Nephrology Care Coordinator
4 weeks 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).
You will work closely with the care team to craft personalized and thorough care plans addressing the clinical and non-clinical needs of each patient. This will involve conducting regular assessments onsite and virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks.
You will also be responsible for initiating proactive outreach to patients and/or clinics as outlined in program guidelines to evaluate their status, offer assistance, and address inquiries promptly. Additionally, you will manage a diverse patient panel, swiftly and accurately evaluating individual needs while adhering to NCQA standards for complex case management.
This is a hybrid role that includes in-home visits based on patient requirements, with potential face-to-face meetings with colleagues and leadership as needed. You will report to the Lead, RN Care Manager.
Key Responsibilities- Works closely with the care team to craft personalized and thorough care plans addressing the clinical and non-clinical needs of each patient.
- Conducts regular assessments onsite and virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks.
- Initiates proactive outreach to patients and/or clinics as outlined in program guidelines to evaluate their status, offer assistance, and address inquiries promptly.
- Manages a diverse patient panel, swiftly and accurately evaluating individual needs while adhering to NCQA standards for complex case management.
- Communicates 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.
- Acts as a liaison with dialysis facilities, conveying care plan updates to facilitate smooth transitions in care, and maintains accurate program software records.
- Generates and evaluates reports using Strive data platforms to identify trends, anomalies, and areas requiring focus.
- Provides culturally sensitive care to meet the diverse needs of Strive patients, fostering collaboration and communication among all clinical team members to enhance care provision.
- Utilizes clinical judgment, analytical skills, regular and predictable attendance, and comprehensive knowledge of case management programs to deliver high-quality care.
- 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, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs.
- 3+ years experience in nephrology, ER, ICU, Cardiac, or Ambulatory Complex case management nursing.
- Certified Case Manager (CCM) certification preferred.
- Proficiency in computer skills including Microsoft 365 Suite (word, outlook, excel) due to working in a hybrid-remote environment.
Strive Health is a leading provider of kidney care services, dedicated to transforming the lives of individuals with kidney disease through early identification, engagement, and comprehensive coordinated care. We are committed to delivering high-quality care that meets the diverse needs of our patients, and we are seeking a talented RN Care Manager to join our team.
As a RN Care Manager at Strive Health, you will have the opportunity to work with a dynamic team of healthcare professionals who share your passion for delivering exceptional patient care. You will be responsible for coordinating services to optimize care delivery, working closely with patients, families, local care teams, and healthcare professionals to ensure seamless transitions in care.
We offer a competitive compensation and benefits package, 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, and vacation time off. An annual performance bonus, determined by company and individual performance, is available for many roles as aligned to Strive Health guidelines.
Strive Health is an equal opportunity employer and drug-free workplace. At this time, Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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