Supportive Care Case Manager, RN

at Total Renal Care, Inc., DBA Davita in Rockford, Illinois, United States

Job Description

417 Ware Ave,Rockford,Illinois,61107-6413,United States of America

DaVita Integrated Kidney Care (IKC) is looking for a Full-Time Supportive Care Case Manager (RN)to join us.

As a DaVita Integrated Kidney Care Supportive Care Case Manager (RN)  you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. Through medical record review and consultation, you will identify the medical, social, emotional, and financial needs of your patients with CKD/ ESKD and implement appropriate interventions. You'll work autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, consistent, cost-effective care.

Position Details:

Location: Remote, work from your designated home office.

Monday- Friday schedule with the ability to accommodate patient's availability. We serve patients nationwide.

Full-time position.

Coordinate with ROM, CSM, and RNs to review patient cases and identify clinical judgement escalations

Support Patients with potentially declining condition to educate on treatment options, ensure patients care aligned with their wishes, and navigate to appropriate resources.

Assist patients with identifying their goals, values, preferences, and develop care plan that aligns with patient wishes.

Work with patients to develop and/or update advance care plans.

Facilitate patient/family communication

Serve as a role model and coach to help peers facilitate ACP and EOL conversations

Provide comfort case management guidance to IKC RNs for patients where palliative care is not available or when patient is not ready to stop dialysis but would like to pursue comfort care

Coordinate care between patients care team (Neph, PCP, dialysis clinic, supportive care resources, etc.)

Develop relationships with supportive care providers

Quickly build empathetic relationships with patients and families.

Coordinate care for patients' care including care transitions, management of complex/at risk patients, managing ongoing needs and establishing a treatment plan in partnership with the care team.

Coordinate for streamlined/effective transition of care when needed (discharge planning/ care planning)

Requirements:

2+ years of experience in Hospice Palliative medicine

Minimum of five (5) years experience in clinical nursing required

Current RN License is required, BSN preferred.

Minimum of 2 years RN experience required with case management experience

Current Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification.

Intermediate computer skills and proficiency in MS Word, Excel & Outlook required.

Home office with internet connectivity at a minimum of 1MB upload and 1MB download speed required.

Preferred Qualifications:

Located in eastern or central time zone

IKC Experience as a DaVita IKC RN Case Manager

2+ years of Case Management or Chronic Care Management

Minimum of two (2) years experience in renal nursing preferred

2+ years of care plan creation, proactive discharge planning and utilization.

Spanish-speaking preferred in some markets

DaVita IKC (Integrated Kidney Care) is comprised of an innovative team who is committed to improving patient outcomes and improving quality of life. Come work with a team of passionate professionals to transform kidney care through a value-based, person-centered, comprehensive approach to kidney care.

We provide comprehensive care and complex chronic condition management to patients nationwide, whether they are in the early stages ofkidney disease,transitioning to dialysis, seeking akidney transplantor receiving life-sustaining dialysis.

27,000+ patients receiving IKC services every month
20 years of Integrated Kidney Care Experience

We're on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we're investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally.
What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one... For full info follow application link.

DaVita is an equal opportunity/affirmative action employer. As such, DaVita makes hiring decisions solely on the basis of qualifications and experience, and without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.