Patient Care Coordinator

2 weeks ago

Nashville, Tennessee, United States Evergreen Nephrology Full time
About You

You are dedicated and empathetic, thriving in the healthcare sector where you can make a significant impact on patients' lives. Your commitment lies in understanding the underlying factors affecting patients' health, addressing social determinants, and striving for optimal quality of life and outcomes for those you serve. You advocate for patients with kidney disease, ensuring they receive comprehensive, person-centered care while aiming to enhance the healthcare system. You prioritize quality over quantity, delivering the same level of care to your patients as you would to your own family. You excel in dynamic environments characterized by rapid change and are motivated by opportunities for process enhancement. Does this resonate with you? If so, we would like to connect.

About Us

Evergreen Nephrology collaborates with nephrologists to revolutionize kidney care through a value-driven, holistic, and patient-centered approach. We are committed to providing the highest standard of care for individuals with kidney disease, focusing on improving patient outcomes, delaying disease progression, facilitating home care, and expediting kidney transplants.

Our mission is to empower nephrologists to engage with the right patients at the right time throughout the entire care continuum. We achieve this by equipping them with exceptional interdisciplinary clinical resources, analytical insights, and patient services.

We actively listen to the needs of our patients, employees, and partners, continuously striving to surpass the existing norms of patient management.

Your Responsibilities

As a Nurse Care Manager at Evergreen Nephrology, you will work alongside a team of Physicians, Advanced Practice Providers, and other interdisciplinary members to manage a designated patient panel, addressing the unique needs of each individual based on their specific health conditions. Your responsibilities will include:
  • Establishing strong, empathetic relationships with patients and their families.
  • Assessing and identifying patients' needs according to their values, goals, and preferences, and translating these into clinical requirements.
  • Collaborating with Nephrology Partners, Primary Care Physicians, Advanced Practice Providers, Specialists, and various disciplines to develop comprehensive case management plans.
  • Working with the Nephrologist partner/APP to implement care plans by coordinating access to health services across multiple providers and disciplines.
  • Monitoring patient care and identifying cost-effective strategies, including recommendations for alternative care levels and resource utilization.
  • Coordinating patient education, involving family members as appropriate, regarding treatment options and advocating for preferred treatment access.
  • Evaluating the effectiveness of case management plans based on quality and cost metrics, making adjustments as necessary.
  • Facilitating continuity of care through an interdisciplinary approach, including management of kidney disease progression and necessary external services for patients and families.
  • Acting as a clinical liaison with external agencies, such as County CCS, non-plan facilities, outside providers, and third-party administrators.
  • Preparing reports, communicating program updates to relevant staff, and developing protocols in line with compliance standards.
  • Coordinating and advocating for effective transitions of care when required.
  • Engaging internal resources to address Social Determinants of Health, such as transportation, housing stability, and food security.
  • Participating in data collection, formulation, implementation, and monitoring of action strategies and care outcomes.
  • Maintaining accurate records of care for each patient.
  • Interpreting regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and external agencies.
  • Actively participating in team huddles, interdisciplinary team sessions, and patient case conferences.
  • Representing Evergreen Nephrology positively to patients, their families, and the community.
Qualifications
  • You resonate with our values and are eager to contribute to our innovative culture.
  • You are adaptable and thrive in a fast-paced, evolving environment.
  • A current RN License is required; a BSN is preferred.
  • A compact license is preferred, with a strong preference for RNs based in TX, KY, or FL.
  • 1+ years of experience in utilization management is preferred.
  • 3+ years of clinical experience in a hospital, clinic, home care, or nursing home setting is highly desirable.
  • Experience in case management and CCM certification is preferred but not mandatory.
  • Experience in disease management and/or physician office settings is advantageous.
Compensation and Benefits
The compensation range for this position is $90,000 to $100,000, with the final salary determined by experience, education, and specific role-related criteria.

Support and Development
  • Evergreen Nephrology offers a comprehensive total rewards package, including competitive base pay with bonuses, generous paid time off starting at four weeks for full-time employees, and 12 paid holidays annually.
  • We provide reimbursement for continuing medical education, a 401k plan with matching contributions, and health, dental, and vision insurance.
  • Our family-friendly policies support paid parental leave and flexible work arrangements.
  • We are committed to a robust training and development program that begins with onboarding and continues throughout your career.
  • As part of an inclusive and diverse team, you will collaborate with like-minded healthcare professionals who value high-quality, value-based care.
Evergreen Nephrology is an equal opportunity employer dedicated to inclusion and diversity, ensuring equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

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