Nurse Care Manager

Responsibilities

• Manage overall care management for an assigned patient panel
• Establish trusting and empathetic relationships with patients and families
• Serve as an advocate and community liaison for patients navigating the healthcare system
• Perform assessments to identify social determinants of health and individual needs
• Coordinate interdisciplinary approaches to achieve continuity of care
• Monitor and evaluate the effectiveness of care management plans
• Collaborate with physicians, APPs, and other clinical disciplines to manage integrated care plans
• Facilitate patient and caregiver education on treatment options
• Support seamless transitions of care between different settings
• Participate in clinical huddles and patient care conferences
• Engage in organizational process improvement and data collection

Requirements

• Associate degree in nursing
• Current RN License (Compact License preferred)
• Care management experience
• Intermediate skills with MS Office Suite (Outlook, Teams)
• Ability to work in a remote environment with high-speed internet
• Dedicated workspace to protect PHI/HIPAA information

Preferred Qualifications

• Certified Case Manager

Benefits

• Paid time off starting at 4 weeks
• 12 paid holidays per year
• Medical, dental, vision, and life insurance
• HSA with employer match
• Reimbursement for continuing medical education
• 401(k) with up to 4% employer match
• Paid parental leave
• Robust training and development programs

About the Company

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. We aim to improve patient outcomes by delaying disease progression and accelerating kidney transplants.