RN Care Navigator/Case Manager

Based in United States, Pacific and Mountain time zones; after-hours coverage when required by business needs.Full-TimeManager

Salary not disclosed

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Job Details

Experience: At least 3 years of case management experience preferred. Candidates with 6+ years of RN experience, including at least 3 years in case management, may be considered in lieu of the degree.
Required Skills: Microsoft ExcelHIPAA

Hold an active, unrestricted Registered Nurse (RN) license.
Have a bachelor’s degree; candidates with 6+ years of RN experience, including at least 3 years in case management, may be considered in lieu of the degree.
Have at least 3 years of case management experience; this is preferred.
Certified Case Manager (CCM) certification is preferred.
Experience working in a dialysis or transplant center is preferred.
Familiarity with Medicare and Medicaid is preferred.
Have patient advocacy skills and the ability to foster collaboration, positivity, and motivation.
Have verbal and written communication skills to engage with patients, families, providers, and interdisciplinary teams.
Have strategic thinking, planning, organization, and problem-solving abilities.
Be able to adapt and remain effective in a challenging environment with changing priorities.
Be comfortable using technology and multiple digital applications in a remote setting.
Be able to work virtually across Pacific and Mountain time zones.

Manage a caseload of members with varying levels of clinical complexity and conduct follow-up according to established policies and care cadences.
Conduct inbound and outbound calls to engage members and provide education and care navigation.
Educate patients about kidney health, related conditions, dialysis options, transplant pathways, and renal replacement therapy.
Complete health and social determinants of health screenings, medication reconciliation, care plans, and documentation.
Advocate for patients by identifying and resolving concerns, connecting them with community resources, and supporting self-management.
Coordinate care with patients, families, physicians, and ancillary healthcare providers as part of an interdisciplinary team.
Communicate patient needs to providers and support patients and families in taking an active role in care.
Maintain accurate documentation in care management systems in compliance with HIPAA, regulatory requirements, operational procedures, and security policies.
Track performance metrics and key performance indicators using tools such as Excel, OneNote, Outlook, and Word.
Provide support across time zones, including after-hours coverage when required by business needs.

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