Care Manager - Registered Nurse

Monogram Health • Macon, GA

1d

About The Position

Monogram Health is seeking a skilled Registered Nurse to join an integrated Care Team that includes an Advanced Practice Provider and a Social Worker. The Care Manager RN supports patients with multiple serious diseases, helping them improve their quality of life at home and slow the progression of kidney disease. The role manages a small panel of patients and focuses on building trusting relationships and delivering personalized care.

The position includes in-home care management, coordination with medical providers and other care partners, patient education, monitoring, and support during care transitions. The RN serves as the primary business-hours contact for patients and may take remote call on some nights and weekends. Frequent local travel is required for home visits, and infrequent domestic travel may be required, primarily to Brentwood, Tennessee, for training.

The base salary range is $80,072 to $96,836. Final compensation depends on geographic location and job-related factors, and the role is also eligible for bonus opportunities and a comprehensive benefits package.

Requirements

• Graduate of an accredited School of Nursing.
• Currently licensed as a Registered Nurse in the state of the posted location.
• At least 2 years of previous experience working in care management and/or with CKD/ESRD patients.
• Basic Life Support (BLS) certification for Healthcare Providers.
• Ability to take call remotely on some nights and weekends.
• Self-starter who can work independently with minimal supervision.
• Ability to demonstrate empathy and quickly build relationships with patients and physicians.
• Excellent verbal communication skills in person and on the phone.
• Familiarity with Microsoft Office and mobile phone and web-based applications.
• Ability to travel frequently locally for in-home visits.

Responsibilities

• Work with patients’ medical providers to develop and continually adapt care plans.
• Perform in-home care management visits to carry out care plans.
• Monitor biometric data and follow approved protocols for 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.
• Encourage medication and treatment adherence through frequent patient contact.
• Engage patients’ families and social support groups in education and care.
• Serve as the primary point of contact during business hours and respond to patient questions.
• Educate and coach patients on medications, medical conditions, diet, exercise, and lifestyle choices.
• Educate patients and facilitate conversations about proactive care decisions, including Advance Care Plans and ESRD treatment modalities.
• Obtain vital signs during patient visits and escalate concerns to the provider.
• Initiate patient relationships through enrollment and onboarding.
• Perform post-operative and hospital-discharge visits to support patients through vulnerable transitions.
• Review and document patient updates and progress in the care management platform.
• Coordinate with dialysis providers to support seamless transitions of care.

Benefits

• Medical, dental, and vision insurance.
• Employee assistance program.
• Employer-paid and voluntary life insurance.
• Disability insurance.
• Health and flexible spending accounts.
• 401(k) with employer match.
• Financial wellness resources.
• 20 PTO days, 7 paid holidays, and 1 floating day.
• Paid parental leave.
• Work-life assistance resources.
• Physical wellness perks.
• Mental health support.
• Employee referral program.
• BenefitHub employee discounts.
• Bonus opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree