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RN - Case Manager (VBC)

Company: Panoramic Health
Location: Daly City
Posted on: June 25, 2022

Job Description:

Panoramic Health is looking for RN Case Managers that want to be part of the future of healthcare in the San Francisco Area, specifically the South San Francisco area!
Who We are & Why we are DifferentPanoramic Health partners with nephrology practices to implement Value-Based Care (VBC). VBC prioritizes high-touch care coordination for patients with chronic illnesses like chronic kidney disease (CKD). It is an interdisciplinary model where care is developed and perfected with the health of the patient as the primary driver of success. For patients living with CKD, that means slowing the progression of the disease, reducing hospitalizations, and focusing on home dialysis treatment therapies and transplantation if a diagnosis of End Stage Renal Disease occurs.Role SummaryThe RN Case Manager will be at the forefront of this intensive, adaptive, and patient-focused model. Panoramic Health is looking for nursing professionals that understand the importance of the "Quadruple Aim", where high-touch interactions between patient and healthcare provider enhance patient experience, improve health outcomes, reduce costs, and improve the work life of the provider.As an RN Case Manager, you will manage the medical needs of a caseload of patients as they navigate the staged progression of chronic kidney disease (CKD). RN Care Managers will manage acute and post-acute episodic interventions, including condition assessment, SNF coordination, education, etc. in the patient's home and virtually. Collaborate with the Care Team and physicians to prevent readmission, prevent future hospitalization, and improve patient care. This type of intensive service provision will require RN professionals that:

  • Can build strong, productive relationships and maintain consistent communication with patients, their families, and providers
  • Collaborate with Care Team and physicians to prevent readmission, prevent future hospitalization, and improve patient care
  • Provide high intensity engagement with patient and family. Introduce self to patient/family and explain nurse case manager role and process to contact nurse case manager for questions, guidance, and education
  • Enhance a collaborative relationship to maximize the patient's/family's ability to make informed decisions
  • Manage a caseload of nephrology practice patients and perform clinical needs assessments/complex-medical management for high-risk CKD/ESRD patients
  • Educate patients using kidney disease-specific education developed to be culturally appropriate and tailored to a diverse set of learning needs
  • Act as a patient's advocate, liaison, and information resource; escalating all appropriate information to their nephrologist as appropriate
  • Assess and assist patients for linkage and utilization of appropriate medical and community resources in conjunction with other members of the care coordination team
  • Complete timely and accurate documentation per company-documented procedures and relevant professional and regulatory standards
    Education:
    • Degree in nursing RN (Required)
    • Experience working with chronically ill (CKD/ESRD) patients
    • Home care, case management, and/or hospital experience preferredLicensure
      • Commensurate on State requirementsWork Location:
        • 50% Work from Home
        • 50% On location (Patient Home Visits/Nephrology Practice Office)Benefits:
          • Health Insurance
          • Dental insurance
          • Vision insurance
          • Life insurance
          • Disability insurance
          • Paid time off#LI-LR1#INDSJ

Keywords: Panoramic Health, Daly City , RN - Case Manager (VBC), Healthcare , Daly City, California

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