Registered Nurse

Home HealthRegistered Nurse Care Managersare needed for a dynamic, fast-paced start-upwith an innovative care management position that is transforming the delivery of kidney care. You will be dr iving to patients' homes who suffer from chronic kidney disease. We are looking for someone who works well with ambiguity , drive time, and telehealth components. Most patients are suffering from chronic kidney disease (CKD) and end-stage renal disease (ESRD). Requirements: Must have 2 years of RN experience in ONE of the following: Dialysis Care Home Health Care Hospice Case Management (CM) Work Monday Friday 8:00 am 5:00 pm and occasionally after 5:00 pm You must be mission-driving and willing to deal with underserved populations 2+ years of experience working in care management and/ or with chronic illness 2+ years of experience working in medical settings such as home health, dialysis, or hospice Tele-health! Ability to take calls remotely on some nights and weekends Self-starter with the ability to work independently with minimal supervision Must show empathy and quickly build relationships with patients and CBOs Excellent verbal communication skills both in person and on the phone Must be fully vaccinated Must be willing to travel to the patient's home 2+ years of experience with CKD/ESRD patients is preferred Bilingual highly preferred Competitive compensation, salary of $80,000 Flexible paid leave (PTO) , sick days, and vacation policy Full Benefits (Medical, Dental, & Vision) 401K Plan Laptop & Phone Allowance (if applicable details will be discussed) Internal Growth Opportunities Job Descriptions: Lots of driving! This position will cover a two-hour travel radius . Rare domestic travel may be required to headquarters in Nashville, TN Ability to occasionally visit patients or take calls remotely on some nights and weekends Work with Microsoft Office and mobile phone and web-based applications Perform in-home care managemen t visits to assess and impact the social and behavioral status Work closely with Care Team to ensure continual progress on all care management goals Coordinate with dialysis providers to ensure transitions of care are seamless Create and administer care plans , rather than rendering direct clinical services Perform medical assessments and deliver individual, family, and group education on living with chronic illness, dialysis, and associated comorbidities Engage family and social support groups in the education and care of patients Assess patients and refer them to behavioral health specialists for diagnosis and treatment Help patients to understand accept and follow medical and lifestyle recommendations Serve as the point of contact for patient questions regarding social and behavioral Facilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities, and AV fistula placement Initiate patient relationships through enrollment and onboarding processes Document patient updates and progress in the care management platform Identify, vet and build relationships with local Community-Based Organizations Introduce patients to appropriate resources and act as the patient advocate Serve as subject matter expert on social determinants for other members of the Care Team Help prevent costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure Interview Process: Brief screening call with a talent advisor Phone Interview with HR Video Zoom interview with the operations manager and leadership #J-18808-Ljbffr