Care Manager Registered Nurse

apartment Monogram Health location_onCedar Rapids, IA, US

Job Description: Care Manager – Registered Nurse

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

Your Impact:

As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 

Roles and Responsibilities

Work closely with patients’ medical providers to develop and continually adapt care plan
Perform in-home care management visits to execute care management 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 escalate 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 care management platform
Coordinate with dialysis providers to ensure transitions of care are seamless

Position Requirements

Frequent local travel to perform in-home visits
Basic Life Support (BLS) certification is required in this role. The company will support your certification 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

Benefits

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, 401k 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 BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

#LI-AW1 #LI-Onsite

Share this job

Related Jobs

Full-time

Staff Nurse 100% - Operating Rooms - North Liberty

apartment University of Iowa Healthcare location_onIowa City, IA

Qualified candidates may be eligible for a sign-on incentive of up to $10,000! University of Iowa Health Care Medical Center North Liberty is seeking Staff Nurses for the Operating Rooms to perform specific tasks to assist members of the Nursing team in providing patient care under the direct supervision of the Nurse Manager. Characteristic Duties of our Staff Nurses include but are not limited to : Applies nursing theory to the assessment, diagnosis, treatment, and evaluation of patient responses to health and illness Assesses patient health care preferences and expectations Collaboratively coordinates the continuum of care across settings Develops patient care plan based on patient condition, age, and psychological, educational, and socioeconomic conditions that prescribes interventions to attain expected outcomes Implements patient care plan according to patient priorities, which includes interventions identified through nursing diagnoses, documents/reports, interventions and patient/family response Collaborates and integrates contributions of patients and families into multidisciplinary patient care plan Develops, coordinates and implements transfer/discharge planning throughout episode of care Implements nursing interventions according to department, division, and/or unit policies, procedures, and protocols to maintain safe environment for patients, visitors and staff Follows universal precaution Percent of Time : 100% Schedule: Rotating 10 and 12 hour shifts Monday- Friday between hours of 0630-1900, extension of shift, weekends and holidays as needed Location: Medical Center North Liberty SEIU Pay Plan: https://hr.uiowa.edu/pay/pay-plans/seiu-pay-plan OR Premium Pay: $10,000 annually (at 100% effort) Pay Differentials: Shift differentials for evening, and weekend shifts. Premium pay for additional shifts greater than 4 hours. The new University of Iowa Health Care – North Liberty Campus is a 469,000-square-foot, state-of-the-art facility serving as the home of UI Health Care’s nationally recognized Orthopedics service line. It offers coordinated, comprehensive, and accessible care across outpatient, inpatient, and surgical settings. In addition to world-class orthopedic care, the campus features a full-service community imaging center, laboratory services, physical therapy, a retail pharmacy, an emergency department, and a wide range of support services. Every element of the facility is thoughtfully designed to deliver an exceptional experience for patients and staff, support excellence in clinical care, education, and research, and foster meaningful community partnerships. UI Health Care is building a welcoming, skilled, and collaborative team to help launch this innovative campus and advance our mission: Changing Medicine. Changing Lives. Required Qualifications An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Masters of Nursing and Healthcare Practice (MNHP) MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required Current license to practice nursing in Iowa is required by date of hire Desired Qualifications Baccalaureate Degree in Nursing or Masters Degree in Nursing is highly desired If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable Knowledge of university policies and procedures is desired Previous OR experience is highly desirable Please attach a resume as part of the application process. Job openings are posted for a minimum of 7 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact MCNL-HR@healthcare.uiowa.edu. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Full-time Work Modality Options: On Campus Compensation Pay Level: 52 Contact Information Organization: Healthcare Contact Name: MCNL Human Resources Contact Email: MCNL-HR@healthcare.uiowa.edu

Infusion

Full-time

Staff Nurse - IRL Infusion Suite

apartment University of Iowa Healthcare location_onIowa City, IA

The Iowa River Landing Clinic is seeking a 100% Staff Nurse in our IRL Infusion Suite . The Staff Nurse is charged with the responsibilities of assessing patients’ nursing care needs, evaluating the effectiveness of care provided, integrating nursing theory and research into clinical practices, and ensuring patient care standards are met. Characteristic Duties And Responsibilities Apply nursing theory to assess, diagnose, treat and evaluate patient responses. Develop patient care plan based on observations and assessments and recommend interventions to attain expected outcomes. Collaborate and integrate information from patient and family into multidisciplinary patient care plan and evaluate responses. Evaluate the quality of nursing care provided by other staff members. Responsible and accountable for the provision of care for patients. Maintain patient rights and confidentiality and serve as a patient advocate. Percent of Time: 100% Schedule: M-F 08:00 AM to 4:30 PM with lates and potential for Saturdays Location: Iowa River Landing Rotations: Evening and potential Saturday rotations. Pay Grade: SEIU Pay Plan https://hr.uiowa.edu/pay/pay-plans/seiu-pay-plan Benefits Highlights Regular salaried position located in Iowa City, Iowa Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans. For more information, click here. About University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.® University of Iowa Health Care–Iowa River Landing offers the world-class, academic-level medicine you expect from UI Health Care in a convenient medical office building that makes visiting the doctor a pleasant experience. Our pledge at UI Health Care–Iowa River Landing is that our patients will receive the best possible care in a friendly, compassionate, efficient way. Education And Certification Requirements An Associate’s degree in Nursing, Diploma in Nursing, Baccalaureate degree in Nursing, or Master’s degree in Nursing (MNHP or MSN) is required. A current license to practice nursing in Iowa is required by the date of hire. Excellent written and verbal communication skills are required. Desirable Qualifications Experience with infusions. Proficiency with IV access Application Process In order to be considered for an interview, applicants must upload the following documents and mark them as “Relevant File” to the submission: Resume Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. If applicable, internal references will be conducted with approval from the candidate. This position is not eligible for University sponsorship or employment authorization. For additional questions, please contact Anne Beyerink at anne-phillips@uiowa.edu. Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Full-time Compensation Pay Level: 6 Contact Information Organization: Healthcare Contact Name: Anne Beyerink Contact Email: anne-phillips@uiowa.edu

PACU

Full-time

Staff Nurse 90% - Prep/Recovery - North Liberty

apartment University of Iowa Healthcare location_onIowa City, IA

Qualified candidates may be eligible for a sign-on incentive of up to $10,000! University of Iowa Health Care Medical Center North Liberty is seeking Staff Nurses for the Perioperative Department to perform specific tasks to assist members of the Nursing team in providing patient care under the direct supervision of the Nurse Manager. Characteristic Duties of our Staff Nurses include but are not limited to : Applies nursing theory to the assessment, diagnosis, treatment, and evaluation of patient responses to health and illness Assesses patient health care preferences and expectations Collaboratively coordinates the continuum of care across settings Develops patient care plan based on patient condition, age, and psychological, educational, and socioeconomic conditions that prescribes interventions to attain expected outcomes Implements patient care plan according to patient priorities, which includes interventions identified through nursing diagnoses, documents/reports, interventions and patient/family response Collaborates and integrates contributions of patients and families into multidisciplinary patient care plan Develops, coordinates and implements transfer/discharge planning throughout episode of care Implements nursing interventions according to department, division, and/or unit policies, procedures, and protocols to maintain safe environment for patients, visitors and staff Follows universal precaution Percent of Time : 90% Schedule: Monday - Friday, 8 or 10 hour shifts, rotating hours between 0530-2030, occasional extension of shift, weekend, and holiday hours Location: Medical Center North Liberty SEIU Pay Plan: https://hr.uiowa.edu/pay/pay-plans/seiu-pay-plan OR Premium Pay: $10,000 annually (at 100% effort) Pay Differentials: Shift differentials for evening, and weekend shifts. Premium pay for additional shifts greater than 4 hours. Benefits Highlights: Fringe benefit package including paid vacation; sick leave; health, dental, life, and disability insurance options; and generous employer contributions into retirement plans The new University of Iowa Health Care – North Liberty Campus is a 469,000-square-foot, state-of-the-art facility serving as the home of UI Health Care’s nationally recognized Orthopedics service line. It offers coordinated, comprehensive, and accessible care across outpatient, inpatient, and surgical settings. In addition to world-class orthopedic care, the campus features a full-service community imaging center, laboratory services, physical therapy, a retail pharmacy, an emergency department, and a wide range of support services. Every element of the facility is thoughtfully designed to deliver an exceptional experience for patients and staff, support excellence in clinical care, education, and research, and foster meaningful community partnerships. UI Health Care is building a welcoming, skilled, and collaborative team to help launch this innovative campus and advance our mission: Changing Medicine. Changing Lives. Required Qualifications An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Masters of Nursing and Healthcare Practice (MNHP) MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required Current license to practice nursing in Iowa is required by date of hire Desired Qualifications Baccalaureate Degree in Nursing or Masters Degree in Nursing is highly desired If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable Knowledge of university policies and procedures is desired Previous OR experience is highly desirable Please attach a resume as part of the application process. Job openings are posted for a minimum of 7 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact MCNL-HR@healthcare.uiowa.edu. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Full-time Work Modality Options: On Campus Compensation Pay Level: 52 Contact Information Organization: Healthcare Contact Name: MCNL Human Resources Contact Email: MCNL-HR@healthcare.uiowa.edu

Full-time

Staff Nurse - Integrated Call Center (weekend option)

apartment University of Iowa Healthcare location_onIowa City, IA

The Integrated Call Center is seeking a Staff Nurse for weekend option (60%). The Staff Nurse provides support via telephone and electronic communication forums to UI Healthcare patients, referring entities and business partners. Nurses within the Integrated Call Center utilize the nursing process to provide education and care for individual patients or defined patient populations via the telephone. Telehealth nursing practice involves providing guidance to clients who call regarding health problems or symptoms which concern them. The advice, given by the triage nurse, may include coming into the hospital or a clinic, remaining at home and observing the symptoms, or following a treatment regimen. Integrated Call Center nurses utilize their clinical judgment skills in conjunction with established protocols (via a computerized decision support systems) to enable, educate, and encourage people to improve their health and make appropriate use of medical care. Hours: Weekend option Saturday/Sunday 0700-1930, holidays included if they fall on the weekend. This position is eligible to participate in hybrid work. Hybrid work must be performed at a location within the state of Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location. Assumes accountability for advice provided to callers Assumes responsibility for service provided by self and other staff members under the nurse’s direction Evaluates the quality of nursing care provided by other staff members Participates in the development of unit, division, department, hospital policies, procedures, and protocols Contributes to the solutions of staffing issues Participates in projects/committees for enhanced functioning of the unit and supports department level decision-making Participates in ongoing strategic planning process Participates in the development and implementation of computer applications Provides recognition and support for colleagues Represents the interests of the University and of unit leadership in the use of resources to meet service and productivity demands within unit goals and budgets; strives to promote continual process and quality improvement Contributes to cost containment strategies in unit Maintains knowledge of Standards of Care and other regulatory compliances Consistently makes sound judgments after gathering factual, objective information Demonstrates tolerance for change Incorporates the principles of Service Excellence to ensure positive patient/customer relations Maintain knowledge of Telehealth Nursing Practice Administration and Practice Standards Develops and maintains knowledge of the full range of UI faculty, staff, and services offered by the University of Iowa Health Care Keep current with nursing and health care knowledge base and to pursue further enhancements of job-related knowledge Builds and sustains relationships and develops collaborative working relationships Maintains competency in age appropriate communications skills for all age groups. Maintains interpersonal relationships and communications with caller that exemplifies the highest level of guest relations with an unfailing courteous and helpful approach without regard to the caller’s manner Responds efficiently and effectively to requests from internal and external customers, assessing the need, prioritizing the request, offering appropriate alternatives, and connecting them with the appropriate resource or handling the request if the information is within the scope of the call center Offers constructive feedback and solutions to problems Ensures that information is documented and recorded per departmental procedures Monitors calls appropriately to assure that appropriate individuals are notified, information is communicated, and resources are arranged Remains calm and constructive in conflict situations Develops, and implements, patient/family teaching plan based on identified health education needs and the condition and age of the patient Evaluates and documents effectiveness of patient/family teaching through follow up telephone calls Participates in the orientation of new nursing staff and the ongoing education of nursing personnel, as directed by the Director or designee Collaborates with unit nursing staff to develop/share best practices Invests in own continuous learning and skill enhancement Required Qualifications An Associate’s Degree in Nursing, a Diploma in Nursing, a Baccalaureate Degree in Nursing, Professional Master’s of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required. Current license to practice nursing in Iowa is required by date of hire. Excellent written and verbal communication skills are required. Demonstrates excellent interpersonal skills with patients/families, nursing staff, and interdisciplinary team members as demonstrated through written and verbal interactions. General computer skills are required. Ability to multi-task; working with computer software & responding to patient calls simultaneously is required. Adaptability in working with computer software programs is required. 3-5 years of RN Clinical Nursing Experience is required. Desired Qualifications Baccalaureate Degree in Nursing or Masters’ Degree in Nursing is highly desired. If Baccalaureate degree in Nursing is not yet obtained, active enrollment in a BSN program is desirable. Previous experience with telephone triage is desired Experience with high-volume public contact/customer service is desired. Comprehensive knowledge of University of Iowa Health Care clinical programs and services is desired. Experience handling a multi-phone line system is desired. Previous experience working with electronic medical records is desired. Application Details In order to be considered for an interview, applicants must upload the following documents and mark them as required to the submission: Resume Cover Letter Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and education verification. For additional questions, please contact kaitlin-luoma@uiowa.edu Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Part-time Work Modality Options: Hybrid within Iowa Compensation Pay Level: 6 Contact Information Organization: Healthcare Contact Name: Kaitlin Luoma Contact Email: kaitlin-luoma@uiowa.edu

Pediatric

Full-time

Staff Nurse - Pediatric Pulm/CF

apartment University of Iowa Healthcare location_onIowa City, IA

Within the Stead Family Department of Pediatrics, Division of Pulmonary Medicine, this position evaluates center outcomes, addresses quality improvement initiatives and examines dynamic health care issues, including nutritional status, infection control and pulmonary treatment and/or metabolic issues rapidly and effectively for cystic fibrosis (CF) patients. Responsibilities would also include data entry to keep the Patient Registry current and accurate. Duties To Include Compliance with Internal Policies and External Regulations for Safe and Effective Care Delivery and Health Profession Education CF Patient Registry PORTCF Assist the primary investigator (PI)/Center director in overseeing mechanisms to ensure accurate data entry into CF Patient Registry Review CF Patient Registry data entry fields to understand information to be collected and work with hospital systems to ensure data collection May oversee and/or perform data entry depending on staffing and resources Assist in obtaining Registry consents for patients new to the center Complete and follow institution and IRB training requirements to participate in research Generate center or patient specific reports and teaching others to generate reports using report writer tool Assist in obtaining, uploading and submission of Annual Surveys Specialized Services for Nursing Care Newborn Screening for CF Oversee newborn screenings processes performed at the local CF Center, as applicable. Communicate with state newborn screening staff and establish processes specific to CF newborn screening Evaluate all abnormal newborn screenings referred to the CF Center Ensure that all positive cystic fibrosis tests are identified and followed appropriately by the CF Center team Assist in arranging sweat chloride testing for infants with abnormal screens Coordinate with core nursing and scheduling to update clinic templates as needed to accommodate add-on visits for infants with abnormal newborn screen Provide newborn screening support and education to families Assist with ambiguous or CRMS cases Sweat test and Standards Assist physicians with evaluation and follow-up on sweat testing done at the local CF Center Arrange appointments as needed for testing and/or clinic appointments Provide support and education information to parents/patients DNA Mutation Analysis Results Ensure that appropriate test forms for genetic testing are available Assist in arranging for DNA testing Assist physicians with evaluation and follow-up Provide support and education as needed to patients/parents Provide Education Responsible for the oversight of CF education and the promotion of CF awareness within the center and community. Serve as a resource for current, evidence-based information and best practices regarding CF and CF Care Familiar and comfortable with accessing education materials and information found on MyCFF Maintain a ‘library’ of the various CF educational materials provided by the CFF and by various pharmaceutical companies Provide patient/family education, in-service lectures for staff, to include medical professionals, ancillary staff and community organizations, involved in care of the CF patient population in the community and center Develop lectures and/or other forums for education of persons who will be involved in care of the CF patient, e.g. teachers, daycare providers, college medical personnel, etc. Educate staff, patients and families on CF practice guidelines and statements Provide education to patients and their families on CF, CF Care and assist with facilitating self –management of their disease Organize education opportunities for specific team members, e.g. airway clearance techniques by a respiratory therapist, feeding behavior issues with a dietician, etc. Provide Support for Specialized Services or Populations Outpatient Respond to patient/family messages or phone calls, forward information to necessary parties if needed to determine the appropriate response Oversee and coordinate care provided at the CF Outpatient Clinic Work with CF Team members to assure that all CF Foundation Guidelines for Outpatient Care are followed Utilize PORTCF or SmartReports for clinical trends Assure patients are seen at appropriate intervals per CFF recommendations Work with CF team to ensure CF patients are reviewed at least annually for CF practice guidelines Hold regular team meetings to review individual patient care and appropriate treatments per center criteria Serve as a liaison between the CF Team and the outpatient clinic staff Implement and monitor infection control practices Assist with development of telephone triage process to ensure calls returned by appropriate staff in a timely manner (sick calls, refills, equipment issues, lab results, etc) For a full job description, please email pedsuichildrenshr@healthcare.uiowa.edu Education Requirements An Associate’s degree in Nursing, Diploma in Nursing, Baccalaureate degree in Nursing, or Master’s degree in Nursing (MNHP or MSN) is required. Experience Requirements Current license to practice nursing in Iowa is required. Excellent written and verbal communication skills are required. Highly Desired Qualifications Experience with care coordination for patients across the spectrum of different specialties. Demonstrated expertise in cystic fibrosis care is highly desired. Ability to work independently as well as within a team. Demonstrated experience in providing education to multiple stakeholders. 1-3 years of nursing experience. Demonstrated experience with pediatric nursing care. Position And Application Details In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” to the submission: Resume Cover Letter Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. For additional questions, please contact pedsuichildrenshr@healthcare.uiowa.edu This position is not eligible for University sponsorship for employment authorization. Additional Information Classification Title: Staff Nurse Appointment Type: SEIU Schedule: Full-time Work Modality Options: On Campus Compensation Pay Level: 6 Contact Information Organization: Healthcare Contact Name: Natasha Johnson Contact Email: pedsuichildrenshr@healthcare.uiowa.edu