Care Manager - Registered Nurse

Monogram Health•New Orleans, LA

29d•$80,072 - $96,836

About The Position

Monogram Health is seeking a skilled Registered Nurse to serve as a Care Manager RN on an integrated Care Team that includes an Advanced Practice Provider and a Social Worker. The role supports patients with multiple serious diseases, helping them improve quality of life at home and slow the progression of kidney disease. The RN works with a small patient panel, builds trusting relationships, and helps keep patients’ needs and long-term quality of life at the forefront of care. The Care Manager develops and adapts care plans with patients’ medical providers, performs in-home visits and health assessments, monitors biometric data, coordinates medications and transitions of care, and provides education and coaching. The RN is a primary point of contact for patients during business hours and helps them make proactive care decisions. Frequent local travel for home visits is required, and the role may require occasional domestic travel for training as well as remote call coverage on some nights and weekends. The position offers a base salary range of $80,072 to $96,836, with final compensation dependent on geographic location and job-related factors. Additional compensation may include bonus opportunities. Monogram Health provides a comprehensive benefits package.

Requirements

Graduate of an accredited School of Nursing.
Current Registered Nurse license 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; the company will support certification completion during onboarding.
Ability to travel frequently locally to perform in-home visits.
Ability to work independently with minimal supervision.
Empathy and the ability to quickly build relationships with patients and physicians.
Ability to take remote call on some nights and weekends.
Excellent verbal communication skills, in person and by phone.
Familiarity with Microsoft Office and mobile phone and web-based applications.

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.
Provide 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 patient education and care.
Serve as the primary point of contact and first call for patient questions during business hours.
Coach and educate 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.
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 support seamless transitions of care.