Care Manager RN

Location: Franklin, TN 37064

Job Type: Perm Full-time (40 hrs. /week)

Shift: Days M- F 8am -5pm

Salary/ Hourly Pay: To be discussed on phone interview.

Shift: Mon – Fri

Start Date: ASAP

 

Position Description:-

• Develop and continually adapt an individualized care plan in conjunction with physicians
• Perform frequent daily in-home care management visits to execute care management plans
• Serve as the primary point of contact and be the first call when members have questions about their health
• Prepare care recommendations and escalations for plan members, write reports regarding the same and communicate the same in weekly internal case rounds
• Understand the needs of health plan managed care clients and prioritize plan member visits, recommendations and focus accordingly
• Use personal communication skills, patience and diligence to engage plan members and their caregivers
• Perform post-op and hospital discharge visits to help plan members through vulnerable transitions
• Review and document plan member updates and progress in care management platform
• Monitor biometric data and follow approved protocols for any necessary interventions
• Inventory and reconcile medications and coordinate with pharmacists and prescribers
• Perform plan member 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 members
• Engage positively with social workers to facilitate social and behavioral needs to of plan members
• Educate members and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities and proactive AV fistula placement
• Coordinate with dialysis providers to ensure transitions of care are seamless
• This is a care management position, in which Care Manager – RNs will create and administer care plans, rather than rendering direct clinical services. Care Managers – RNs lead the effort to help prevent costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure. For those already on dialysis, Care Managers – RNs provide additional support, particularly around transitions in care such as hospital discharges. 
• You will be travelling within a one-hour travel radius from the main location within which you will be visiting patients in-home. The job is 3-4 days on the road visiting patients and 1-2 days telehealth. 

 

Required skills & experience:

• Graduate of an accredited School of Nursing.
• Currently licensed as a Registered Nurse in the State of TN .
• Fully Vaccinated

 

What You Need to Know:

• Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.