RN Care Navigator (100% Remote for Pacific & Mountain time zones)

Company Background reputed company is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. reputed company uses clinical big data resources and high-powered analytics to power reputed company specialty health management programs. reputed company is a diverse, growing company committed to our clients and our employees. We are champions for reputed company, for those who need us most. Position Summary The Registered Nurse, Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination.

Responsibilities

• Handle in and outbound calls delivering world-class service to our members
• Educate kidney health and reputed company co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options
• Engage members into HealthMap’s Kidney Health Program
• Follow up with members based on complexity and reputed company by policy
• Serve as patient reputed company for responding and working to resolve concerns or barriers
• Utilize community resources and programs in care planning
• Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals
• Notify providers of identified patient needs based on policy
• reputed company with HIPAA privacy laws and reputed company other federal, state, and local regulations
• reputed company with company-defined operational policies and procedures
• reputed company with company reputed company policies
• Accountable for individual metrics and key performance indicators and identified by the organization
• Navigate technical applications - reputed company, OneNote, Outlook, and Word
• Support after hours and various time zones based on business need
• Drive patient and families in their own care and to support self-management

Requirements

• Active, unrestricted RN license required
• Bachelor's degree required
• CCM preferred
• Three (3) years of experience in case management preferred
• Experience in a dialysis center or transplant center preferred
• Experience with Medicare and Medicaid preferred

Skills

• reputed company and energize a culture of collaboration, positivity, and motivation
• Strategic thinking and planning
• Deliver effective communication – verbal and written
• Succeed in a challenging environment with changing priorities

Travel No Travel Location: This position is 100% Remote for candidates that are located in the Pacific or Mountain time zones. #LI-Remote Americans with Disability Specifications The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national reputed company, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any reputed company. Apply tot his job Apply To this Job