Case Manager RN

Somatus - Revolutionizing Kidney Care; Connecticut; Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative leader in kidney care is seeking a dedicated care manager to enhance patient outcomes through effective communication and care coordination. This fully remote position emphasizes collaboration with healthcare teams to ensure patients receive the best possible support. The ideal candidate will possess a CT nursing license and demonstrate a commitment to patient empowerment and innovative healthcare solutions. Join a forward-thinking organization that values authenticity, collaboration, and tenacity, and make a meaningful impact in the lives of patients living with chronic kidney disease.

Benefits

Subsidized healthcare coverage (medical, dental, vision)

3 weeks’ Vacation (PTO)

Professional Development and Tuition Reimbursement

Curated Wellness Benefits

Community engagement opportunities

Qualifications

• Utilizes nursing knowledge for patient care continuity in various settings.
• Coordinates care plans and collaborates with interdisciplinary teams.

Responsibilities

• Exhibits superior customer service and prioritizes patient care needs.
• Consults with physicians to ensure successful care plan implementation.
• Documents patient information in electronic systems.

Skills

Patient Care

Care Management

Communication Skills

Motivational Interviewing

Behavioral Change Techniques

Education

Nursing License (CT)

Bachelor's Degree in Nursing

Tools

Electronic Health Records (EHR)

Job description

Overview

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?

Showing Up Somatus Strong

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

• Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
• Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
• Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.
• Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
• Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.

Showing Up for You

We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:

• Subsidized, personal healthcare coverage (medical, dental, vision)
• Accrual of 3 weeks’ Vacation (PTO)
• Professional Development, CEU, and Tuition Reimbursement
• Curated Wellness Benefits supporting teammates' physical and mental well-being
• Community engagement opportunities
• And more!

This position is responsible for ensuring the continuity of care in both inpatient and outpatient settings, utilizing appropriate resources within the parameters of established contracts and patients’ health plan benefits. Facilitates continuum of patients’ care using basic nursing knowledge, experience, and skills to ensure appropriate resource utilization and patient outcomes. Performs care management functions on-site or telephonically as needed.

This is a fully remote role where compact licensure is strongly preferred, CT licensure is mandatory for this role.

Responsibilities

• Consistently exhibits behavior and communication skills that demonstrate our company's commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.
• Prioritizes patient care needs upon initial visit and addresses emerging issues.
• Virtually meets with patients, family, and caregivers as needed to discuss care and treatment plans telephonically.
• Identifies and assists with follow-up of high-risk patients in various care settings.
• Consults with physicians and team members to ensure successful care plan implementation.
• Coordinates treatment plans and triages interventions appropriate to team members’ skills.
• Uses protocols and pathways aligned with disease management programs to optimize outcomes.
• Monitors and coaches patients using motivational interviewing and behavioral change techniques.
• Oversees discharge provisions including follow-up appointments, home health, social services, transportation, etc.
• Works with the care team and demonstrates accountability for patient management and outcomes.
• Maintains effective communication with physicians, hospitalists, facilities, patients, and families.
• Assists members in maximizing benefits according to health plan.
• Participates in Care Management Coordination Committee meetings.
• Documents patient information and care plans in electronic systems.
• Coordinates care with the interdisciplinary team on assigned caseloads.
• Adheres to departmental policies and procedures.

Note: This job description is not exhaustive; duties may change at any time. Reasonable accommodations will be made for individuals with disabilities. Somatus is an equal opportunity employer, committed to diversity and inclusion.