Care Manager, RN

Monogram Health

Care 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.

Posted 6/9/2026full-timeRemote • Tennessee • 🇺🇸 United StatesJuniorMid-LevelWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

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

Tools & Technologies

care management platformMicrosoft Officemobile applicationsweb-based applications

Certifications & Qualifications

Basic Life Support (BLS)Registered Nurse (RN) license

Industry Keywords

CKDESRDdialysiscomorbiditiescare planpatient educationtransitions of carein-home carehealth assessmentsmedication adherence

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