Care Manager RN

Norwest Venture; Gainesville (GA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Flexible scheduling

Performance-based bonus program

Full benefits package including medical, dental, vision

Job summary

Monogram Health in Gainesville, Georgia seeks a Care Manager – Registered Nurse to provide in-home care that helps patients improve their quality of life. This role involves working closely with medical providers, performing health assessments, and encouraging treatment adherence.

Ideal candidates will have 2+ years of experience in care management, a valid RN license, and excellent communication skills. The position includes a competitive compensation package and flexible scheduling, along with a full benefits offering.

Qualifications

• 2+ years of 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.

Responsibilities

• Work closely with patients’ medical providers to develop and adapt care plans.
• Perform in-home care management visits to execute care management plans.
• Monitor biometric data and follow approved protocols for necessary interventions.
• Educate patients on medications, medical conditions, and lifestyle choices.
• Coordinate with dialysis providers to ensure seamless transitions of care.

Skills

BLS certification

Communication skills

Empathy

Care management experience

Familiarity with Microsoft Office

Education

Graduate of an accredited School of Nursing

Currently licensed as a Registered Nurse

Job description

Job Description: Care Manager – Registered Nurse

Monogram Health is looking for a skilled Registered Nurse eager 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 do not 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 plans
• Perform in-home care management visits to execute care management plans
• 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 education and care of patients
• Serve as the primary point of contact and be the first call during business hours when patients have questions
• 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 during patient visits and escalate any concerns to the provider
• Initiate patient relationships through enrollment and onboarding processes
• Perform post‑op and hospital discharge visits to help patients through vulnerable transitions
• Review and document patient updates and progress in the 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 required; the company will support 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 posting location
• 2+ years of 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

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.