The Care Manager collaborates with the care team within each practice and leverages Aledadeβs interdisciplinary care team to provide telephone-based health coaching, quality improvement, and care coordination. The care manager works closely with Medicare patients to support them in becoming active in their health care.
As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager, you will support complex patients, assisting them in navigating the healthcare system. You'll identify medical, social, emotional, and financial needs and implement interventions. You will work autonomously and in collaboration with the healthcare team to coordinate quality, consistent, cost-effective care supporting patients in the Central Jersey area.
Maintain and monitor your own patient census across multiple facilities. Coordinate the implementation of Chronic Care Management (CCM) services amongst chronically ill patients. Create individualized Care Plans, monitor labs, vitals, and medications, and coordinate with the care team.
Provide UM services, transition of care and support to members and health care providers. Utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, medical necessity criteria (InterQual), and benefit information to provide consultation and responses to UM requests. Proactively assess and assist members to help move them through the continuum of care.
The UM Nurse Specialist conducts clinical reviews to ensure that services provided to members meet clinical criteria and are delivered in appropriate settings. They coordinate, document, and communicate all aspects of utilization and benefit management, handling both prospective and retrospective care reviews. The role involves validating medical documentation, consulting with medical directors, and identifying members who may benefit from case management services.
As a DaVita Integrated Kidney Care Supportive Care Case Manager (RN) you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. You will identify the medical, social, emotional, and financial needs of your patients with CKD/ ESKD and implement appropriate interventions. Youβll work autonomously and in collaboration with all members of the healthcare team.
The RN Care Manager collaboratively works with a team to review lab results, coordinate care, and educate patients. This role involves initiating care plans, assessing patient needs, and utilizing community resources, all while ensuring comprehensive care and adherence to treatment plans.
This is a remote, full-time position responsible for telephonic outreach to patients for post discharge assessments, preventative health screenings, chronic disease management, and medication adherence education. The role involves care coordination, understanding health plan contracts, and meeting performance targets. You will thrive on connecting with patients and making a real difference in their health outcomes.