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Company | Sekeena Johnson |
Address | Philadelphia, PA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Professional Training and Coaching |
Expires | 2023-05-15 |
Posted at | 1 year ago |
Required Skills And Experience For The Position
- Currently licensed as a Registered Nurse in the State of PA other NLC state.
- Ability to take call remotely on some nights and weekends
- Must have Home Health and/or Hospice experience.
- Graduate of an accredited School of Nursing.
- 2+ years previous experience working in care management and/or with CKD/ESRD patients is preferred.
- This position works within 1 hour assigned driving radius
- Flexible paid leave and vacation policy.
- Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.
- This position will work with underserved populations.
- Laptop, mileage reimbursement, phone allowance, and extra perks available!
- Competitive compensation package including salary and bonus.
- Monitor biometric data and follow approved protocols for any necessary interventions
- Develop and continually adapt an individualized care plan in conjunction with physicians
- 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.
- Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
- Perform plan member health assessments and surveys as required
- Inventory and reconcile medications and coordinate with pharmacists and prescribers
- Coordinate with dialysis providers to ensure transitions of care are seamless
- Engage positively with social workers to facilitate social and behavioral needs to of plan members
- Perform post-op and hospital discharge visits to help plan members through vulnerable transitions
- Use personal communication skills, patience and diligence to engage plan members and their caregivers
- Serve as the primary point of contact and be the first call when members have questions about their health
- Prepare care recommendations and escalations for plan members, write reports regarding the same and communicate the same in weekly internal case rounds
- Encourage medication and treatment adherence through frequent contact with members
- Perform frequent daily in-home care management visits to execute care management plans
- Review and document plan member updates and progress in care management platform
- Understand the needs of health plan managed care clients and prioritize plan member visits, recommendations and focus accordingly
- Educate members and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities and proactive AV fistula placement
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