Home Health Registered Nurse

About the job Home Health Registered Nurse Overview Registered Nurses are needed for a dynamic, fast‑paced start‑up with an innovative care management position that is transforming the delivery of kidney care. You will be driving 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 8:00am– 5:00pm and occasionally after 5:00pm. Mission‑driving and willing to deal with underserved populations. 2+ years of experience in care management and/or with chronic illness and/or 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 ability to work independently with minimal supervision. Show empathy and quickly build relationships with patients and CBOs. Excellent verbal communication skills both in person and on the phone. Fully vaccinated. Willing to travel to patients’ homes. 2+ years of experience with CKD/ESRD patients preferred. Bilingual highly preferred. Competitive compensation: salary of $65,000. Flexible paid leave (PTO), sick days, and vacation policy. Full benefits (Medical, Dental, & Vision). 401K Plan. Laptop & Phone Allowance (details discussed). Internal growth opportunities. Job Descriptions Lots of driving! This position covers 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 management 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 understand, accept and follow medical and lifestyle recommendations. Serve as the point of contact for patient questions regarding social and behavioral health. 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