Registered Nurse Care Manager, VBC

About the role

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.

Responsibilities

• 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.
• Develop trusting relationships with nephrology practices in their markets and work closely with those practices to support increased collaboration to improve patient outcomes.
• 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