Jobs · Healthcare · Massachusetts

Telephonic Case Manager - RN

Fresenius Medical Care · Waltham, MA · 2 days ago
Healthcare$77k–$129k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. Must preserve all substantive info. We need to parse the posting. Purpose and scope: description of role. Principal duties and responsibilities: list of duties. Physical demands and working conditions: maybe not needed unless we have a section? Not in list of allowed headings. Could be omitted. Supervision: none. Education and required credentials: education. Experience and skills: experience and skills. Addendum: Remote RN Team — GLP-1 Initiative: more responsibilities. Pay: Annual Rate: $77,000.00 - $129,000.00 for Waltham, MA. Also mention pay depends on location etc. Benefits: Benefit Overview: comprehensive benefits package including medical, dental, vision insurance, 401(k) with company match, paid time off, parental leave. Schedule: Not explicitly mentioned. There's mention of adhering to scheduled shifts, being "in your seat" at scheduled time, etc. So schedule info: need to mention shift adherence. Could create Schedule section with that content. We must not include placeholder like "commensurate with experience". Not present. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to decide which sections to include: About the role (purpose and scope), Responsibilities (principal duties + addendum), Requirements (education and required credentials?), Qualifications (maybe experience and skills?), Skills (maybe separate?), Benefits, Pay, Schedule. But we must avoid thin sections. Could combine some. Let's think: The posting includes: - Purpose and scope: description. - Principal duties and responsibilities: many bullet-like sentences. - Addendum: Remote RN Team — GLP-1 Initiative: more responsibilities. - Education and required credentials: Bachelor’s Degree preferred, Active unrestricted compact-state RN license required, Certified Case Manager (CCM) preferred, Certification in nephrology specialty (CNN, CDN) a plus. - Experience and skills: 2-5 years bedside nursing experience required, dialysis nursing experience preferred but not required, excellent communication skills, collaborate via telephonic, motivational interviewing techniques, excellent verbal/written, analytical, proficient in word processing/spreadsheet/email, proven team player. - Physical demands and working conditions: office setting, talk/hear, desk, standard office equipment, 0-10% travel. - Supervision: none. - Pay: Annual Rate: $77,000 - $129,000 for Waltham, MA; rate depends on location and qualifications. - Benefits: medical, dental, vision insurance, 401(k) with company match, paid time off, parental leave. - Schedule: adhering to scheduled shifts, being "in your seat" at scheduled time, prepared to begin work, communicate deviations. We need to output only HTML fragment. We'll create sections:

    About the role

    ... purpose and scope ...

    Responsibilities

    • ... list each duty ...
    We need to include all duties from principal duties and addendum. Could combine. We must not invent or summarize away detail. Must preserve all substantive information. So we need to include each duty as separate
  • maybe. But we must avoid too thin sections? It's okay to have many li. We need to ensure we don't repeat content. Let's extract duties: From "PRINCIPAL DUTIES AND RESPONSIBILITIES:" paragraph (it's a long sentence with many clauses). We need to split into logical items. Let's list: - Utilizes nursing knowledge and judgement, data analysis, time management skills, review of medical information, collaboration with clinical and non-clinical members of the healthcare team, and knowledge of clinical processes to develop and facilitate coordination of care for value-based program patients via telephonic support. - Leads the assessment of patient conditions, in conjunction with clinic staff, such as the discovery of unreported medical and social conditions, or changes at home that may lead to adverse outcomes and ensures these concerns are referred to the appropriate sources for attention. - Utilizes good documentation practices to accurately document interactions with members, members’ health records, caregivers, and other stakeholders. - Maintains and updates the appropriate software/tracking logs of patients in the program to manage and record required information and data. - Generates and analyzes reports as needed for management, identifying trends, anomalies, and areas of concern. - Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program. - Adheres to company, department, program policies and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs. - Acts as a representative of the Nursing and Clinical Services department in collaborating with the FMCNA Medical Office and with the clinical staff, physicians, and other members of the patient’s healthcare team, to develop an individualized and comprehensive plan of care according to the applicable program specifications. - Leads and ensures the coordination and integration of services as planned in the pertinent program while revising the plan as needed to provide high quality continuity of services and cost-effective service delivery. - Utilizes motivational interviewing techniques to influence members to engage in their own care. - Builds collaborative, productive relationships with teammates, members, and other stakeholders. - Participates in process improvement activities. - Self-manages worktime to ensure completion of assigned work during scheduled shifts. - Adheres to scheduled shifts, being “in your seat” at scheduled time and prepared to begin work. Communicates proactively to direct supervisor any deviations from scheduled shifts. - Maintains current and accurate nursing knowledge and best practice guidelines, including specifics regarding chronic kidney disease and end-stage renal disease. - Evaluates program processes and makes recommendations to management that will improve the effectiveness and efficiency of the program. - Acts within state’s RN Scope of Practice in all situations. - Maintains the integrity of Protected Health Information (PHI). - Complies with all departmental required data collection and auditing activities. - Participates in quality improvement activities and project-based work as instructed by direct supervisor. - Improves job-related capabilities through continuing education, professional seminars, and technical workshops. - Collaborates with providers and dialysis clinics to identify and mitigate hospitalization and mortality risk for members. - May refer to senior level staff for assistance with higher level problems that may arise. - Escalates issues to supervisor/manager for resolution, as deemed necessary. - Performs other related duties as assigned. Now addendum responsibilities: - New patient onboarding: Monitor newly enrolled patients and ensure they are appropriately onboarded to the GLP-1 program. - Medication titration: Track patient progress through medication titration and identify patients who may require clinical review or intervention. - Adherence monitoring: Monitor medication adherence, identify barriers to adherence, and proactively engage patients who may be at risk of discontinuation. - Attrition management: Track patients who discontinue or disengage from the program, identify contributing factors, and support appropriate re-engagement where clinically appropriate. - Existing patient monitoring: Provide ongoing monitoring and outreach for existing GLP-1 patients to ensure continued engagement, adherence, and appropriate use. - Clinical collaboration: Partner closely with the clinic, nephrologists, and broader clinical team to identify patients requiring additional assessment or intervention, support appropriate escalation, and ensure coordinated patient management. - Continuity of care: Facilitate referrals and communication with other providers involved in the patient’s care to support coordinated treatment, appropriate information sharing, and continuity across care settings. - Algorithm oversight: Work collaboratively with the clinical team to monitor implementation of the GLP-1 algorithm, identify potential issues or exceptions, and help ensure the algorithm is being applied appropriately and consistently. Now education and required credentials: - Bachelor’s Degree preferred - Active, unrestricted, compact-state RN license required - Certified Case Manager (CCM), preferred - Certification in nephrology specialty (CNN, CDN) a plus Experience and skills: - 2 – 5 years’ bedside nursing experience required - Dialysis nursing experience preferred but not required - Must exhibit excellent communication skills and be able to collaborate via telephonic interaction with both clinical and non- clinical team members to facilitate desired care coordination outcome - Well-developed motivational interviewing techniques - Excellent verbal and written skills - Excellent analytical skills - Proficient in word processing, spreadsheet, and email applications - Proven ability to be a team player Physical demands and working conditions (maybe not needed but could be placed under Schedule? Not exactly. Could create a "Working Conditions" section but not in allowed headings. The allowed headings list includes Schedule only. So we might incorporate shift adherence into Schedule section. Physical demands maybe not needed. Supervision: none - we can ignore. Pay: Annual Rate: $77,000.00 - $129,000.00 for Waltham, MA. Also note that rate depends on location and qualifications. Benefits: medical, dental, vision insurance, 401(k) with company match, paid time off, parental leave. Schedule: adhering to scheduled shifts, being “in your seat” at scheduled time and prepared to begin work, communicates proactively to direct supervisor any deviations from scheduled shifts. We also have self-manages worktime to ensure completion of assigned work during scheduled shifts (could be part of schedule). Now we need to output HTML. We'll create sections:

    About the role

    Promotes quality patient care, ongoing patient support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education and other case management functions as defined by the pertinent program. Manages the implementation of the pertinent program as assigned while acting as the subject matter expert and resource for patients, dialysis staff, physicians and other healthcare professionals. Services are generally provided telephonically but there may be programs where on-site visits to clinics, medical office, hospital are required.

    Responsibilities

    • Utilizes nursing knowledge and judgement, data analysis, time management skills, review of medical information, collaboration with clinical and non-clinical members of the healthcare team, and knowledge of clinical processes to develop and facilitate coordination of care for value-based program patients via telephonic support.
    • Leads the assessment of patient conditions, in conjunction with clinic staff, such as the discovery of unreported medical and social conditions, or changes at home that may lead to adverse outcomes and ensures these concerns are referred to the appropriate sources for attention.
    • Utilizes good documentation practices to accurately document interactions with members, members’ health records, caregivers, and other stakeholders.
    • Maintains and updates the appropriate software/tracking logs of patients in the program to manage and record required information and data.
    • Generates and analyzes reports as needed for management, identifying trends, anomalies, and areas of concern.
    • Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program.
    • Adheres to company, department, program policies and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs.
    • Acts as a representative of the Nursing and Clinical Services department in collaborating with the FMCNA Medical Office and with the clinical staff, physicians, and other members of the patient’s healthcare team, to develop an individualized and comprehensive plan of care according to the applicable program specifications.
    • Leads and ensures the coordination and integration of services as planned in the pertinent program while revising the plan as needed to provide high quality continuity of services and cost-effective service delivery.
    • Utilizes motivational interviewing techniques to influence members to engage in their own care.
    • Builds collaborative, productive relationships with teammates, members, and other stakeholders.
    • Participates in process improvement activities.
    • Self

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