Nurse Care Manager

🕒 3 dias atrás

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Evergreen Nephrology

Evergreen Nephrology

51 - 200 funcionários

⚕️ Seguro de Saúde

💊 Farmacêutico

💰 $4.300.000 Venture Round em 2022-06

Healthcare Insurance • Pharmaceuticals

A Evergreen Nephrology é uma empresa focada em transformar o cuidado renal, capacitando os nefrologistas a fornecerem um atendimento de alta qualidade e personalizado aos pacientes com doença renal crônica (DRC) e doença renal terminal (DRT). Colocando os nefrologistas na linha de frente, a empresa lhes oferece apoio financeiro, recursos clínicos interdisciplinares, insights analíticos e ferramentas habilitadas por tecnologia para melhorar os resultados e a experiência do paciente. A Evergreen Nephrology colabora com parceiros estratégicos para solucionar desafios na área de saúde, incluindo registros eletrônicos de saúde (EHRs) díspares, visibilidade do processo de transplante e riscos de readmissão de pacientes. Os co-fundadores da empresa, Adam Boehler e Abe Sutton, foram reconhecidos por suas contribuições aos modelos de cuidado renal e aos padrões de aquisição de órgãos, refletindo um profundo compromisso em melhorar a qualidade do cuidado renal em todo o país.

Descrição

• Manage the overall care management of patient caseload by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations. • Facilitate seamless transitions for nephrology patients from a Skilled Nursing Facility to home or community. • Collaborate with hospital discharge planners, providers and SNF staff to ensure patients’ needs are addressed. • Monitor patient progress in skilled nursing facilities and identify barriers to timely discharge. • Actively participate in clinical huddles, IDT meetings, and patient care conferences for patients under your care management. • Develop and implement strategies to optimize length of stay while maintaining high-quality care. • Support seamless transitions of care as patients move between care settings, proactively addressing potential barriers and collaborating with internal and external care team stakeholders. • Establish trusting relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey. • Perform assessments and identify the needs, including social determinants of health, of caseload patients and caregivers based on values, care goals, and individual preferences, and translating these into patient-centric actionable care plans. • Identify and develop SNF stakeholders and foster relationships for communication and coordination of care. • Identify areas for improvement in post-acute care processes and share or implement evidence-based solutions. • Engage in continuous, organizational process improvement to identify opportunities and execute action plans to optimize care management workflows, patient engagement processes, customer/patient care efforts, and other protocols. • Prepare reports and other deliverables to communicate program changes or developments to appropriate stakeholders. • Collect data to prepare and deliver reports alongside program leaders on program success, patient outcomes, and patient/caregiver satisfaction. • Other duties consistent with this role, as assigned.

🎯 Requisitos

• One of the two following qualifications is required in the state of Illinois: • A Bachelor’s degree in nursing (BSN) with an active RN license (compact license preferred where applicable) and/or; • A Bachelor’s or Master’s degree in Physical Therapy with an active PT license • Minimum 3-5 years of experience in telephonic care management and post-acute care • Active license in good standing in the state of Illinois • Experience in Utilization Management and/or Utilization Review • Experience in specialty care including kidney care or related field • Excellent communication, problem-solving and organizational skills • Knowledge of value-based care models and strategies to reduce readmissions • Experience with team-based care and have excellent collaboration skills • Excellent working knowledge of community resources • Strong understanding of skilled nursing facility operations and regulations strongly preferred. • Intermediate skills with MS Office Suite of products including Outlook and Teams • Able to work effectively in a primarily remote environment: • Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

🏖️ Benefícios

• Paid time off starting at 4 weeks for full-time employees • 12 paid holidays per year • Medical, dental, vision and life insurance, including an HSA with employer match • Reimbursement for continuing medical education for eligible roles • A 401(k) program where Evergreen matches up to 4% of contributions • Paid parental leave • A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

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