Registered Nurse Care Manager, VBC

RN Care Manager, Value Based Care

At Somatus in Phoenix, Arizona, United States, we are a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, helping patients across the country enjoy more healthy days at home.

Care at Somatus goes beyond treatment. Through a whole-person approach, we deliver outcomes-driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.

We hire the brightest and boldest – talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn't just a milestone – it's a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.

The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician's treatment plan. The RN Care Manager will work closely with Somatus patients and physician practices, working closely with the Patient Health Advocate to establish trust with physicians and practices.

The RN Care Manager, VBC is an important part of the interdisciplinary care team. They are responsible for outreach, scheduling face-to-face visits with members in their homes, dialysis clinics, and/or physician offices to support higher-risk members who need barrier assessments, and face-to-face care plan education. In addition, our field nurses develop trusting relationships with the nephrology practices in their markets and work closely with those practices to support increased collaboration to improve patient outcomes.

This is a physician practice partnership role that involves meeting with members in clinical, home, and facility settings, within their designated locations.

Qualifications:

• RN license and ability to get licensed in other states as needed
• 2+ years of RN experience, including working as part of a multi-disciplinary team and physicians
• Valid BLS certification ONLY from a licensed AHA or American Red Cross training facility or provider
• Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
• Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service
• Comfortable traveling to partner hospitals, clinics, and community-based facilities within your assigned region to support care coordination, build relationships, and collaborate with clinical teams. Regular local travel is a key part of this role.

Preferred Qualifications:

• BSN or higher level of education
• Certified Case Manager (CCM)
• Field-based experience going into homes
• Telephonic case management experience

Knowledge, Skills, and Abilities:

• Knowledge and experience to empower patients in self-management and shared decision-making.
• Work collaboratively with interdisciplinary team members.
• Strong analytical and critical thinking skills. Strong community engagement and facilitation skills.
• Ability to consult with physicians and other team members to ensure that care plan is successfully implemented.
• Participate actively in assigned Care Management Coordination Committee (CMCC) meetings.
• Core values consistent with a patient-centered approach to care
• Ability to adapt to a changing work environment based on member and client needs (field-based or remote work).
• Self-motivated with a strong work ethic.
• Effective written and verbal communication skills that demonstrate respect and cultural awareness during interactions with patients and clients
• Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and telecom devices including the ability to type and talk at the same time while navigating multiple applications
• Adheres to departmental policies and procedures.

Physical Requirements:

• Ability to travel throughout the assigned region to conduct home, provider, or facility visits, depending on the assigned market needs, as needed 75% of the time.
• Ability to work assigned schedule to meet patient and client expectations.
• Ability to remain in a seated or standing position for extended periods of time as required to perform essential job functions.