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Nurse Care Manager

2 months ago


Lake Jackson, United States Monogram Health Full time
About the Role

We are seeking a skilled Registered Nurse to join our Care Team as a Care Manager RN. As a key member of our integrated team, you will work closely with patients, their medical providers, and other healthcare professionals to develop and implement personalized care plans.

Key Responsibilities
  • Conduct in-home care management visits to execute care plans and monitor patient progress
  • Work with patients' medical providers to develop and adapt care plans as needed
  • Perform patient health assessments and surveys to identify areas for improvement
  • Deliver individual and group education on chronic kidney disease, end-stage renal disease, and associated comorbidities
  • Encourage medication and treatment adherence through frequent contact with patients
  • Engage family and social support groups in patient education and care
  • Provide education and coaching on medications, medical conditions, diet, exercise, and lifestyle choices
  • Initiate patient relationships through enrollment and onboarding processes
  • Perform post-op and hospital discharge visits to support patients during vulnerable transitions
Requirements
  • Frequent local travel for in-home visits
  • Infrequent domestic travel may be required for training
  • Self-starter with ability to work independently with minimal supervision
  • Ability to show empathy and build relationships with patients and physicians
  • Graduate of an accredited School of Nursing
  • Currently licensed as a Registered Nurse in the State of the posted location
  • 2+ years previous experience working in care management and/or with CKD/ESRD patients
  • Ability to take call remotely on some nights and weekends
  • Excellent verbal communication skills
About Monogram Health

Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. We strive to transform the way nephrology, primary care, and chronic condition treatment is delivered, prioritizing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.