Nurse Care Manager

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $90k - $103k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare • 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 an assigned patient panel using clinical expertise, nursing knowledge, and value-based care principles • Build trusting relationships with patients and families and provide clinical and emotional support throughout their care journey • Serve as a patient advocate and community liaison, ensuring timely access to resources, support, and adherence to individualized treatment plans • Conduct comprehensive assessments, including social determinants of health, to identify patient and caregiver needs, goals, and preferences • Develop and maintain patient-centered care plans based on ongoing assessments and evaluations • Coordinate post-discharge follow-up, medication reconciliation, referrals, and care plan implementation • Coordinate interdisciplinary care to improve continuity, reduce fragmentation, and support seamless transitions across care settings • Monitor care plan effectiveness and modify interventions as needed to achieve desired outcomes • Follow evidence-based guidelines and established workflows to meet organizational, regulatory, payer, and quality requirements • Identify cost-effective interventions and resources that improve outcomes and support responsible resource utilization • Educate patients and caregivers on treatment options, self-management strategies, and available resources • Participate in clinical huddles, interdisciplinary care conferences, and patient care discussions • Drive process improvement in care management workflows, patient engagement, transitions of care, and patient experience • Prepare reports and communications related to program updates, outcomes, and performance • Collect, analyze, and report data on program performance, patient outcomes, quality measures, and patient/caregiver satisfaction • Perform other duties consistent with the role, as assigned

🎯 Requirements

• Associate Degree in Nursing • Current RN license required; compact license preferred • 3+ years of care management experience • Chronic and complex care management experience • 2+ years of Transitions of Care experience preferred • Utilization management experience preferred • Certified Case Manager 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 • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information • Must be able to work 8:30a–5p CT • Must collaborate with physicians, APPs, IDT members, providers, vendors, and community-based services

🏖️ Benefits

• Quarterly bonus eligibility • 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 after six months of tenure • Paid parental leave • A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role