Clinical Care Manager, RN

🕒 May 18

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $80k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Renalogic

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Renalogic is an industry leader, committed to managing risks associated with dialysis and chronic kidney disease (CKD). The company empowers clients with proprietary repricing, risk stratification, and specialty case management services. Renalogic revolutionizes the industry by providing end-to-end solutions for renal risk analytics, management, and dialysis cost containment. Their professional team includes experts in healthcare administration, case management, renal disease, ERISA law, and negotiations. Services offered include cost containment, data analysis for risk stratification, chronic kidney disease management, and member education.

📋 Description

• Establishing and maintaining contact with assigned and active members via video, phone, text, and email. • Obtain and utilize clinical information to develop an individualized member care plan and clinician-centered care plan per NCQA guidelines. • Assess members health status and care coordination needs. • Collaborate with members’ health care providers as needed. • Utilizing motivational interviewing techniques, individualized care plans, and the Triple Aim framework to empower active members to reach their health goals. • Understanding and explaining to new or inactive members the benefits of our Program as it relates to those with chronic kidney disease and those at risk. • Appropriately documenting, requesting, and sending member information in accordance with HIPAA compliance. • Meet individually performance metrics to support member engagement and retention.

🎯 Requirements

• Must have an RN license in good standing and be willing to obtain licensure in other states. • A minimum of five years of RN experience is required. • Must live in PST or MST and work at least three late shifts per week. • Experience developing care plans for individuals with chronic conditions and/or Chronic Kidney Disease is strongly preferred. • Bilingual in Spanish is strongly preferred. • BSN is highly preferred. • CDE or CDCES highly preferred. • Experience working 100% remote as a nurse is highly preferred. • Ability and willingness to travel occasionally, which will include overnight stays for corporate gatherings, conferences, and health fairs. • Ability to attend and professionally engage in video meetings. • Proficient technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products. • Autonomous self-starter who is comfortable with ambiguity. • Creative mindset and ability to appropriately challenge the status quo. • Superb written and oral communication skills. • Ability to overcome obstacles with a ‘yes if...’ approach. • Ability to effectively balance competing deadlines without losing focus on the bigger picture. • Reliable internet and power with a designated area to conduct work with minimal interruptions.

🏖️ Benefits

• Market competitive salary, plus potential annual merit increases and bonuses contingent on the company's fiscal performance. • Generous time off and paid holidays because we value recharging. • Exceptional healthcare coverage, with the majority of medical, dental and vision premiums covered by us. • 401k with generous employer match.