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RN Care Navigator (100% Remote for Eastern or Central time zones)
<p><span style="font-size: 11.0pt;"><span style="text-decoration: underline;"><em><strong>Position Summary<br></strong></em></span>The Registered Nurse, Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and focus on the whole patient and care delivery coordination. Managing a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with internal and external (physicians, nurses, and other healthcare personnel) to assure positive patient outcomes and care coordination.</span></p><div style="background-repeat: no-repeat;outline: none;font-family: 'Open Sans' , Helvetica;font-size: 14.0px;font-weight: 400;line-height: 20.0px;margin: 10.0px 0.0px;color: rgb(51,51,51);font-style: normal;letter-spacing: normal;text-indent: 0.0px;text-transform: none;word-spacing: 0.0px;"><span style="background-repeat: no-repeat;outline: none;text-decoration: underline;"><strong style="background-repeat: no-repeat;outline: none;font-weight: 600;">Location:</strong></span></div><div style="background-repeat: no-repeat;outline: none;font-family: 'Open Sans' , Helvetica;font-size: 14.0px;font-weight: 400;line-height: 20.0px;margin: 10.0px 0.0px;color: rgb(51,51,51);font-style: normal;letter-spacing: normal;text-indent: 0.0px;text-transform: none;word-spacing: 0.0px;">This position is 100% Remote for candidates that are located in the Eastern or Central time zones. </div><p><br><span style="text-decoration: underline;font-size: 11.0pt;"><em><strong>Responsibilities<br></strong></em></span></p><ul style="list-style-type: disc;"><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Handle in and outbound calls delivering world-class service to our members</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">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</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Engage members into HealthMap’s Kidney Health Program</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Follow up with members based on complexity and cadence by policy</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Serve as patient advocate for responding and working to resolve concerns or barriers</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Utilize community resources and programs in care planning</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">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</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Notify providers of identified patient needs based on policy</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Comply with HIPAA privacy laws and all other federal, state, and local regulations</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Comply with company-defined operational policies and procedures</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Comply with company security policies</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Accountable for individual metrics and key performance indicators and identified by the organization</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Navigate technical applications - Excel, OneNote, Outlook, and Word</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Support after hours and various time zones based on business need</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Drive patient and families in their own care and to support self-management</span></li></ul><p><span style="text-decoration: underline;font-size: 11.0pt;"><em><strong>Requirements</strong></em></span></p><ul style="list-style-type: disc;"><li style="font-size: 11.0pt;"><span style="background-repeat: no-repeat;outline: none;font-size: 11.0pt;">Active, unrestricted RN license required</span></li><li><span style="font-size: 11.0pt;">Bachelor's degree required</span></li><li><span style="font-size: 11.0pt;">CCM preferred</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Three (3) years of experience in case management preferred</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Experience in a dialysis center or transplant center preferred</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Experience with Medicare and Medicaid preferred</span><span style="font-size: 11.0pt;"></span></li></ul><p><span style="text-decoration: underline;font-size: 11.0pt;"><em><strong>Skills<br></strong></em></span></p><ul style="list-style-type: disc;"><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Advocate and energize a culture of collaboration, positivity, and motivation</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Strategic thinking and planning</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Deliver effective communication – verbal and written</span></li><li style="font-size: 11.0pt;"><span style="font-size: 11.0pt;">Succeed in a challenging environment with changing priorities</span></li></ul><p><span style="font-size: 11.0pt;"><em><span style="text-decoration: underline;"><strong>Travel<br></strong></span></em><span style="line-height: 107.0%;font-family: sans-serif , arial , helvetica;">No Travel</span></span><br><br><span style="font-size: 11.0pt;">#LI-Remote</span></p>