Clover Health

Program Manager, Clover Care Services – ESRD

Clover Health

full-time

Posted on:

Location Type: Hybrid

Location: 🇺🇸 United States

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Salary

💰 $75,000 - $85,000 per year

Job Level

Mid-LevelSenior

About the role

  • Lead outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members
  • Introduce and enroll into the DCM program, explain benefits and conduct needs assessments
  • Collaborate with members to address any barriers to completing appointments including transportation, scheduling and overall provider satisfaction
  • Provide education to members on dialysis adherence
  • Build relationships with dialysis providers to track completed and missed appointments
  • Follow-up with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance
  • Identify chronically non-adherent members and engage to uncover barriers
  • Schedule follow-up appointments with CCS providers as needed
  • Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation
  • Document assessments in the electronic medical record and maintain accurate records in the program tracker
  • Work collaboratively with internal and external resources including providers and behavioral health specialists, pharmacists, nephrologists, and dialysis center care managers
  • Monitor reports and dashboards to identify trends,discover opportunities and implement program improvements
  • Take on other projects, duties and responsibilities as may be assigned

Requirements

  • You have at least 3 years of post-licensure RN experience.
  • You hold a Bachelor’s degree (BSN) or higher from an accredited school of nursing.
  • You possess a current valid RN multi-state license.
  • You have current Basic Life Support (BLS) (required).
  • You have case management or care coordination experience.
  • You are able to communicate fluently in English and Spanish, both orally and in writing (Preferred).
  • You have a valid driver's license and have access to a vehicle (required).
  • You have basic proficiency in computer use and experience using EMRs, Athena preferred.
  • You are comfortable working with members of diverse social, ethnic, and cultural backgrounds.
Benefits
  • Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
  • Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
  • Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
  • Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
  • Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
  • Reimbursement for office setup expenses
  • Monthly cell phone & internet stipend
  • Remote-first culture, enabling collaboration with global teams
  • Paid parental leave for all new parents
  • And much more!

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
RN experiencecase managementcare coordinationdialysis adherence educationneeds assessmentappointment schedulingbarrier identificationclinical documentationprogram tracking
Soft skills
communicationrelationship buildingcollaborationproblem-solvingcultural competency
Certifications
RN multi-state licenseBachelor’s degree (BSN)Basic Life Support (BLS)