Nephrology Care Coordinator RN
4 weeks ago
As a Nephrology Care Coordinator RN, you will provide care coordination, case management, and clinical management for patients with chronic kidney disease (CKD), including end-stage kidney disease (ESKD) and renal replacement therapy (RRT). You will collaborate with internal and external providers to coordinate the plan of care and provide expertise in CKD/ESKD/RRT management and treatments, including dialysis.
Key Responsibilities:
- Act as a care coordinator for the care and follow-up of patients in the nephrology specialty clinic and dialysis centers, including contracted transplant centers.
- Provide holistic, proactive coordination of care for chronic disease under Nephrologist supervision.
- Using standardized policies, procedures, and standing orders, coordinate clinical care and education for symptoms, complications, labs, and medications by protocol.
- Navigate complex care, including arranging and monitoring follow-up appointments, encouraging members to follow prescribed courses of care, and making referrals to appropriate community/contracted services.
- Collaborate with patients, patient support, and interdisciplinary team members in assessing patient needs, including scheduled follow-up for self-care skill building, diet and other risk factor counseling, and medication management in the medical office setting.
- Provide patient education and consultation for patients and family members throughout disease progression.
- Coordinate care using the interdisciplinary care approach to provide continuity of care for CKD/ESKD patients, including coordination with other programs such as chronic condition management, specialty care, surgical care, supportive care services, and others to ensure seamless transitions.
- Participate in performance improvement activities to enhance and monitor the quality and level of care provided for patients with CKD/ESKD disease under nephrology care.
- Identify and promote improved innovative clinical practice based on new knowledge and research in the field of specialization, using a broad scope of nursing expertise.
- Maintain up-to-date knowledge of current activities in Nephrology, CKD/ESKD/RRT care.
- Ensure accurate clinical information and data is maintained.
- Perform other Nephrology-specific duties to support CKD and ESKD patient population needs.
Experience
- Minimum of two (2) years of dialysis and/or nephrology case management experience within the past five (5) years.
- Bachelor's degree in nursing or health-related field, OR four (4) years of experience in a directly related field.
- Graduate of an accredited school of nursing.
- High School Diploma or General Education Development (GED) required.
- Registered Nurse License (California) required at hire.
Preferred Qualifications:
- Previous care coordination experience in Nephrology preferred.
- Masters degree preferred.
- Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN) preferred upon hire date, but required to obtain within 2 years of hire.
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