RN Care Manager – Tcm

RN Care Manager – Tcm

Requirements

• Associate’s degree from accredited school of nursing.
• Current Registered Nurse (RN) license in the state of practice.
• 3+ years combined of related education, experience, or certification.
• Current BLS or CPR Certification required.
• Efficient and reliable transportation allowing for the ability to commute to patient’s homes.
• Internet Connectivity – Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Responsibilities

• Works closely with the care team to craft personalized and thorough care plans addressing the clinical and non-clinical needs of each patient.
• Conducts regular assessments onsite and virtually to detect undisclosed medical or social issues and changes in the home environment that could pose risks, promptly referring such matters to the appropriate channels for resolution.
• Initiates proactive outreach to patients and/or clinics as outlined in program guidelines to evaluate their status, offer assistance, and address inquiries promptly.
• Manages a diverse patient panel, swiftly and accurately evaluating individual needs while adhering to NCQA standards for complex case management.
• Communicates updates to the care team and family members, identifying gaps in patient understanding of their health status and delivering tailored education and resources to promote informed decision-making.
• Acts as a liaison with dialysis facilities, conveying care plan updates to facilitate smooth transitions in care, and maintains accurate program software records.
• Leverages Strive data platforms to identify trends, anomalies, and areas requiring focus.
• Provides culturally sensitive care to meet the diverse needs of Strive patients, fostering collaboration and communication among all clinical team members to enhance care provision.
• Utilizes clinical judgment, analytical skills, regular and predictable attendance, and comprehensive knowledge of case management programs to deliver high-quality care.

Preferred Qualifications

• 3+ years experience in nephrology, ER, ICU, Cardiac, or Ambulatory Complex case management nursing.
• Certified Case Manager (CCM) certification preferred.
• Proficiency in computer skills including Microsoft 365 Suite (word, outlook, excel) due to working in a hybrid-remote environment.