients in self-management and shared decision-making.
  • Effective written and verbal communication skills, demonstrating respect and cultural awareness during interactions.
  • Strong analytical and critical thinking skills, community engagement, and facilitation skills.

Preferred Qualifications

  • Bachelor's degree in nursing.
  • Demonstrates empathy, enthusiasm, a great sense of humor, and a strong work ethic.
  • Experience working with vulnerable patient populations (ESRD, geriatrics, minorities, low-income, uninsured).
  • Ability to establish rapport with patients and families through inquiry and active listening.
  • Familiarity with electronic medical records.
  • Community outreach experience preferred.

Salary Information

The estimated annual salary for this position is $73,000-$90,000 based on national averages and industry standards.

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