Nurse Care Manager

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $90k - $103k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare Insurance • Pharmaceuticals

Evergreen Nephrology is a company focused on transforming kidney care by empowering nephrologists to provide high-quality and personalized care to patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). By putting nephrologists at the forefront, the company provides them with financial backing, interdisciplinary clinical resources, analytical insights, and technology-enabled tools to improve patient outcomes and experience. Evergreen Nephrology collaborates with strategic partners to address healthcare challenges, including disparate electronic health records (EHRs), transplantation process visibility, and patient readmission risks. The company's co-founders, Adam Boehler and Abe Sutton, have been recognized for their contributions to kidney care models and organ procurement standards, reflecting a deep commitment to improving kidney care quality nationwide.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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