Home Therapy Nurse Case Manager

Fresenius Medical Care • San Antonio, TX

12d • Hybrid

About The Position

Promotes quality patient care, ongoing customer support and case management for Fresenius Kidney Care (FKC) renal patient population by providing guidance, support, care coordination, education and other case management functions. Manages the implementation of assigned programs, acting as a subject matter expert and resource for patients, dialysis staff, physicians, and other healthcare professionals. Services are primarily telephonic, but may require on-site visits to clinics, medical offices, hospitals, or patient homes. Programs include Patient Onboarding, Continuity of Care, Hepatitis C Nurse Advocates, and Anemia Case Management. Supports FMS’s mission, vision, core values, and customer service philosophy, while adhering to the FMS Compliance Program and all regulatory and policy requirements.

Requirements

• RN required with active unrestricted nursing licensure in practicing state – with the ability to obtain licensure in multiple states.
• 0 – 2 years’ of Nephrology Nursing and/or case management experience.
• Must exhibit leadership skills and be able to collaborate with clinic staff.
• Must have knowledge of teaching-learning process, principles, and methods of adult education.
• Understanding of renal and diabetes disease process and current management practices.
• Excellent written and verbal communication is necessary.
• Excellent and professional telephone skills.
• Ability to function as a part of an integrated team.
• Ability to develop positive relationships with patients, families, physicians, staff and other disciplines.
• Must be self-motivated, organized and able to plan a diversity of activities, and work independently.
• Able to follow oral and written communication, as well as, communicate information to individuals or groups with varying levels of education.
• Must exhibit practical computer skills, including experience using Microsoft Office.
• Proficient to advanced typing skills.

Nice To Haves

• BSN preferred.
• Experience in a role related to patient education and/or case management is preferred.
• Certified Case Manager (CCM), preferred.
• PowerPoint skills are preferred.

Responsibilities

• Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program.
• Adheres to company, department, program policies and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs.
• Collaborates with clinical staff, physicians and other members of the patient’s healthcare team to develop an individualized and comprehensive plan of care according to applicable program specifications.
• Ensures the coordination and integration of services as planned in the pertinent program while revising the plan as needed to provide high quality continuity of services and cost-effective service delivery.
• Utilizes the telephone and other technical and electronic communication formats to remotely monitor patient care according to program requirements. May require face-to-face meetings with patients, families, or physicians in the home, clinic, or medical office setting.
• Proactively contacts patients and/or clinics frequently to assess situations, provide assistance, and answer questions.
• Revises and adjusts patient care plans as needed. Provides updates to clinical staff, physicians, and/or family members as detailed in program documents.
• Identifies patient and/or clinic staff knowledge deficits regarding their specific program and situation. Provides appropriate education, support, and materials to facilitate informed decision making and understanding.
• Provides strong and effective reciprocal communication with patients, clinic staff, physicians, and the extended care team to ensure all issues and concerns are addressed and resolved.
• Assesses patient conditions in conjunction with clinic staff, including discovery of unreported medical and social conditions or changes at home that may lead to adverse outcomes, and ensures these concerns are referred to appropriate sources.
• Maintains and updates appropriate software/tracking logs of patients in the program to manage and record required information and data. Generates and analyzes reports for management, identifying trends, anomalies, and areas of concern.
• Evaluates program processes, identifying options to increase efficiencies and effectiveness. Makes recommendations to management and assists with implementation.
• Complies with departmental and program quality standards and quality assessment and performance improvement requirements.
• Maintains integrity of Protected Health Information (PHI).
• Complies with all company and departmental required data collections and auditing activities.
• Acts as a resource for the customer to address concerns and questions.
• Participates in process improvement activities.
• Monitors and reinforces FKC quality goals and the elements of the case management program.
• Participates in project-based assignments.
• Maintains current knowledge of departmental program software and the company’s clinical information systems.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level