Care Manager RN - Flowery Branch, GA

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.

Share this job

Related Jobs

School

Contract

1 week ago

School-Based Registered Nurse (RN) - Statham, Georgia

Sunbelt Staffing Statham, GA

A school-based RN/LPN opportunity is available in Athens, GA, providing essential healthcare services to young students aged 4 years. This full-time, contract position requires dedicated nursing professionals who are passionate about supporting pediatric health in an educational environment. Responsibilities include providing direct nursing care, managing student health plans, administering medications, and responding to medical emergencies. The role demands recent trach experience and the ability to collaborate with school staff to ensure student well-being throughout the school day. Key Qualifications: Valid Georgia RN or LPN license Trach care experience within the last year Previous experience in a school nursing or pediatric healthcare setting preferred Strong communication skills to effectively interact with students, parents, and school personnel Ability to work independently and handle medical emergencies calmly and efficiently Location and Schedule: Position based in Athens, GA Full-time contract role, 40 hours per week, 5 days a week Benefits Include: Highly competitive weekly compensation Comprehensive insurance package including medical, dental, vision, and life coverage Matching 401(k) retirement plan to secure your financial future Flexible spending account options for healthcare expenses This role is ideal for nurses who want to make a meaningful difference in a school setting, ensuring young students stay healthy and safe while supporting their educational journey. Qualified candidates with recent trach experience and valid GA nursing licenses are encouraged to apply for a fulfilling contract nursing role in Athens. Apply today to bring your nursing expertise to a supportive, student-focused environment!

School

Full-time

3 weeks ago

School Case RN - Trach/Vent Teenager

Aveanna Healthcare Loganville, GA

Join a Company That Puts People First! Registered Nurse – RN *School Case* Schedule : Monday-Friday 5:30am-3:30pm Location/Setting: Loganville 30052 Age Range : Teenager Acuity: High, Trach/Vent We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture Indeed’s Work Wellbeing Top 100 Company in 2024 Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably Why Join Us? Health, Dental, Vision and Company-Paid Life Insurance Paid Time Off Available Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 24/7 Local support from operators and clinicians Aveanna has a tablet in each patient’s home allowing for electronic documentation Career Pathing with opportunities for skill advancement Weekly and/or Daily Pay Employee Stock Purchase Plan with 15% discount Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader . Qualifications Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice Compact licenses must be transferred to your state of residence within 90 days Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary. TB skin test (current within last 12 months) Six months prior hands-on nursing experience preferred but not required Must have reliable transportation Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.

Full-time

3 weeks ago

Registered Nurse - ICP

PruittHealth Lilburn, GA

REGISTERED NURSE Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses. Now is a great time to make a change and join one of the leading providers of post-acute care. PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more. Investing in Our Employee-Partners with Benefits • Advance pay option • Annual merit increases • Relocation opportunities • Paid onboarding & orientation • Preceptorship Program & hands-on training • 24 / 7 direct hotline support • Nurse Career Growth Program • Employee Referral Bonus Program • Access to PruittHealth Foundation & PruittHealth University resources • Comprehensive health plans Responsibilities ● Commitment to caring for patients and partners ● Proactive, collaborative team member ● Respect and professionalism towards your colleagues in the workplace at all times Active, current, unrestricted Registered Nurse (RN) licensure in the state of practice Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth! As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status. For Florida Job Postings Only: For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

Full-time

1 month ago

Registered Nurse- Infection Preventionist

PruittHealth Lilburn, GA

REGISTERED NURSE INFECTION PREVENTIONIST Join the PruittHealth family, where the health and safety of our workforce is our top priority! We're not only committed to your career, we're committed to the health and safety of all our nurses. Now is a great time to make a change and join one of the leading providers of post-acute care. PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more. Investing in Our Employee-Partners with Benefits • Advance pay option • Annual merit increases • Relocation opportunities • Paid onboarding & orientation • Preceptorship Program & hands-on training • 24 / 7 direct hotline support • Nurse Career Growth Program • Employee Referral Bonus Program • Access to PruittHealth Foundation & PruittHealth University resources • Comprehensive health plans Responsibilities ● Commitment to caring for patients and partners ● Proactive, collaborative team member ● Respect and professionalism towards your colleagues in the workplace at all times Active, current, unrestricted Registered Nurse (RN) licensure in the state of practice Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth! Shawntay.daniels@pruitthealth.com As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status. For Florida Job Postings Only: For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

Manager/Supervisor

Full-time

2 weeks ago

RN Supervisor - FT Night Shift

CHSGa Dahlonega, GA

$43.60 - $51.35 / hour

Join us at Chelsey Park Health & Rehab – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities Fulltime Pay: $43.60 to $51.35 Shift differentials evenings, nights and weekends Weekly pay Benefits Offered: Paid time off with ability to cash out 7 paid Holidays Medical Insurance Dental Insurance Vision Insurance Company Paid Life and Disability 401(k) with match Referral Bonus Program ESSENTIAL DUTIES AND RESPONSIBILITIES Assists the Director of Nursing in organizing and directing the day-to-day functions of the licensed and unlicensed nursing staff (personnel and administrative etc.). Admits, discharges and transfers patients as requested. Documentation and billing supplies used. Sends patients to the hospital as necessary. Knowledge of procedures to follow if unable to reach physician. Develops work assignments for unlicensed staff. Makes compliance rounds and reporting any pertinent issues. Maintains effective lines of communication with attending physicians. Assists the Director of Nursing Services to coordinate the care planning/MDS process and committee meetings as necessary. Participates in patient screening and selection process as requested. Assists the Director of Nursing to monitor physician services (documentation and visits etc.) in accordance with current regulations. Assists the Director of Nursing Services in follow-up of consultant recommendations, i.e., pharmacy, dietary, etc. Provides demonstration/education as necessary for licensed and unlicensed staff to perform job. Completes documentation procedures on patients (appropriate use of forms, timelines and Medicare documentation etc.). Communicates with physicians, arranges for transportation for doctor appointments and contacts families. Demonstrates appropriate/effective supervisory skills that include fair and uniformly applied corrective actions administered without regard to race, color, creed, national origin, age, sex, religion, handicap or marital status. Provides to the Director of Nursing Services appropriate reports/documentation to support departmental updates, corrective actions and other as necessary. Assists as requested, in the interviewing, screening and selection of associates in accordance with established staffing budgets. Assists the Director of Nursing Services to maintain appropriate personnel file documentation including reference checks, screenings, corrective actions, evaluations, skills verification and others as requested. Reviews and responds to complaints/grievances (associate and/or patient or family) that concern your department as requested by the Director of Nursing Services. Maintains efforts to establish effective inter-departmental communication to provide positive working relationships. Assists the Director of Nursing Services in monitoring licensed and unlicensed staff for compliance with established procedural guidelines and protocols. Maintains a working knowledge of current licensure standards and the survey process. Monitors work of other nursing staff in unit for thoroughness. Makes rounds to provide proper care to and cleanliness of patients. Coordinates care of patients. Assists nursing staff members according to needs. Implements Education Program, Infection Control Program and/or Quality Assurance Program. Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication. Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System. Performs other duties as necessary to ensure the success of the System. SKILLS AND ABILITIES Excellent organizational and prioritizing skills required. Effective and professional verbal, and written communication skills Communicates well with other associates, patients, family members, and visitors providing warm and friendly greeting and an approachable attitude. Responds to expressed concerns while displaying a helpful, caring demeanor, answers questions when appropriate in a professional manner. MINIMUM QUALIFICATIONS A Nursing Degree from an accredited college or university, or is a graduate of an approved RN program. Active RN License to practice in the State of Georgia SUPERVISORY RESPONSIBILITIES Provides oversight and direction unlicensed nursing personnel. ests. EEO / M / F / D / V / Drug Free Workplace Chelsey Park Facebook