Care Manager - RN

About the role

Care Manager RNs at Monogram Health play a crucial role in improving the quality of life for patients with multiple serious diseases. They work closely with patients' medical providers to develop and adapt care plans, conduct in-home care management visits, monitor biometric data, and deliver education on various aspects of their health.

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 according to approved protocols
• Follow up on patient health assessments and surveys
• 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 during visits and escalate any concerns to the provider
• Document patient updates and progress in care management platform

Requirements

• Frequent local travel to perform in-home visits
• Basic Life Support (BLS) certification required
• Self-starter with the ability to work independently with minimal supervision
• Ability to show empathy and quickly build relationships with patients and physicians
• 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
• Ability to take call remotely on some nights and weekends
• Excellent verbal communication skills both in person and on the phone
• Familiarity with Microsoft Office and mobile phone and web-based applications

Benefits

Monogram Health offers a flexible scheduling model with a hybrid and in-home care approach, competitive compensation, and a performance-based bonus program. Full benefits package includes medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time.