RN Care Navigator (100% Remote for candidates with a NY State RN license)

Healthmap Solutions

6d•$70,355 - $104,601•Remote

About The Position

The Registered Nurse, Care Navigator/Case Manager provides case management focused on kidney health management. The role supports the continuum of care to promote high-quality, cost-effective outcomes, with an emphasis on the whole patient and coordination of care. The Care Navigator manages a caseload of members with mixed acuity, reviews or obtains member data and documents it in HealthMap’s Care Management system, completes health and social determinants of health screenings and medication reconciliation, and creates and maintains member-centric care plans. The role also updates identified problems, barriers, interventions, and goals and provides ongoing case management. The Care Navigator collaborates with internal and external healthcare professionals to support positive patient outcomes and coordinated care. This position is 100% remote for candidates with a New York State RN license. No travel is required. The compensation range is $80,000–$105,000, depending on market or region and the selected candidate’s experience.

Requirements

Active, unrestricted RN license.
Bachelor’s degree; 6 or more years of RN experience, including 3 or more years in case management, may be considered in lieu of a degree.
Ability to advocate for and energize a culture of collaboration, positivity, and motivation.
Strategic thinking and planning skills.
Effective verbal and written communication skills.
Ability to succeed in a challenging environment with changing priorities.

Nice To Haves

CCM certification.
Three years of case management experience.
Experience working with nephrology or cardiology patients.
Experience with Medicare and Medicaid.

Responsibilities

Handle inbound and outbound calls while delivering service to members.
Educate members about kidney health, related comorbid conditions, and renal replacement therapy options, including dialysis and transplantation.
Engage members in HealthMap’s Kidney Health Program.
Follow up with members according to their complexity and the cadence specified by policy.
Advocate for patients by responding to and working to resolve their concerns or barriers.
Use community resources and programs in care planning.
Liaise among patients, their support networks, treating physicians, and ancillary providers as part of an interdisciplinary care team to coordinate care, resolve nursing problems, and help patients meet individualized goals.
Notify providers of identified patient needs in accordance with policy.
Comply with HIPAA privacy laws and all other applicable federal, state, and local regulations.
Comply with company operational policies and procedures and security policies.
Meet individual metrics and key performance indicators identified by the organization.
Navigate technical applications, including Excel, OneNote, Outlook, and Word.
Support after-hours coverage and various time zones based on business need.
Help patients and families direct their care and support self-management.