Home Health Registered Nurse

About the job Home Health Registered Nurse Overview

Registered Nurses are needed for a dynamic, fast-paced start-upwith an innovative care management position that is transforming the delivery of kidney care. You will be driv
ing to patients' homes who suffer from chronic kidney disease. We are looking for someone who works well with ambiguity
, drive time,
and telehealth components. Most patients are suffering from
chronic kidney disease (CKD) and end-stage renal disease (ESRD).

• Must have 2 years of RN experience in ONE of the following:
  • Dialysis Care
  • Home Health Care
  • Hospice
  • Case Management (CM)
• Work Monday Friday 8:00 am 5:00 pm and
  occasionally after 5:00 pm
• You must be mission-driving and willing to deal with underserved populations
• 2+ years of experience working in care management and/
  or with chronic illness 2+ years of experience working in medical settings such as home health, dialysis, or hospice
• Tele-health! Ability to take calls remotely on some nights and weekends
• Self-starter with the ability to work independently with minimal supervision
• Must show empathy and quickly build relationships with patients and CBOs
• Excellent verbal communication skills both in person and on the phone
• Must be fully vaccinated
• Must be willing to travel to the patient's home
• 2+ years of experience with CKD/ESRD patients is preferred
• Bilingual highly preferred
• Competitive compensation,
  salary of $80,000
• Flexible paid leave (PTO),
  sick days, and vacation policy
• Full Benefits (Medical, Dental, & Vision)
• 401K Plan
• Laptop & Phone Allowance (if applicable details will be discussed)
• Internal Growth Opportunities

Lots of driving! This position will cover a two-hour travel radius
.

Rare domestic travel may be required to headquarters in Nashville, TN

Ability to occasionally visit patients or take calls remotely on some nights and weekends

Work with Microsoft Office and mobile phone and web-based applications

Perform in-home care managemen
t visits to assess and impact the social and behavioral status

Work closely with Care Team to ensure continual progress on all care management goals

Coordinate with dialysis providers to ensure transitions of care are seamless

Create and administer care plans
, rather than rendering direct clinical services

Perform medical assessments and deliver individual, family, and group education on living with chronic illness,
dialysis, and associated comorbidities

Engage family and social support groups in the education and care of patients

Assess patients and refer them to behavioral health specialists for diagnosis and treatment Help patients to understand accept and follow medical and lifestyle recommendations

Serve as the point of contact for patient questions regarding social and behavioral

Facilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities, and AV fistula placement

Initiate patient relationships through enrollment and onboarding processes

Document patient updates and progress in the care management platform

Identify, vet and build relationships with local Community-Based Organizations

Introduce patients to appropriate resources and act as the patient advocate

Serve as subject matter expert on social determinants for other members of the Care Team

Help prevent costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure

• Brief screening call with a talent advisor
• Phone Interview with HR
• Video Zoom interview with the operations manager and leadership