Supportive Care Case Manager/Palliative Care RN- Remote

2000 16th St, Denver, Colorado, 80202-5117, United States of America
Fully remote position; must be located in Mountain or Pacific Time Zones only.

About the role

The DaVita Integrated Kidney Care Supportive Care Case Manager/Palliative Care (RN) serves as a clinical subject matter expert and specialized support layer for patients with advanced Chronic Kidney Disease (CKD) and End Stage Kidney Disease (ESKD) who are experiencing significant health decline. This role leverages deep expertise in palliative care to lead complex Goals of Care (GOC) and advance care planning discussions, navigate patients to comfort resources, and empower patients to make healthcare decisions aligned with their values. The role functions autonomously to support the primary Integrated Kidney Care team with high-acuity patients, coordinating between the dialysis center, nephrologist, primary care, and external agencies to facilitate quality, consistent, cost-effective care, ensuring a holistic, compassionate approach to end-of-life planning and symptom management to minimize care fragmentation and prevent unnecessary hospitalizations.

Responsibilities

• Collaborate with Operations Manager, Clinical Services Manager, Nurse Practitioners, Social Worker, and Case Managers to review patient cases, identify gaps/barriers, and coordinate on advance patient care plans.
• Lead complex conversations and conduct in-depth, compassionate telephonic discussions to support patients with potentially declining conditions; educate on treatment options, ensure patient care aligns with their wishes, and navigate to appropriate resources.
• Lead Goals of Care (GOC) discussions with ability to translate patient wishes into actionable care plans; document and update GOC to ensure alignment across the entire healthcare team (Nephrologists, Dialysis Centers, IKC RNs).
• Educate patients on Advanced Directives (MOLST/POLST) and encourage completion to prevent unwanted aggressive interventions.
• Assess symptom burden (pain, anxiety, dyspnea) and collaborate with providers to implement nursing interventions that improve Quality of Life (QOL).
• Recognize the trajectory of chronic illness, identify critical changes to proactively identify those at risk of rapid decline or readmission, and intervene immediately for transition to supportive care.
• Expertly assess patient appropriateness and readiness for palliative care or hospice and facilitate seamless transitions to these external services.
• Educate patients on curative treatments, palliative support, and hospice care to help reduce barriers to access.
• Facilitate patient/family communication and develop and/or update advance care plans.
• Provide comfort case management for patients where palliative care is not available or when patients are not ready to stop dialysis but would like to pursue comfort care.
• Coordinate care for patients including care transitions, management of complex/at-risk patients, managing ongoing needs, and establishing a treatment plan in partnership with the care team.

Requirements

• Minimum of 2+ years experience as an RN in Palliative medicine required.
• Minimum of five (5) years experience as an RN required.
• Must be located in Mountain or Pacific Time Zones only.
• 2+ years of care plan creation, proactive discharge planning, and utilization.
• Current RN License is required; BSN preferred.
• Current Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification.
• Proficiency in EMR systems (Cerner), Microsoft Office (Teams, Excel), and virtual communication platforms.
• Home office with internet connectivity at a minimum of 1MB upload and 1MB download speed required.

Preferred Qualifications

• IKC Experience as a DaVita IKC RN Case Manager.
• 2+ years of Case Management or Chronic Care Management.
• Minimum of two (2) years experience in renal nursing preferred.
• Compact License - Highly preferred.

Skills

• Exceptional active listening and motivational interviewing skills; ability to discuss sensitive topics (death, dying, prognosis) with empathy and clarity.
• Ability to work independently in a remote environment, managing a caseload of high-complexity patients with minimal supervision.
• Strong clinical acumen with the ability to recognize the trajectory of chronic illness.

Benefits

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, and more.
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
• Community and belonging: At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong."

Pay

The salary range for this role is $70,000.00 - $106,000.00/year. Compensation depends on a number of factors, including a candidate’s qualifications, skills, competencies, and experience. Location-specific minimum wage details:

• New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, remainder of New York state: $62,353.20/year.
• New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, remainder of New York state: $16.00/hour.
• Washington Exempt: $80,168.40/year.
• Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, remainder of Washington state: $17.13/hour.

Schedule

• Monday-Friday schedule with the ability to accommodate patient’s availability.
• We serve patients nationwide.