Renal Case Manager: IDPN/IPN Clinical Specialist

Pentec Health; Crystal Bay (NV); On-site; USD 65,000 - 79,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k match

PTO

Paid holidays

Disability and life insurance

Employee assistance

Flexible spending or health savings

Job summary

Pentec Health is seeking a Renal Clinical Case Manager located in the Pacific or Mountain time zones (OR, WA, ID, NV, AZ) to provide clinical expertise in IDPN/IPN therapies within our Revenue Cycle Management team. You will support therapy approvals, medical necessity documentation, and education for renal patients.

The role emphasizes autonomous decision-making, collaboration with care teams, and ongoing payer coordination.

Qualifications

• BS in Nutrition or related field
• Registered Dietitian or Licensed Nutritionist as required by state
• Experience in renal nutrition and CKD dialysis is preferred or required by state

Responsibilities

• Acts as clinical SME for Renal Dietitians, Nurses, Nephrologists and field staff in therapy management and reimbursement.
• Develops renal program to increase client base for IDPN/IPN and other PEN therapies; monitors patients on therapy.
• Coordinates with CSR/AE to obtain monthly labs and payor documents; reviews queue for active patients.
• Completes required forms and letters of medical necessity; escalates denials with payors as needed.
• Organizes CEU and Web-Ex CEU seminars; conducts educational sessions on IDPN/IPN therapies.

Skills

Autonomy

Decision-making

Communication

Education

BS in Nutrition or related field

Registered Dietitian or Licensed Nutritionist as required by state

Tools

Microsoft Office

Job description

Pentec Health is seeking a Renal Clinical Case Manager located in the Pacific or Mountain time zones (OR, WA, ID, NV, AZ) to provide clinical expertise in IDPN/IPN therapies within our Revenue Cycle Management team. You will support therapy approvals, medical necessity documentation, and education for renal patients.

The role emphasizes autonomous decision-making, collaboration with care teams, and ongoing payer coordination.