Care Manager - Registered Nurse

Monogram Health • Full-time • Huntington, West Virginia, United States • 1m ago

Job Description: Care Manager – Registered Nurse

Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

Your Impact:

As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 

Highlights & Benefits  

Flexible scheduling with a hybrid and in-home model
Competitive compensation and a performance-based bonus program
Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time

Roles and Responsibilities

Work closely with patients’ medical providers to develop and continually adapt care plan
Perform in-home care management visits to execute care management plan
Monitor biometric data and follow approved protocols for any necessary interventions
Inventory and reconcile medications and coordinate with pharmacists and prescribers
Perform patient health assessments and surveys as required
Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
Encourage medication and treatment adherence through frequent contact with patients
Engage family and social support groups in the education and care of patients
Serve as the primary point of contact and be the first call when patients have questions (business hours)
Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
Obtain vital signs when visiting patient and escalate any concerns to the provider
Initiate patient relationships through enrolment and onboarding processes
Perform post-op and hospital discharge visits to help patients through vulnerable transitions
Review and document patient updates and progress in care management platform
Coordinate with dialysis providers to ensure transitions of care are seamless

Position Requirements

Frequent local travel to perform in-home visits
Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding
Infrequent domestic travel may be required, primarily to Brentwood, TN for training
Self-starter with the ability to work independently with minimal supervision
Ability to show empathy and quickly build relationships with patients and physicians
Graduate of an accredited School of Nursing
Currently licensed as a Registered Nurse in the State of the posted location
2+ years previous experience working in care management and/or with CKD/ESRD patients
Ability to take call remotely on some nights and weekends
Excellent verbal communication skills both in person and on the phone
Familiarity with Microsoft Office and mobile phone and web-based applications

About Monogram Health

Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to transform the way nephrology, primary care and chronic condition treatment is delivered. Monogram’s in-home approach utilizes a national nephrology practice supported by case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs. By increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

Related Jobs

Registered Nurse - RN (NIGHTS)

UHS • Full-time • HUNTINGTON, West Virginia, United States • 1w ago

Responsibilities Registered Nurse (RN) Opportunity -Full-Time -Huntington, WV Full-Time: Night Shift River Park Hospital River Park Hospital operates a total of 187 mental health beds locate...

1w ago

VIEW JOB

Registered Nurse -Behavioral Health (7p-7a)

UHS • Full-time • HUNTINGTON, West Virginia, United States • 1w ago

RN Psych

Responsibilities R egistered Nurse (RN) Opportunity -Full-Time -Huntington, WV - $20,000 Bonus Full-Time: (7p-7a) -New Grads Welcomed! River Park Hospital, is a 165-bed facility and a leader in behavioral...

1w ago

VIEW JOB

Nurse 3 - Office of Maternal Child & Family Health - Cabell Co.

State of West Virginia • Full-time • Huntington, West Virginia 25704, United States • $43,357 - $75,789 / year • 1w ago

RN Pediatric Mother-Baby

The Nurse III position provides medical care coordination to children with complex health problems from birth through 20 years of age and nursing services for Children with Special Health Care Needs (CSHCN), community...

1w ago

VIEW JOB

Nursing Supervisor

ScionHealth • Full-time • Huntington, West Virginia • 1w ago

RN Manager/Supervisor

Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean in...

1w ago

VIEW JOB

RN Registered Nurse, Part Time

Wayne Healthcare Center • Part-time • Wayne, WV, US • 1w ago

A DEEPER COMPASSION, FOR A HIGHER PURPOSE Nurses are at the heart of our world-class, patient-centered standard of care. Day in and day out, they go the extra mile to make a lasting difference in the lives of our re...

Easily Apply

1w ago

VIEW JOB

RN Registered Nurse

Wayne Healthcare Center • Full-time • Wayne, WV, US • 1w ago

Easily Apply

1w ago

VIEW JOB

Registered Nurse

LHC Group Inc. • Full-time • Huntington, WV, United States • 2d ago

RN Home Health

Summary We are hiring for a Registered Nurse. At St.Mary's Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come f...

2d ago

VIEW JOB

RN - Homecare - Geriatric

Maxim Healthcare Services • Full-time • Lavalette, WV, US • 2w ago

RN Home Health

Salary: $34 - $38 / per hour Maxim Healthcare in Lavalette WV is hiring for a Registered Nurse to work with an Adult patient 1 on 1 in their own home. Open shifts are Monday - Wednesday (7pm-7am) and Saturda...

2w ago

VIEW JOB

Acute Registered Nurse - RN

Fresenius Medical Care • Full-time • Ashland, KY • 2m ago

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the...

2m ago

VIEW JOB

Registered Nurse -MS/Tele 13 WEEKS CONTRACT -Huntington, WV

ATC Healthcare Travelers • Contract • Huntington, WV, US • 2w ago

RN Travel Telemetry

Registered Nurse - MS/Tele @ Saint Marys Medical Center- Huntington, WV Profession: Registered Nurse Specialty: MS/Tele Unit: 6165 | Telemetry 2 Shift: Night 3x12-Hour (19:00 - 07:00) Block Schedules: No Sta...

Easily Apply

2w ago

VIEW JOB