Program Manager, Clover Care Services (ESRD)

Clover Health•Jersey City, NJ

19h•$75,000 - $85,000•Hybrid

About The Position

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The Program Manager, Clover Care Services (CCS), will support the Dialysis Care Management (DCM) Program, ensuring comprehensive care for Clover Health members with ESRD receiving dialysis. This role focuses on member outreach, care coordination, transportation assistance, appointment management, and addressing non-adherence to improve health outcomes and member satisfaction. This is a hybrid role, working from home with the expectation of conducting field visits weekly.

Requirements

You have at least 3 years of post-licensure RN experience.
You hold a Bachelor’s degree (BSN) or higher from an accredited school of nursing.
You possess a current valid RN multi-state license.
You have current Basic Life Support (BLS) (required).
You have case management or care coordination experience.
You have a valid driver's license and have access to a vehicle (required).
You have basic proficiency in computer use and experience using EMRs, Athena preferred.
You are comfortable working with members of diverse social, ethnic, and cultural backgrounds.

Nice To Haves

You are able to communicate fluently in English and Spanish, both orally and in writing (Preferred)

Responsibilities

Lead outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members
Introduce and enroll into the DCM program, explain benefits and conduct needs assessments
Collaborate with members to address any barriers to completing appointments including transportation, scheduling and overall provider satisfaction
Provide education to members on dialysis adherence
Build relationships with dialysis providers to track completed and missed appointments
Follow-up with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance
Identify chronically non-adherent members and engage to uncover barriers
Schedule follow-up appointments with CCS providers as needed
Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation
Document assessments in the electronic medical record and maintain accurate records in the program tracker
Work collaboratively with internal and external resources including providers and behavioral health specialists, pharmacists, nephrologists, and dialysis center care managers
Monitor reports and dashboards to identify trends,discover opportunities and implement program improvements
Take on other projects, duties and responsibilities as may be assigned

Benefits

Financial Well-Being : Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
Physical Well-Being : We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
Mental Well-Being : We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
Professional Development : Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
Reimbursement for office setup expenses
Monthly cell phone & internet stipend
Remote-first culture, enabling collaboration with global teams
Paid parental leave for all new parents
A reasonable estimate of the base salary range for this role is $75,000 to $85,000. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.