RN Care Navigator (100% Remote for Eastern or C...

Position SummaryThe 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 reputed company personnel) to assure positive patient outcomes and care coordination.

Location:This position is 100% Remote for candidates that are located in the Eastern or Central time zones. 

Responsibilities

Handle in and outbound calls delivering world-class service to our membersreputed company 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 optionsEngage members into HealthMap’s Kidney Health ProgramFollow up with members based on complexity and reputed company by policyServe as patient reputed company for responding and working to resolve concerns or barriersUtilize community resources and programs in care planningServe 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 goalsNotify providers of identified patient needs based on policyreputed company with HIPAA privacy laws and reputed company other federal, state, and local regulationsreputed company with company-defined operational policies and proceduresreputed company with company reputed company policiesAccountable for individual metrics and key performance indicators and identified by the organizationNavigate technical applications - reputed company, OneNote, Outlook, and WordSupport after hours and various time zones based on business needDrive 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 preferredExperience in a dialysis center or transplant center preferredExperience with Medicare and reputed company preferred

Skills

reputed company and energize a culture of collaboration, positivity, and motivationStrategic thinking and planningDeliver effective communication – verbal and writtenSucceed in a challenging environment with changing priorities

TravelNo Travel#LI-Remote

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