Remote Nurse Care Manager
Core
Manage assigned patient panels for kidney disease, providing clinical and emotional support, coordinating care plans, and facilitating transitions between care settings.
Role type
Nurse Care Manager (Clinical Operations)
Builds
Integrated care plans and patient support programs for kidney disease patients
Domain
Healthcare / Nephrology / Value-based care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Nursing field expertise, value-based care operations knowledge, patient assessment, interdisciplinary collaboration, care plan management, evidence-based guidelines adherence, data reporting
Preferred skills
Compact RN license, Certified Case Manager certification
Technologies
MS Office Suite (Outlook, Teams)
Responsibilities
Manage overall care management of patient panel, establish trusting relationships with patients and families, serve as advocate and community liaison, perform assessments and identify needs including social determinants of health, coordinate interdisciplinary approach to achieve continuity of care, monitor and evaluate effectiveness of care management plans, collaborate with physician partners and APPs, identify cost-effective measures for value-based care goals, facilitate patient and caregiver education, support seamless transitions of care, participate in clinical huddles and patient care conferences, engage in organizational process improvement, prepare reports on program changes and patient outcomes
Seniority
Individual Contributor, Mid-level
