- Perform in-home care management visits to execute care management plan
- 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
- Engage family and social support groups in the education and care of patients
- Educate patients and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities and proactive AV fistula placement
- Perform post-op and hospital discharge visits to help patients through vulnerable transitions
- Review and document patient updates and progress in care management platform
- Coordinate with dialysis providers to ensure transitions of care are seamless
- Self-starter with the ability to work independently with minimal supervision
- Graduate of an accredited School of Nursing
- 2+ years 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
- Comprehensive medical, dental, vision and life insurance
- Flexible paid leave and vacation policy
- About Monogram Health
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Managed Care Organization Care Manager
2 weeks ago
Family Health Centers of Southwest Florida Inc Cape Coral, United States: · : · Responsible for providing and coordinating screening and care management interventions for patients identified with chronic, complex, care needs based on patient information provided by Managed Care Organizations (e.g. Aetna Medicare). Works collaboratively with the ACO C ...
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Managed Care Organization Care Manager
3 weeks ago
Family Health Centers of SouthWest Florida Fort Myers, United StatesApply · Job Type · Full-time · Description · POSITION DESCRIPTION: · Responsible for providing and coordinating screening and care management interventions for patients identified with chronic, complex, care needs based on patient information provided by Managed Care Organization ...
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Care Manager
2 weeks ago
Discovery Village at the Forum - AL Fort Myers, United StatesDISCOVER YOUR PURPOSE · At Discovery Village at The Forum, a thriving Discovery Senior Living community, we have meaningful job opportunities with the ability to make a difference in the lives of our residents. · About Discovery Senior Living · Discovery Senior Living ranks promi ...
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Care Manager
1 week ago
Brookdale Senior Living Fort Myers, FL, United StatesCare Manager - RN · Care Manager - RN · Overview · WHY Brookdale- · Our culture of compassionate and caring extends to everyone, our associates, our residents and their families. Our cornerstones of passion courage, partnership and trust drive everything we do and come to life e ...
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Care Manager
3 weeks ago
Monogram Health Fort Myers, United StatesPosition: Care Manager - RN · "I have never felt more supported by a company" · "Management is always shouting out employees for the wins they are doing for their patients. You can see the passion that everyone has for these patients. It really does feel like a team. I was very ...
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Care Manager
2 weeks ago
Discovery Village at the Forum - AL Fort Myers, United StatesJob Description · Job DescriptionDISCOVER YOUR PURPOSE · At Discovery Village at The Forum, a thriving Discovery Senior Living community, we have meaningful job opportunities with the ability to make a difference in the lives of our residents. · About Discovery Senior Living · D ...
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Care Manager
2 weeks ago
Discovery Village at the Forum - AL Fort Myers, FL, United StatesAt Discovery Village at The Forum, a thriving Discovery Senior Living community, we have meaningful job opportunities with the ability to make a difference in the lives of our residents. · About Discovery Senior Living · Discovery Senior Living ranks prominently among the 5 lar ...
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Care Manager
1 week ago
Discovery Village at the Forum - AL Fort Myers, United StatesJob Description · Job DescriptionDISCOVER YOUR PURPOSE · At Discovery Village at The Forum, a thriving Discovery Senior Living community, we have meaningful job opportunities with the ability to make a difference in the lives of our residents. · About Discovery Senior Living · D ...
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managed care coordinator
2 weeks ago
Chapters Health System Fort Myers, FL , USA, United StatesIt's inspiring to work with a company where people truly BELIEVE in what they're doing · When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer servi ...
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Managed Care Coordinator
2 weeks ago
Chapters Health System Fort Myers, United StatesIt's inspiring to work with a company where people truly BELIEVE in what they're doing When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service ...
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Managed Care Coordinator
3 weeks ago
Chapters Health System Fort Myers, United StatesThe Managed Care Coordinator (MCC) is responsible to coordinate and disseminate pertinent information regarding all Medicare Advantage, Managed Medicaid and large Managed Care provider patients. In this role, the Managed Care Coordinator works with t Care Coordinator, Business De ...
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Care Management Assistant
2 weeks ago
Lee Health Fort Myers, United States Full timeLocation:HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908 · Department: Care Management · Work Type: Full Time · Shift: Shift 1/8:00:00 AM to 4:30:00 PM · Minimum to Midpoint Pay Rate:$ $18.75 / hour · Healthpark Medical Center Care Management is looking fo ...
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Care Management Assistant
1 week ago
Lee Health Fort Myers, United States Full timeLocation:Gulf Coast Medical Center Doctor's WayFort Myers FL 33912 · Department: Care Management · Work Type: Full Time · Shift: Shift 1/8:00:00 AM to 4:30:00 PM · Minimum to Midpoint Pay Rate:$ $18.75 / hour · Summary · Under the guidance of and direction of the Care Management ...
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Registered Nurse, RN Full Time
2 weeks ago
Mederi Caretenders Fort Myers, United States Full timeWe are hiring a FT RN for Home Health Visits · The Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. The Registered Nu ...
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Operations Manager
1 week ago
Sarasota Caregivers, Inc. Fort Myers, United StatesThe Operations Manager we need is a rockstar administrator and a natural born leader. You thrive on building relationships and managing systems within organizations. If you seek the freedom to obliterate your business goals and you like to move fast, then this is the career oppor ...
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Superintendent - Mep
3 weeks ago
Skanska Fort Myers, United StatesSkanska is searching for a dynamic MEP Project Manager. This is a great opportunity to start a career with a company that builds things that matter and values its team. We are proud to share our culture of diversity and inclusion. · Our work makes a clear contribution to society ...
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Dialysis Outpatient Registered Nurse
1 week ago
Fresenius Medical Care Fort Myers, United States Full timePURPOSE AND SCOPE: · The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable an ...
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Nurse Practitioner
2 weeks ago
Aspire Health Group Fort Myers, United States**Nurse Practitioner (Skilled Nursing)**: · **Major Responsibilties** · - As the SNF-ist, you will act as a Skilled Nursing Facility's leading provider of internal medicine services · - You will collaborate with the facility's interdisciplinary team and physicians, serving as a d ...
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Wound Care Nurse
1 week ago
Eastern Medical Center Fort Myers, United StatesJob Overview: · **Duties**: · - Assessing and treating various types of wounds, including surgical wounds, pressure ulcers, and diabetic ulcers · - Developing and implementing individualized care plans for wound management · - Monitoring patients' progress and adjusting treatment ...
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Ambulatory Surgery Center
1 week ago
Millennium Physician Group Fort Myers, United StatesAre you ready to take your nursing career to the next level and join an exceptional team? We are seeking a Full-time skilled and compassionate GI Endoscopy Circulating Registered Nurse to be an integral part of our medical team in the heart of Fort Myers, FL. If you are passionat ...
Care Manager - Fort Myers, FL, United States - Monogram Health
Description
Care Manager - Registered NursePosition:
Care Manager - RN
Monogram Health Care Managers have the opportunity to improve patient lives each and every day.
Care Managers build long-term meaningful relationships by working with the same small panel of patients face-to-face in the patients' homes.
In close partnership with local nephrologists and with the support of a Care Team including a Social Worker and a Care Coordinator, Care Managers lead the effort to help our patients achieve better quality outcomes and slower progression of kidney disease while reducing costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure.
For those already on dialysis, our Care Managers will provide additional support particularly around transitions in care, such as hospital discharges.
Care Managers work with patients to encourage healthy behaviors and ensure patients are well informed and empowered to make proactive decisions about their own care.
Tools available include a custom care management software platform, wireless biometrics, telehealth capabilities, patient-friendly education materials, and pharmacists performing regular comprehensive medication reviews.
Care Managers care deeply about their patients as people and truly believe that the work they do makes a difference.
Work closely with patients' nephrologists to develop and continually adapt care planMonogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders.
Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered.Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically.
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