RN Care Manager - Transitional Care Management @ Strive Health
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What We Strive For
At Strive Health, we are transforming the kidney care system by early identification, engagement, and comprehensive coordinated care. Our high-touch model uses predictive data to support at-risk patients along their journey. We embrace diversity, celebrate successes, and support each other.
Benefits & Perks
Enjoy hybrid-remote flexibility, comprehensive benefits, financial and retirement support, generous time off, and wellness resources.
What You’ll Do
As an RN Care Manager - Transitional Care Management at Strive Health, you will serve as a specialized clinical resource for patients with complex Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD). You will work closely with interdisciplinary teams to enable safe, effective, and timely transitions using the Coleman Model of transitional care.
- Craft personalized care plans addressing patient clinical and non-clinical needs.
- Conduct virtual assessments to detect changes and risks in patients' home environments.
- Engage in proactive outreach following TCM guidelines to evaluate patient status.
- Manage a diverse patient panel while ensuring NCQA compliance.
- Act as a liaison with dialysis facilities and maintain accurate program software records.
- Participate in quality improvement initiatives and TCM rounds.
- Take part in on-call rotations as required.
Minimum Qualifications
- Associate’s degree in nursing from an accredited school.
- Current Registered Nurse (RN) license in the state of practice.
- 3+ years of related education, experience or certification.
- Current BLS or CPR Certification.
- Reliable internet connectivity.
Preferred Qualifications
- 3+ years of experience in nephrology, ER, ICU, Cardiac, or Ambulatory care.
- Certified Case Manager (CCM) certification is a plus.
- Proficiency with Microsoft 365 Suite in a hybrid-remote environment.
About You
You have a record of developing strong patient and family relationships and are experienced in proactive patient engagement and EMR documentation.
Additional Details
This role includes on-call responsibilities approximately every 6-8 weeks with coverage from Monday to Monday, including evenings and weekends. Regular shifts occur during transitional care hours.
Salary
Annual Salary Range: $74,000.00 - $90,000.00
Equal Opportunity Employer
Strive Health is an equal opportunity employer and a drug free workplace. We do not offer work visa sponsorship. Please apply if you meet the qualifications.
Key skills/competency
- Transitional Care
- Case Management
- CKD
- ESRD
- NCQA Standards
- Patient Engagement
- EMR
- Dialysis Coordination
- Care Coordination
- Hybrid Work
How to Get Hired at Strive Health
🎯 Tips for Getting Hired
- Customize your resume: Highlight transitional care and case management skills.
- Research Strive Health: Understand their care model and mission.
- Emphasize certifications: Include RN license and BLS/CPR details.
- Prepare for interviews: Be ready with clinical scenario responses.
- Show adaptability: Demonstrate remote work skills and EMR proficiency.