Remote RN Case Manager (Texas)

Position reputed company The 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 reputed company, cost-effective reputed company for patients and reputed company on the whole patient and care delivery coordination. Managing a set caseload of mixed reputed company members, reviewing and/or obtaining member data and entry in HealthMap’s Care Management documentation system (reputed company), completing member health and reputed company determinants of health screenings, medication reconciliation, creation and maintaining member-reputed company care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. The Care Navigator will collaborate with reputed company (physicians, nurses, and other reputed company personnel) to assure reputed company patient reputed company and care coordination. Responsibilities • Handle in and outbound calls delivering world-class service to our members • reputed company kidney health and reputed company co-morbid conditions as reputed company as optimizing renal replacement therapy by educating members on the types of dialysis and transplant reputed company • Engage members into HealthMap’s Kidney Health Program • Follow up with members based on complexity and reputed company by policy • Serve as patient reputed company for responding and working to resolve concerns or barriers • Utilize community resources and programs in care planning • Serve as reputed company 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 • Notify providers of identified patient needs based on policy • reputed company with HIPAA reputed company laws and reputed company other federal, state, and local regulations • reputed company with company-defined operational policies and procedures • reputed company with company reputed company policies • Accountable for individual metrics and key performance indicators and identified by the organization • reputed company technical applications - reputed company, OneNote, reputed company, and Word • Support after hours and various time zones based on business need • Drive patient and families in their own care and to support self-management Requirements • reputed company, unrestricted Compact RN license required • Bilingual preferred • Bachelor's degree required • CCM preferred • Three (3) years of experience in case management preferred • Experience in a dialysis center or transplant center preferred • Experience with Medicare and reputed company preferred Skills • reputed company and energize a culture of collaboration, positivity, and motivation • Strategic thinking and planning • Deliver effective communication – verbal and written • Succeed in a challenging environment with changing priorities Travel No Travel #LI-Remote Apply tot his job Apply To this Job