Care Manager, RN

🕒 il y a 2 jours

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Monogram Health

Monogram Health

1001 - 5000 employés

Fondée en 2019

⚕️ Assurance santé

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health est un prestataire multisectoriel de premier plan qui offre des soins à domicile reposant sur des données probantes et une gestion des avantages pour les patients atteints de maladies chroniques complexes et multiples, avec un fort accent sur l'insuffisance rénale chronique et les besoins connexes en santé métabolique, cardiovasculaire, pulmonaire et comportementale. L'entreprise coordonne des équipes cliniques multisectorielles (néphrologie, cardiologie, endocrinologie, pneumologie, santé comportementale et soins palliatifs), fournit un soutien à domicile 24h/24 et 7j/7, y compris la dialyse à domicile et la gestion des médicaments, et se partenariat avec des assureurs et des groupes de médecins pour améliorer les résultats, réduire les hospitalisations et diminuer les coûts.

Description

• Work closely with patients’ medical providers to develop and continually adapt care plan • Perform in-home care management visits to execute care management plan • Monitor biometric data and follow approved protocols for any necessary interventions • Inventory and reconcile medications and coordinate with pharmacists and prescribers • Perform patient 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 patients • Engage family and social support groups in the education and care of patients • Serve as the primary point of contact and be the first call when patients have questions (business hours) • Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices • Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities • Obtain vital signs when visiting patient and escalate any concerns to the provider • Initiate patient relationships through enrolment and onboarding processes • Perform post-op and hospital discharge visits to help patients through vulnerable transitions • Review and document patient updates and progress in care management platform • Coordinate with dialysis providers to ensure transitions of care are seamless

🎯 Exigences

• Basic Life Support (BLS) certification is required in this role. • Graduate of an accredited School of Nursing • Currently licensed as a Registered Nurse in the State of the posted location • 2+ years previous experience working in care management and/or with CKD/ESRD patients • Self-starter with the ability to work independently with minimal supervision • Ability to show empathy and quickly build relationships with patients and physicians • Excellent verbal communication skills both in person and on the phone • Familiarity with Microsoft Office and mobile phone and web-based applications

🏖️ Avantages

• Comprehensive Benefits - Medical, dental, and vision insurance • employee assistance program • employer-paid and voluntary life insurance • disability insurance • plus health and flexible spending accounts • Competitive compensation • 401k with employer match • financial wellness resources • Paid holidays • flexible vacation time/PSSL • paid parental leave • Work life assistance resources • physical wellness perks • mental health support • employee referral program • BenefitHub for employee discounts

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