RN Care Navigator/Case Manager
New
J
JobgetherKidney health
Based in the United States, Mountain or Pacific time zones; occasional after-hours supportFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- At least 3 years of case management experience preferred. Candidates with at least 6 years of nursing experience, including a minimum of 3 years in case management, may be considered in lieu of a bachelor's degree.
- Required Skills
- Microsoft ExcelMicrosoft Office
Requirements
- Maintain an active, unrestricted Registered Nurse (RN) license in the United States.
- Hold a bachelor's degree; candidates with at least 6 years of nursing experience, including a minimum of 3 years in case management, may be considered in lieu of the degree.
- Have at least 3 years of case management experience; this experience is preferred.
- A Certified Case Manager (CCM) credential is preferred.
- Bring experience with nephrology, kidney care, or cardiology; this experience is highly desirable.
- Have familiarity with Medicare and Medicaid eligibility, coverage, and healthcare coordination processes; this is preferred.
- Demonstrate clinical knowledge of chronic kidney disease, related comorbidities, treatment pathways, and renal replacement therapy.
- Have experience conducting patient assessments, medication reconciliation, care planning, and clinical follow-ups.
- Be proficient with Microsoft Office, particularly Excel, Word, Outlook, and OneNote, and general clinical technology platforms.
- Be able to work independently in a fully remote environment and manage changing priorities and complex patient needs.
- Be available to work within Mountain or Pacific time zones and provide occasional after-hours support.
Responsibilities
- Manage an assigned caseload of patients with varying levels of clinical complexity throughout their healthcare journeys.
- Conduct inbound and outbound calls, health assessments, and screenings, including evaluations of medical needs and social determinants of health.
- Educate patients about kidney disease, comorbidities, treatment options, and health management strategies.
- Guide patients through renal replacement therapy options, including dialysis and kidney transplantation.
- Develop, implement, and update individualized care plans with identified concerns, barriers, interventions, and measurable goals.
- Complete medication reconciliation and maintain accurate patient records and care management documentation.
- Monitor patient progress and conduct follow-ups according to clinical guidelines, patient complexity, and program requirements.
- Coordinate care with physicians, nurses, specialists, ancillary providers, patients, support networks, and community resources.
- Advocate for patients by addressing concerns and barriers to care and connecting members with support services.
- Use Microsoft Office applications and clinical documentation and care management systems while meeting performance and quality standards.
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