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.
COMPENSATION
The base salary range for this role is full range, $80,072 to $96,836 and
reflects the range of experience and qualifications we may consider. Final
compensation will be determined based on geographic location and job-related
factors such as experience, skills, education, certifications, and internal
compensation considerations. While a larger range is posted, most offers will
typically fall within a narrower band based on these factors.
In addition to base salary, this role is eligible for additional compensation,
including bonus opportunities and a comprehensive benefits package.
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
HIGHLIGHTS & BENEFITS
Comprehensive Benefits - Medical, dental, and vision insurance, employee
assistance program, employer-paid and voluntary life insurance, disability
insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer
match, and financial wellness resources
Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make
your own, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks,
mental health support, employee referral program, and BenefitHub for employee
discounts
ABOUT MONOGRAM HEALTH
Monogram Health is a leading multispecialty provider of in-home, evidence-based
care for the most complex of patients who have multiple chronic conditions.
Monogram health takes a comprehensive and personalized approach to a person’s
health, treating not only a disease, but all of the chronic conditions that are
present - such as diabetes, hypertension, chronic kidney disease, heart failure,
depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across
multiple disciplines including nephrology, cardiology, endocrinology,
pulmonology, behavioral health, and palliative care to diagnose and treat health
issues; review and prescribe medication; provide guidance, education, and
counselling on a patient’s healthcare options; as well as assist with daily
needs such as access to food, eating healthy, transportation, financial
assistance, and more. Monogram Health is available 24 hours a day, 7 days a
week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to
dramatically improve patient outcomes and quality of life while reducing medical
costs across the health care continuum.