As a DaVita Integrated Kidney Care Supportive Care Case Manager (RN) you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. Through medical record review and consultation, you will identify the medical, social, emotional, and financial needs of your patients with CKD/ ESKD and implement appropriate interventions. You’ll work autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, consistent, cost-effective care. Position Details: Location: Remote, work from your designated home office. Monday- Friday schedule with the ability to accommodate patient’s availability. We serve patients nationwide. Full-time position. Coordinate with Operations Manager, Clinical Services Manager, Nurse Practitioners, Social Worker, and Case Managers to review patient cases and identify clinical judgement escalations Support Patients with potentially declining condition to educate on treatment options, ensure patients care aligned with their wishes, and navigate to appropriate resources. Assist patients with identifying their goals, values, preferences, and develop care plan that aligns with patient wishes. Work with patients to develop and/or update advance care plans. Facilitate patient/family communication Serve as a role model and coach to help peers facilitate ACP and EOL conversations Provide comfort case management guidance to IKC RNs for patients where palliative care is not available or when patient is not ready to stop dialysis but would like to pursue comfort care Coordinate care between patients care team (Neph, PCP, dialysis clinic, supportive care resources, etc.) Develop relationships with supportive care providers Quickly build empathetic relationships with patients and families. Coordinate care for patients’ care including care transitions, management of complex/at risk patients, managing ongoing needs and establishing a treatment plan in partnership with the care team. Coordinate for streamlined/effective transition of care when needed (discharge planning/ care planning) DaVita IKC (Integrated Kidney Care) is comprised of an innovative team who is committed to improving patient outcomes and improving quality of life. Come work with a team of passionate professionals to transform kidney care through a value-based, person-centered, comprehensive approach to kidney care. We provide comprehensive care and complex chronic condition management to patients nationwide, whether they are in the early stages of kidney disease, transitioning to dialysis, seeking a kidney transplant or receiving life-sustaining dialysis. 27,000+ patients receiving IKC services every month 20 years of Integrated Kidney Care Experience
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Job Type
Full-time
Career Level
Mid Level