Renal Care Manager

7 days ago

Fresno, California, United States Somatus Full time
About the Role

Somatus is seeking a highly skilled and compassionate Renal Care Manager to join our team. As a critical member of our care team, you will work closely with complex renal patients in their homes, dialysis centers, and through telehealth services.

Key Responsibilities
  • Conduct comprehensive assessments of patients' medical, behavioral, pharmaceutical, and social needs, identifying gaps in care and barriers to good health.
  • Create and implement personalized care plans that address identified needs, remove barriers to care, and improve patients' health outcomes.
  • Coordinate care across the continuum of care, spanning settings such as the home, hospital, skilled nursing facility, and acute care facility.
  • Manage patients during periods of transitions of care to facilitate effective transitions and minimize avoidable readmissions.
  • Assess patients' knowledge of their renal condition and provide education and self-management support.
  • Provide ongoing reassessment and follow-up to improve patient outcomes.
  • Provide clinical oversight to non-licensed support team members and delegate tasks as appropriate.
Requirements
  • 1+ years of nursing 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.
  • Requires all teammates to maintain current, valid BLS certification from a licensed AHA or American Red Cross training facility or provider.
  • Core values consistent with a patient-centered approach to care.
  • Proactively acts as a patient advocate and responds with resolve.
  • Knowledge and experience to empower patients in self-management and shared decision-making.
  • Enjoys working collaboratively with team members.
  • Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
  • Strong analytical and critical thinking skills.
  • Strong community engagement and facilitation skills.
  • Ability to travel throughout the assigned region and comfort with conducting home visits depending on the assigned market needs.
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, etc.).
  • Ability to establish rapport with patients and families by inquiring and listening.
  • Familiar with electronic medical records.
  • Community Outreach experience preferred.
  • Competence using MS Office products and telecom devices.
About Somatus

Somatus is a leading value-based kidney care company empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

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