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Nephrology Care Coordinator
2 months ago
Strive Health is a pioneering healthcare organization dedicated to transforming the kidney care system. Our mission is to deliver compassionate, patient-centered care that improves outcomes and experiences for individuals with kidney disease.
Job SummaryWe are seeking a highly skilled RN Care Manager to join our team. 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). You will work closely with the care team to craft personalized care plans, conduct regular assessments, and provide proactive outreach to patients and clinics.
Key Responsibilities- Develop and implement comprehensive care plans that address the clinical and non-clinical needs of patients
- Conduct regular assessments to detect undisclosed medical or social issues and changes in the home environment that could pose risks
- Initiate proactive outreach to patients and/or clinics 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' experience in clinical nursing
- Current Basic Life Support (BLS) certification
- Efficient and reliable transportation allowing for the ability to commute to patient's homes
- Proficiency in computer skills including Microsoft 365 Suite (word, outlook, excel) due to working in a hybrid-remote environment
- Minimum of 3 years' experience in nephrology, ER, ICU, Cardiac, or Ambulatory Complex case management nursing
- Certified Case Manager (CCM)
- Experience developing strong patient and family relationships that foster engagement and best outcomes for all aspects of Strive Health's Model of Care
- Demonstrated experience with proactively contacting patients and/or clinic on a frequent basis to assess both clinical and non-clinical needs
- Proficiency with documenting and navigating electronic medical records (EMR) and care plan management
Strive Health offers competitive compensation and benefits, including Health insurance, Dental insurance, Vision insurance, 401k Retirement Plan with Employer Match, Life and Accidental Death & Dismemberment insurance, Disability insurance, Health Savings Account, Flexible Spending Account, paid company holidays, in addition to Vacation Time Off.
An annual performance bonus, determined by company and individual performance, is available for many roles as aligned to Strive Health guidelines.
