Job description

Monograph Health

• Full-time (40 hrs/week) - THIS IS FULL TIME PERMANENT POSITION WITH MONOGRAM HEALTH. THIS NOT A STAFFING AGENCY JOB
• PAY RATE IS FLEXIBLE AND BASED ON EXPERIENCE.
• FULL BENEFITS
• 2 openings (8am - 5pm), However, there could be exceptions where a patient does request a visit after 5pm.
• Mon - Fri traveling to patients homes who suffer from chronic kidney disease

Ability to take call remotely on some nights and weekends

Overview

Required skills & experience:
1) Graduate of an accredited School of Nursing.
2) Currently licensed as a Registered Nurse in the State of employment (or other NLC state).
3) 2+ years previous experience working in care management and/or with CKD/ESRD patients is preferred.
4) Ability to take call remotely on some nights and weekends
5) Must have either:

• Home Health Experience
• Hospice experience OR
• Dialysis Experience.

What You Need to Know:
1) Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.
2) Competitive compensation package including salary and bonus.
3) Flexible paid leave and vacation policy.
4) This position is in-and-around the city area listed.
5) This position will work with underserved populations.
6) Laptop, mileage reimbursement, phone allowance, and extra perks available!

Additional Job Details:
1) Develop and continually adapt an individualized care plan in conjunction with Monogram physicians
2) Perform frequent daily in-home care management visits to execute care management plans
3) Serve as the primary point of contact and be the first call when members have questions about their health
4) Prepare care recommendations and escalations for plan members, write reports regarding the same and communicate the same in weekly internal case rounds
5) Understand the needs of Monogram health plan managed care clients and prioritize plan member visits, recommendations and focus accordingly
6) Use personal communication skills, patience and diligence to engage plan members and their caregivers
7) Perform post-op and hospital discharge visits to help plan members through vulnerable transitions
8) Review and document plan member updates and progress in care management platform
9) Monitor biometric data and follow approved protocols for any necessary interventions
10) Inventory and reconcile medications and coordinate with pharmacists and prescribers
11) Perform plan member health assessments and surveys as required
12) Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
13) Encourage medication and treatment adherence through frequent contact with members
14) Engage positively with Monogram social workers to facilitate social and behavioral needs to of plan members
15) Educate members and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities and proactive AV fistula placement
16) Coordinate with dialysis providers to ensure transitions of care are seamless
17) This is a care management position, in which Care Manager – RNs will create and administer care plans, rather than rendering direct clinical services. Care Managers – RNs lead the effort to help prevent costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure. For those already on dialysis, Care Managers – RNs provide additional support, particularly around transitions in care such as hospital discharges.

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Medical specialties:

• Home Health
• Hospice & Palliative Medicine

Physical setting:

• Outpatient

Schedule:

• Day shift
• Monday to Friday
• Weekend availability

Application Question(s):

• What are your salary requirements?
• What is the best email address to reach you? (only used for interview scheduling/confirmation)

Experience:

• Dialysis: 2 years (Preferred)
• Home Health and/or Hospice: 2 years (Preferred)
• are management and/or CKD/ESRD patient: 2 years (Preferred)

License/Certification:

• RN License in the State of employment (or other NLC state) (Preferred)

Work Location: One location

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