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Care Manager, RN
Monogram HealthCare Manager RN at Monogram Health making a difference in patients' lives through integrated care. Collaborating with providers and support staff to manage chronic conditions and improve quality of life.
About the role
Key responsibilities & impact- Work closely with patients’ medical providers to develop and continually adapt care plan
- Perform in-home care management visits to execute care management plan
- Monitor biometric data and follow approved protocols for any necessary interventions
- Inventory and reconcile medications and coordinate with pharmacists and prescribers
- Perform patient health assessments and surveys as required
- Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
- Encourage medication and treatment adherence through frequent contact with patients
- Engage family and social support groups in the education and care of patients
- Serve as the primary point of contact and be the first call when patients have questions (business hours)
- Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
- Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
- Obtain vital signs when visiting patient and escalate any concerns to the provider
- Initiate patient relationships through enrolment and onboarding processes
- Perform post-op and hospital discharge visits to help patients through vulnerable transitions
- Review and document patient updates and progress in care management platform
- Coordinate with dialysis providers to ensure transitions of care are seamless
Requirements
What you’ll need- Basic Life Support (BLS) certification is required in this role.
- Graduate of an accredited School of Nursing
- Currently licensed as a Registered Nurse in the State of the posted location
- 2+ years previous experience working in care management and/or with CKD/ESRD patients
- Self-starter with the ability to work independently with minimal supervision
- Ability to show empathy and quickly build relationships with patients and physicians
- Excellent verbal communication skills both in person and on the phone
- Familiarity with Microsoft Office and mobile phone and web-based applications
Benefits
Comp & perks- Comprehensive Benefits - Medical, dental, and vision insurance
- employee assistance program
- employer-paid and voluntary life insurance
- disability insurance
- plus health and flexible spending accounts
- Competitive compensation
- 401k with employer match
- financial wellness resources
- Paid holidays
- flexible vacation time/PSSL
- paid parental leave
- Work life assistance resources
- physical wellness perks
- mental health support
- employee referral program
- BenefitHub for employee discounts
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementpatient health assessmentsbiometric data monitoringmedication reconciliationpatient educationAdvance Care PlansESRD treatment modalitiesvital signs assessmentpost-op carehospital discharge management
Soft Skills
empathyrelationship buildingindependenceself-starterverbal communicationcoachingengagementadaptabilityteam collaborationpatient advocacy
Certifications
Basic Life Support (BLS)Registered Nurse (RN) license