Care Manager - Registered Nurse

Care Manager – Registered Nurse

Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don't positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.

Competitive compensation and a performance-based bonus program

Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time

Work closely with patients' medical providers to develop and continually adapt care plan

Perform in-home care management visits to execute care management plan

Monitor biometric data and follow approved protocols for any necessary interventions

Inventory and reconcile medications and coordinate with pharmacists and prescribers

Perform patient health assessments and surveys as required

Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities

Encourage medication and treatment adherence through frequent contact with patients

Engage family and social support groups in the education and care of patients

Serve as the primary point of contact and be the first call when patients have questions (business hours)

Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices

Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities

Obtain vital signs when visiting patient and escalate any concerns to the provider

Initiate patient relationships through enrolment and onboarding processes

Perform post-op and hospital discharge visits to help patients through vulnerable transitions

Review and document patient updates and progress in care management platform

Coordinate with dialysis providers to ensure transitions of care are seamless

Frequent local travel to perform in-home visits

Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding

Infrequent domestic travel may be required, primarily to Brentwood, TN for training

Self-starter with the ability to work independently with minimal supervision

Ability to show empathy and quickly 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

Excellent verbal communication skills both in person and on the phone

Familiarity with Microsoft Office and mobile phone and web-based applications

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.