Nurse Care Manager

Evergreen Nephrology

Nurse Care Manager at Evergreen Nephrology managing nephrology patients in a fully remote role. Collaborating with healthcare teams and ensuring patient-centered care through effective management and support.

Posted 6/15/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $90,000 - $103,000 per yearWebsite

About the role

Key responsibilities & impact

Manage the overall care management of patient caseload by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations.
Facilitate seamless transitions for nephrology patients from a Skilled Nursing Facility to home or community.
Collaborate with hospital discharge planners, providers and SNF staff to ensure patients’ needs are addressed.
Monitor patient progress in skilled nursing facilities and identify barriers to timely discharge.
Actively participate in clinical huddles, IDT meetings, and patient care conferences for patients under your care management.
Develop and implement strategies to optimize length of stay while maintaining high-quality care.
Support seamless transitions of care as patients move between care settings, proactively addressing potential barriers and collaborating with internal and external care team stakeholders.
Establish trusting relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey.
Perform assessments and identify the needs, including social determinants of health, of caseload patients and caregivers based on values, care goals, and individual preferences, and translating these into patient-centric actionable care plans.
Identify and develop SNF stakeholders and foster relationships for communication and coordination of care.
Identify areas for improvement in post-acute care processes and share or implement evidence-based solutions.
Engage in continuous, organizational process improvement to identify opportunities and execute action plans to optimize care management workflows, patient engagement processes, customer/patient care efforts, and other protocols.
Prepare reports and other deliverables to communicate program changes or developments to appropriate stakeholders.
Collect data to prepare and deliver reports alongside program leaders on program success, patient outcomes, and patient/caregiver satisfaction.
Other duties consistent with this role, as assigned.

Requirements

What you’ll need

One of the two following qualifications is required in the state of Illinois:
A Bachelor’s degree in nursing (BSN) with an active RN license (compact license preferred where applicable) and/or;
A Bachelor’s or Master’s degree in Physical Therapy with an active PT license
Minimum 3-5 years of experience in telephonic care management and post-acute care
Active license in good standing in the state of Illinois
Experience in Utilization Management and/or Utilization Review
Experience in specialty care including kidney care or related field
Excellent communication, problem-solving and organizational skills
Knowledge of value-based care models and strategies to reduce readmissions
Experience with team-based care and have excellent collaboration skills
Excellent working knowledge of community resources
Strong understanding of skilled nursing facility operations and regulations strongly preferred.
Intermediate skills with MS Office Suite of products including Outlook and Teams
Able to work effectively in a primarily remote environment:
Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Comp & perks

Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Medical, dental, vision and life insurance, including an HSA with employer match
Reimbursement for continuing medical education for eligible roles
A 401(k) program where Evergreen matches up to 4% of contributions
Paid parental leave
A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

nursingtelephonic care managementpost-acute careUtilization ManagementUtilization Reviewvalue-based care modelspatient assessmentscare plansdata collectioncommunity resources

Soft Skills

communicationproblem-solvingorganizational skillscollaborationrelationship buildingemotional supportprocess improvementteam-based caretrust buildingpatient engagement

Certifications

RN licensePT license