Registered Nurse Care Manager, VBC
Somatus · Westminster, CO · 1 mo ago
Healthcare$82k–$95k/yrFull-time
We need to output HTML fragment with sections: About the role? The posting includes description of company, mission, etc. We need to decide sections: maybe "About the role" (overview), "Responsibilities", "Qualifications", "Preferred Qualifications", "Knowledge, Skills, and Abilities", "Physical Requirements", "Compensation". Also "Benefits" maybe from "We offer 25+ health, growth, and wealth work perks..." includes specifics: Subsidized personal healthcare coverage, Paid Time Off, Professional development. So we can have Benefits section.
We must not repeat job title as heading. No Job ID. Remove boilerplate: EEO, legal, etc. Also remove application instructions (none). Remove duplicated lines.
We must preserve all substantive info. Use for each section heading. Use
for each section heading. Use - for any list of duties/requirements/benefits. Use
for prose.
We must not create sections with filler like "commensurate with experience". Compensation is given: $82,000 to $95,000 per year. So we can have Compensation section.
We must not include Pay/Schedule/Benefits unless posting actually states them. Benefits are stated. Schedule not mentioned. So no Schedule.
We need to include "About the role" maybe summarizing company description and role overview. The posting starts with company description, then "How We’ll Support You:" then role description. We can treat "About the role" as overview of role and company.
Let's extract sections:
- About the role: company mission, role purpose. Could be a paragraph.
- Responsibilities: list of duties (the long paragraph after "The RN Care Manager, VBC focuses...").
- Qualifications: required qualifications (list).
- Preferred Qualifications: list.
- Knowledge, Skills, and Abilities: list.
- Physical Requirements: list.
- Benefits: list of perks.
- Compensation: paragraph.
We must ensure we don't include headings with no content.
Now we need to format.
We'll produce something like:
About the role
As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™. Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions. We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence. Does this sound like you? Keep reading. How We’ll Support You: We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves...
But we might separate Benefits later.
Better: About the role could be just the company overview and role purpose before responsibilities. Then Benefits separate.
Let's parse:
Company overview: first paragraph up to "Does this sound like you? Keep reading." Then "How We’ll Support You:" then benefits list.
Then role description: "The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations..." That's responsibilities.
Thus:
About the role: company overview + "How We’ll Support You:"? Actually "How We’ll Support You:" is about benefits, but we can keep it in Benefits section.
Thus About the role: company overview paragraph (maybe two paragraphs). We'll keep it as prose.
Responsibilities: list of duties (the long paragraph). Could be broken into bullet list for readability. The instruction: Use - for any list of duties/requirements/benefits. So we should turn the responsibilities into a list. However the responsibilities are in prose sentences; we can split into bullet points each duty.
We need to preserve all substantive information; we can convert sentences into list items.
Similarly for Qualifications, Preferred Qualifications, Knowledge, Skills, and Abilities, Physical Requirements, Benefits.
Let's extract each.
Responsibilities sentences (from "The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations..." up to "Perform other duties as assigned.") Let's list:
- The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan.
- The RN Care Manager will work closely with Somatus patients and physician practices, working closely with the Patient Health Advocate to establish trust with physicians and practices.
- The RN Care Manager, VBC is an important part of the interdisciplinary care team.
- They are responsible for outreach, scheduling face-to-face visits with members in their homes, dialysis clinics, and/or physician offices to support higher-risk members who need barrier assessments, and face-to-face care plan education.
- In addition, our field nurses develop trusting relationships with the nephrology practices in their markets and work closely with those practices to support increased collaboration to improve patient outcomes.
- This is a physician practice partnership role that involves meeting with members in clinical, home, and facility settings, within their designated locations.
- Partner closely with physicians and practice staff to establish a collaborative working relationship focused on improving patient outcomes.
- Serve as Somatus’ primary representative within the practice and build trusted relationships over time.
- Support the care team in planning, coordinating, and facilitating regular interdisciplinary care team meetings with partnered practices to improve outcomes for complex, high-priority patients.
- Establish and maintain positive, supportive relationships with patients and provider offices through in-person and telephonic engagement.
- Develop strong partnerships with provider practice teams to support both clinical and operational goals and improve the overall quality of patient care.
- Collaborate with provider practices to develop and optimize workflows that align with operational objectives and care team processes.
- Educate provider practices on the Somatus program and reinforce collaborative, integrated workflows.
- Provide a complete continuum of quality care through close communication with members via in-person, telehealth or on-phone interaction, including comprehensive assessments, transitional care assessments and reassessments.
- Travel to member homes, facilities, and physician offices to conduct visits, participate in care planning, and deliver care coordination services.
- Utilize nursing assessment skills to identify medical, behavioral, and social determinants of health barriers affecting the treatment plan.
- In collaboration with the patient, nephrologist, PCP, and interdisciplinary care team, develop and implement individualized care plans to address identified needs, remove barriers to care, and improve overall health outcomes.
- Manage patients through transitions of care by supporting effective handoffs and minimizing preventable readmissions.
- Assess the patient’s knowledge of their discharge care requirements and renal condition and provide education and self-management support.
- Provide clinical guidance and oversight to both non-licensed (community health workers, health coaches) and licensed (social workers, renal dietitians) team members, delegating tasks as appropriate.
- Perform other duties as assigned.
Now Qualifications (required):
- RN license and ability to get licensed in other states as needed
- 2+ years of RN experience, including working as part of a multi-disciplinary team and Physicians.
- Valid BLS certification ONLY from a licensed AHA or American Red Cross training facility or provider.
- Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job
- Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service
- Comfortable traveling to partner hospitals, clinics, and community-based facilities within your assigned region to support care coordination, build relationships, and collaborate with clinical teams.
- Regular local travel is a key part of this role.
Also note: "Somatus is committed to providing reasonable accommodations, in accordance with the ADA, to support all team members in performing the essential functions of their role." That's a statement; could be included in Qualifications or maybe as a note. We'll include as a paragraph under Qualifications maybe.
Preferred Qualifications:
- BSN or higher level of education
- Certified Case Manager (CCM)
- Field-based experience going into homes
- Telephonic case management experience
Knowledge, Skills, and Abilities:
- Knowledge and experience to empower patients in self-management and shared decision-making.
- Work collaboratively with interdisciplinary team members.
- Strong analytical and critical thinking skills.
- Strong community engagement and facilitation skills.
- Ability to consult with physicians and other team members to ensure that care plan is successfully implemented.
- Participate actively in assigned Care Management Coordination Committee (CMCC) meetings.
- Core values consistent with a patient-centered approach to care
- Ability to adapt to a changing work environment based on member and client needs (field-based or remote work).
- Self-motivated with a strong work ethic.
- Effective written and verbal communication skills that demonstrate respect and cultural awareness during interactions with patients and clients
- Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and telecom devices including the ability to type and talk at the same time while navigating multiple applications
- Adheres to departmental policies and procedures.
Physical Requirements:
- Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service. (duplicate from qualifications but okay)
- Access to private dedicated home workspace free from distractions and to protect patient privacy regarding HIPAA and Privacy regulations.
- Ability to travel throughout the assigned region to conduct home, provider, or facility visits, depending on the assigned market needs, as needed 75% of the time.
- Ability to work assigned schedule to meet patient and client expectations.
- Ability to remain in a seated or standing position for extended periods of time as required to perform essential job functions.
Benefits (from "How We’ll Support You: We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including:" then list):
- Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs
- Paid Time Off: Initial standard accrual begins at 3 weeks’ Vacation (PTO)
- Professional development: CEU and tuition reimbursement
Also maybe other perks not listed; but we only have those three.
Compensation:
- Compensation: $82,000 to $95,000 per year
- We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team members.
- Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies, experience, and geographic location and may fall outside of the range shown above.
We should not include the disclaimer about job description not covering comprehensive listing etc. That's boilerplate? It's generic but maybe considered boilerplate. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The disclaimer about job description not designed to cover comprehensive listing may be considered boilerplate; but it's somewhat substantive? It's a standard disclaimer. I'd consider it boilerplate and remove. Also the sentence about reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. That's also boilerplate but maybe relevant? It's about accommodations; could be kept under Qualifications or Physical Requirements? It's already mentioned earlier. Might be safe to keep but it's generic. I'd remove to keep concise.
Also the sentence about priority health and safety, vaccination requirements: "Our priority is the health and safety of our members, colleagues, partners, and community. For this position, we require proof of COVID-19 vaccination, annual Influenza vaccination, along with immunizations for Hepatitis, MMR, Varicella, Tdap, and TB for employment." This is substantive (vaccination requirement). Should
for prose. We must not create sections with filler like "commensurate with experience". Compensation is given: $82,000 to $95,000 per year. So we can have Compensation section. We must not include Pay/Schedule/Benefits unless posting actually states them. Benefits are stated. Schedule not mentioned. So no Schedule. We need to include "About the role" maybe summarizing company description and role overview. The posting starts with company description, then "How We’ll Support You:" then role description. We can treat "About the role" as overview of role and company. Let's extract sections: - About the role: company mission, role purpose. Could be a paragraph. - Responsibilities: list of duties (the long paragraph after "The RN Care Manager, VBC focuses..."). - Qualifications: required qualifications (list). - Preferred Qualifications: list. - Knowledge, Skills, and Abilities: list. - Physical Requirements: list. - Benefits: list of perks. - Compensation: paragraph. We must ensure we don't include headings with no content. Now we need to format. We'll produce something like:
About the role
As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™. Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions. We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence. Does this sound like you? Keep reading. How We’ll Support You: We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves...
But we might separate Benefits later. Better: About the role could be just the company overview and role purpose before responsibilities. Then Benefits separate. Let's parse: Company overview: first paragraph up to "Does this sound like you? Keep reading." Then "How We’ll Support You:" then benefits list. Then role description: "The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations..." That's responsibilities. Thus: About the role: company overview + "How We’ll Support You:"? Actually "How We’ll Support You:" is about benefits, but we can keep it in Benefits section. Thus About the role: company overview paragraph (maybe two paragraphs). We'll keep it as prose. Responsibilities: list of duties (the long paragraph). Could be broken into bullet list for readability. The instruction: Use- for any list of duties/requirements/benefits. So we should turn the responsibilities into a list. However the responsibilities are in prose sentences; we can split into bullet points each duty. We need to preserve all substantive information; we can convert sentences into list items. Similarly for Qualifications, Preferred Qualifications, Knowledge, Skills, and Abilities, Physical Requirements, Benefits. Let's extract each. Responsibilities sentences (from "The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations..." up to "Perform other duties as assigned.") Let's list: - The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan. - The RN Care Manager will work closely with Somatus patients and physician practices, working closely with the Patient Health Advocate to establish trust with physicians and practices. - The RN Care Manager, VBC is an important part of the interdisciplinary care team. - They are responsible for outreach, scheduling face-to-face visits with members in their homes, dialysis clinics, and/or physician offices to support higher-risk members who need barrier assessments, and face-to-face care plan education. - In addition, our field nurses develop trusting relationships with the nephrology practices in their markets and work closely with those practices to support increased collaboration to improve patient outcomes. - This is a physician practice partnership role that involves meeting with members in clinical, home, and facility settings, within their designated locations. - Partner closely with physicians and practice staff to establish a collaborative working relationship focused on improving patient outcomes. - Serve as Somatus’ primary representative within the practice and build trusted relationships over time. - Support the care team in planning, coordinating, and facilitating regular interdisciplinary care team meetings with partnered practices to improve outcomes for complex, high-priority patients. - Establish and maintain positive, supportive relationships with patients and provider offices through in-person and telephonic engagement. - Develop strong partnerships with provider practice teams to support both clinical and operational goals and improve the overall quality of patient care. - Collaborate with provider practices to develop and optimize workflows that align with operational objectives and care team processes. - Educate provider practices on the Somatus program and reinforce collaborative, integrated workflows. - Provide a complete continuum of quality care through close communication with members via in-person, telehealth or on-phone interaction, including comprehensive assessments, transitional care assessments and reassessments. - Travel to member homes, facilities, and physician offices to conduct visits, participate in care planning, and deliver care coordination services. - Utilize nursing assessment skills to identify medical, behavioral, and social determinants of health barriers affecting the treatment plan. - In collaboration with the patient, nephrologist, PCP, and interdisciplinary care team, develop and implement individualized care plans to address identified needs, remove barriers to care, and improve overall health outcomes. - Manage patients through transitions of care by supporting effective handoffs and minimizing preventable readmissions. - Assess the patient’s knowledge of their discharge care requirements and renal condition and provide education and self-management support. - Provide clinical guidance and oversight to both non-licensed (community health workers, health coaches) and licensed (social workers, renal dietitians) team members, delegating tasks as appropriate. - Perform other duties as assigned. Now Qualifications (required): - RN license and ability to get licensed in other states as needed - 2+ years of RN experience, including working as part of a multi-disciplinary team and Physicians. - Valid BLS certification ONLY from a licensed AHA or American Red Cross training facility or provider. - Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job - Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service - Comfortable traveling to partner hospitals, clinics, and community-based facilities within your assigned region to support care coordination, build relationships, and collaborate with clinical teams. - Regular local travel is a key part of this role. Also note: "Somatus is committed to providing reasonable accommodations, in accordance with the ADA, to support all team members in performing the essential functions of their role." That's a statement; could be included in Qualifications or maybe as a note. We'll include as a paragraph under Qualifications maybe. Preferred Qualifications: - BSN or higher level of education - Certified Case Manager (CCM) - Field-based experience going into homes - Telephonic case management experience Knowledge, Skills, and Abilities: - Knowledge and experience to empower patients in self-management and shared decision-making. - Work collaboratively with interdisciplinary team members. - Strong analytical and critical thinking skills. - Strong community engagement and facilitation skills. - Ability to consult with physicians and other team members to ensure that care plan is successfully implemented. - Participate actively in assigned Care Management Coordination Committee (CMCC) meetings. - Core values consistent with a patient-centered approach to care - Ability to adapt to a changing work environment based on member and client needs (field-based or remote work). - Self-motivated with a strong work ethic. - Effective written and verbal communication skills that demonstrate respect and cultural awareness during interactions with patients and clients - Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and telecom devices including the ability to type and talk at the same time while navigating multiple applications - Adheres to departmental policies and procedures. Physical Requirements: - Reside in a location that can receive a high-speed internet connection or can leverage existing high-speed internet service. (duplicate from qualifications but okay) - Access to private dedicated home workspace free from distractions and to protect patient privacy regarding HIPAA and Privacy regulations. - Ability to travel throughout the assigned region to conduct home, provider, or facility visits, depending on the assigned market needs, as needed 75% of the time. - Ability to work assigned schedule to meet patient and client expectations. - Ability to remain in a seated or standing position for extended periods of time as required to perform essential job functions. Benefits (from "How We’ll Support You: We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including:" then list): - Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs - Paid Time Off: Initial standard accrual begins at 3 weeks’ Vacation (PTO) - Professional development: CEU and tuition reimbursement Also maybe other perks not listed; but we only have those three. Compensation: - Compensation: $82,000 to $95,000 per year - We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team members. - Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies, experience, and geographic location and may fall outside of the range shown above. We should not include the disclaimer about job description not covering comprehensive listing etc. That's boilerplate? It's generic but maybe considered boilerplate. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The disclaimer about job description not designed to cover comprehensive listing may be considered boilerplate; but it's somewhat substantive? It's a standard disclaimer. I'd consider it boilerplate and remove. Also the sentence about reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. That's also boilerplate but maybe relevant? It's about accommodations; could be kept under Qualifications or Physical Requirements? It's already mentioned earlier. Might be safe to keep but it's generic. I'd remove to keep concise. Also the sentence about priority health and safety, vaccination requirements: "Our priority is the health and safety of our members, colleagues, partners, and community. For this position, we require proof of COVID-19 vaccination, annual Influenza vaccination, along with immunizations for Hepatitis, MMR, Varicella, Tdap, and TB for employment." This is substantive (vaccination requirement). Should