Care Manager - Registered Nurse

Monogram Health•Olive Branch, MS

6d•$80,072 - $96,836

About The Position

Monogram Health is seeking a Registered Nurse to serve as a key member of an integrated Care Team that includes an Advanced Practice Provider and a Social Worker. The Care Manager RN works with patients who often have multiple serious chronic diseases, helping 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 RN develops and adapts care plans with patients’ medical providers, conducts in-home care management visits and health assessments, monitors biometric data, reconciles medications, and coordinates with pharmacists, prescribers, and dialysis providers. The position also provides education and coaching on kidney disease, treatment options, medications, diet, exercise, and lifestyle choices; supports patient adherence and proactive care decisions; and helps patients through post-operative and hospital-discharge transitions. The RN documents patient progress in a care management platform and serves as a primary contact for patients during business hours. The role involves frequent local travel for in-home visits and may require infrequent domestic travel, primarily to Brentwood, Tennessee, for training. The RN must be able to take remote call on some nights and weekends. The listed base salary range is $80,072–$96,836, with eligibility for additional compensation including bonus opportunities. Final compensation depends on geographic location and job-related factors.

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 is required; the company will support completion during onboarding.
Frequent local travel for in-home visits.
Ability to take remote call on some nights and weekends.
Self-starter able to work independently with minimal supervision.
Ability to show 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 domestically infrequently, primarily to Brentwood, Tennessee, for training.

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, coordinating with pharmacists and prescribers.
Perform patient health assessments and surveys as required.
Provide individual and group education on CKD, ESRD, dialysis, and associated comorbidities.
Encourage medication and treatment adherence through frequent patient contact.
Engage family members and social support groups in patient education and care.
Serve as the primary point of contact and first call for patient questions during business hours.
Educate and coach patients about 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 processes.
Conduct 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 ensure seamless transitions of care.