Registered Nurse Care Manager, Transitional
Strive Health Cincinnati, OH (Onsite) Full-Time
Apply on company site
Job Details
favorite_border
Strive Health Strive Health is built for purpose- to transform a broken kidney care system. We are fundamentally changing the lives of kidney disease patients through early identification and engagement, comprehensive coordinated care, and home-first dialysis. Strive's model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from CKD through ESRD, leveraging comparative and predictive data and analytics to identify patients at risk. Strive Health's interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization, and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top ta lent in the Healthcare community and set a new standard for how kidney care should be done. RN Care Manager of Transition The Registered Nurse (RN) Manager of Transition works alongside Strive care coordinators and nurse practitioners to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for CKD and ESRD patients. The RN care manager will work specifically on Transition of Care Management efforts, to outreach patients who have been newly discharged from the in-patient setting within specified time requirements. The RN Care Manager will take every care management measure possible to help avoid patient complications and readmissions. Essential Functions Identifies newly discharged patients and outreaches within 48 hours Assesses for immediate needs and identifies any signs and symptoms of potential complication Completes a comprehensive medication reconciliation Ensures patient understands all discharge instructions and newly prescribed medications Completes a full TCM Care Plan and ensures that it is shared with patient and patient's entire care team Ensures that the patient has necessary follow-up visits scheduled with care team Collaborates with the care team to develop and or adjust the individualized and comprehensive care plan for the patient Identifies patient and/or clinic staff knowledge and understanding deficits regarding their specific program and situation. Provides the appropriate education, support and materials to facilitate informed decision making and understanding. Assesses patient conditions, in conjunction with the care team, such as the discovery of unreported medical and social conditions, or changes at home that may lead to adverse outcomes and ensures these concerns are referred to the appropriate sources for attention. Maintains and updates the appropriate program software to manage and record required information and data. Generates and analyzes reports as needed for management, identifying trends, anomalies and areas of concern. Adheres to company and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs Participates in process improvement activities. Collaborates with all levels of the clinical team to improve processes, communication, and team skills needed to provide the best care to our patients Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program Minimum Qualifications BSN or MSN degree from accredited school of nursing required. Current Registered Nurse (RN) license in the state of practice required. Minimum of 5 years' experience in clinical nursing required. Current BLS certification Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms Preferred Qualifications Skilled and passionate caring for patients with complex needs Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes. Demonstrated experience and effectiveness in change agent role. Excels at developing strong patient/family relationships that fosters engagement and best outcomes for all aspects of Strive Health's Model of Care Basic computer skills and proficiency in MS Word and Outlook required Annual Salary Range: $72,800.00-$96,050.00 Strive Health offers competitive compensation and benefits. An annual performance bonus, determined by company and individual performance, is available for many roles and aligned to Strive Health guidelines. COVID Policy: As a healthcare organization, the safety of our Strivers, partners, patients, and communities is critical to our work and aligned to our first core value, Care For Others First. All new Strivers must be fully vaccinated for COVID-19 or will be required to request and obtain an approved medical or religious exemption prior to joining Strive, and otherwise comply with COVID-19 policies. Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide and work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications . If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [ Email address blocked ] - Click here to apply to Registered Nurse Care Manager, Transitional #INDSJ
Recommended Skills
• Registered Nurse
• Acute Care
• Nursing Care
• Licensed Practical Nurse
• Nursing
• Licensed Vocational Nurses
Apply to this job.
Think you're the perfect candidate?
Apply on company site
Help us improve CareerBuilder by providing feedback about this job: Report this job
Job ID: b5de0608565c1145c7849043b
CareerBuilder TIP
For your privacy and protection , when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.