RN Care Manager - Ohio, Michigan, or Virginia

Strive Health

Strive Health

Customer Service
Michigan, USA · Ohio, USA
Posted on Tuesday, August 29, 2023

Strive Health

Strive Health is built for purpose- to transform a broken kidney care system. We are fundamentally changing the lives of kidney disease patients through early identification and engagement, comprehensive coordinated care, and home-first dialysis. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from CKD through ESRD, leveraging comparative and predictive data and analytics to identify patients at risk. Strive Health’s interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization, and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top talent in the Healthcare community and set a new standard for how kidney care should be done.

Registered Nurse (RN) Care Manager

The Registered Nurse (RN) Care Manager will be responsible for a panel of patients and will work in conjunction with the Strive nurse practitioners to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for CKD and ESRD patients. Acts as a resource for patients and their families, the local care team, and other healthcare professionals. Services to patients are generally provided telephonically but there may be programs where on-site visits to clinics, medical offices, hospitals, or visits to patient homes are required.

This position is a combination of a remote and in person role. Face to face meetings with peers and leadership may be required.

Essential Functions

  • Collaborates with the care team to develop an individualized and comprehensive care plan for the patient
  • Proactively contacts the patient and/or clinic on a frequent basis as specified in the program details to assess their situation, aid, and answer questions as necessary
  • Manages a panel of patients with a range of acuity levels and complexity.
  • Demonstrates case management knowledge and adherence with NCQA measures for complex case management
  • Create, revise, and update the patient-centered care plan to help patients achieve individual self-management goals
  • Provides updates to care team and family members. Identifies patient knowledge deficits regarding current health situation.
  • Provides the appropriate education, support, and materials to facilitate informed decision-making and understanding
  • Assesses patient conditions, in conjunction with the care team, such as the discovery of unreported medical and social conditions, or changes at home that may lead to adverse outcomes and ensures these concerns are referred to the appropriate sources for attention
  • Oversite of non-clinical staff members supporting patient care
  • Serves as a liaison with dialysis facilities, providing care plan updates to help streamline the transitions in care maintains and updates the appropriate program software to manage and record required information and data
  • Generates and analyzes reports via Strive data portals for management, identification of trends, anomalies, and focus areas
  • Adheres to company and clinical guidelines to identify, review, assess, and allocate patients for program participation according to their identified needs
  • Participates in process improvement activities
  • Delivers care in a culturally sensitive way
  • Collaborates with all levels of the clinical team to improve processes, communication, and team dynamics required to provide the best care to our patients. Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program
  • Participates in after hours on call program
  • Delivers care in both the home and clinical settings

Minimum Qualifications

  • BSN or MSN degree from accredited school of nursing required or equivalent
  • Current Registered Nurse (RN) license in the state of practice required
  • Minimum of 5 years’ experience in clinical nursing required
  • Current BLS certification required

Preferred Qualifications

  • Excels at developing strong patient and family relationships that foster engagement and best outcomes for all aspects of Strive Health’s Model of Care
  • Minimum of 3 years’ experience in nephrology, ER, ICU, Cardiac, or Ambulatory Complex case management nursing preferred
  • Certified Case Manger
  • Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes
  • Demonstrated experience and effectiveness in a change agent role
  • Proficiency with documenting and navigating electronic medical records (EMR)
  • Strong computer skills and proficiency in MS Word and Outlook required

Strive Health offers competitive compensation and benefits. An annual performance bonus, determined by company and individual performance, is available for many roles and aligned to Strive Health guidelines.

Beware of Scams: Please ensure your application is being submitted through a Strive Health sponsored site only. Our emails will come from @strivehealth.com email address. You will NEVER be asked to purchase your own employment equipment. You will also NEVER be asked to submit personal information except through Greenhouse or Rippling in connection with our application process. If you experience fraudulent activity, please contact local law enforcement or your state attorney general.