Care Manager - Registered Nurse

Care Manager - Registered Nurse at Monogram Health

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.

As a Registered Nurse, you build trusting relationships with patients so they can experience a high quality of life  work with a small panel of patients, directly witnessing the impact of your care. At Monogram, we prioritize patients’ quality of life above all else.

• Work closely with patients’ medical providers to develop and continually adapt care plans
• Perform in‑home care management visits to execute care plans
• 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 during business hours when patients have questions
• 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 patients and escalates any concerns to the provider
• Initiate patient relationships through enrollment 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 with the ability to 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 the posted location
• 2+ years 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

• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance program, employer‑paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401(k) with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work‑life assistance resources, physical wellness perks, mental health support, employee referral program, and Benefit Hub for employee discounts

Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for the most complex patients who have multiple chronic conditions. We treat not only a disease but all of the chronic conditions present, such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Our robust clinical team includes specialists in nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care.

We operate 24/7 to support patients in their homes, producing dramatically improved outcomes and reduced costs.

• Seniority level:
  Entry level
• Employment type:
  
  Full‑time
• Job function:
  Health Care Provider
• Industries:
  Hospitals and Health Care