Bilingual Care Manager RN

Position

Monogram Health is seeking a bilingual Care Manager RN.

About the role

The Care Manager RN works closely with patients’ medical providers to develop and adapt care plans, perform in-home care management visits, monitor biometric data, and deliver education on various topics related to chronic kidney disease (CKD), end-stage renal disease (ESRD), dialysis, and associated comorbidities.

Responsibilities

• Work closely with patients’ medical providers to develop and continually adapt care plan
• Perform in-home care management visits to execute care management plan
• Maintain and reconcile medications and coordinate with pharmacists and prescribers
• Conduct 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
• 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
• Document patient updates and progress in care management platform
• Coordinate with dialysis providers to ensure transitions of care are seamless

Requirements

• Must be bilingual (English/Spanish)
• Must reside in Arizona and be willing to travel to Sierra Vista, AZ for approximately two weeks per month (either two consecutive weeks or every other week)
• Frequent local travel to perform in-home visits
• Basic Life Support (BLS) certification is required in this role
• Must currently be licensed as a Registered Nurse in the State of the posted location
• Must have 2+ years previous experience working in care management and/or with CKD/ESRD patients
• Must have familiarity with Microsoft Office and mobile phone and web-based applications

Benefits

• Relocation Bonus
• Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time