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Nephrology Care Coordinator
2 months ago
We are seeking a highly skilled RN Care Manager to join our team at Strive Health. As a RN Care Manager, you will play a critical role in supporting patient care for individuals with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD).
Key Responsibilities- Work closely with the care team to craft personalized and thorough care plans addressing the clinical and non-clinical needs of each patient.
- Conduct regular assessments onsite and virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks, promptly referring such matters to the appropriate channels for resolution.
- 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.
- Generate and evaluate reports using 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 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 allowing for the ability to commute to patient's homes.
- 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
