Care Manager - Registered Nurse - Marietta, GA

Care Manager - Registered Nurse - Marietta, GA

Monogram Health is looking for a skilled Registered Nurse eager to make a difference in patients’ lives. The Care Manager RN is a key member of an integrated Care Team that includes an Advanced Practice Provider and a Social Worker. Our patients often struggle with multiple serious diseases, and we help them improve their quality of life in the home and slow the progression of kidney disease.

As a Registered Nurse, you will build trusting relationships with patients to help them maintain a high quality of life  will work with a small panel of patients and experience the direct impact of your care. At Monogram, we put patients and their quality of life at the forefront of everything we do.

• Flexible scheduling with a hybrid and in‑home model
• Competitive compensation and a performance‑based bonus program
• Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time

• Work closely with patients’ medical providers to develop and continually adapt care plans
• Perform in‑home care management visits to execute the care plan
• Monitor biometric data and follow approved protocols for any necessary interventions
• Inventory and reconcile medications and coordinate with pharmacists and prescribers
• Perform patient health assessments and surveys as required
• Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities
• Encourage medication and treatment adherence through frequent contact with patients
• Engage family and social support groups in the education and care of patients
• Serve as the primary point of contact and be the first call when patients have questions (business hours)
• Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
• Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
• Obtain vital signs when visiting patient and elevate any concerns to the provider
• Initiate patient relationships through enrolment and onboarding processes
• Perform post‑op and hospital discharge visits to help patients through vulnerable transitions
• Review and document patient updates and progress in the care management platform
• Coordinate with dialysis providers to ensure transitions of care are seamless

• Frequent local travel to perform in‑home visits
• Basic Life Support (BLS) certification is required; the company will support completion through onboarding
• Infrequent domestic travel may be required, primarily to Brentwood, TN for training
• Self‑starter who can work independently with minimal supervision
• Ability to show empathy and quickly build relationships with patients and physicians
• Graduate of an accredited School of Nursing
• Currently licensed as a Registered Nurse in the State of Georgia
• 2+ years of previous experience working in care management and/or with CKD/ESRD patients
• Ability to take call remotely on some nights and weekends
• Excellent verbal communication skills both in person and on the phone
• Familiarity with Microsoft Office and mobile phone and web‑based applications

Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for the most complex patients with multiple chronic conditions. We employ a robust clinical team leveraging specialists across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues, review and prescribe medication, and provide guidance, education, and counselling on a patient’s healthcare options. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.