Remote RN Kidney Health Care Navigator

Healthmap Solutions; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

HealthMap Solutions is seeking a Care Navigator (RN) to manage kidney health programs, coordinate care, and support patients across the continuum of care using Compass. You will maintain care plans, perform health and social determinants screenings, reconcile medications, and collaborate with physicians, nurses, and other providers to improve outcomes.

This remote role requires an active RN license, a bachelor’s degree, and 3+ years in case management; CCM is a plus.

Qualifications

• Active, unrestricted RN license required.
• Bachelor’s degree required; 6+ years of RN experience including 3+ years in case management may be considered in lieu of degree.
• CCM preferred.
• Three (3) years of experience in case management preferred.
• Experience in a dialysis center or transplant center preferred.
• Experience with Medicare and Medicaid preferred.

Responsibilities

• Handle in and outbound calls delivering world-class service to our members
• Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options
• Engage members into HealthMap's Kidney Health Program
• Follow up with members based on complexity and cadence by policy
• Serve as patient advocate for responding and working to resolve concerns or barriers
• Utilize community resources and programs in care planning
• Serve as liaison between the patient, the patient’s support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals
• Notify providers of identified patient needs based on policy
• Comply with HIPAA privacy laws and all other federal, state, and local regulations
• Comply with company-defined operational policies and procedures
• Comply with company security policies
• Accountable for individual metrics and key performance indicators and identified by the organization
• Navigate technical applications - Excel, OneNote, Outlook, and Word
• Support after hours and various time zones based on business need
• Drive patient and families in their own care and to support self-management

Skills

Advocacy

Strategic planning

Communication

Adaptability

Education

Bachelor's degree

RN license

Tools

Excel

OneNote

Outlook

Word

Job description

HealthMap Solutions is seeking a Care Navigator (RN) to manage kidney health programs, coordinate care, and support patients across the continuum of care using Compass. You will maintain care plans, perform health and social determinants screenings, reconcile medications, and collaborate with physicians, nurses, and other providers to improve outcomes.

This remote role requires an active RN license, a bachelor’s degree, and 3+ years in case management; CCM is a plus.