Registered Nurse Care Manager
Somatus - Revolutionizing Kidney Care, Macon, GA, United States
How We Show Up for Our Patients
Somatus is a leading provider of outcomes‑driven care for individuals and communities living with chronic conditions, helping patients enjoy More Healthy Days at Home™. We focus on a whole‑person approach and work closely with health plans, systems, and provider groups to support patients at risk of or living with cardio, kidney, metabolic, or other chronic conditions.
How We’ll Support You
We offer a comprehensive benefits package that promotes health, growth, and wealth:
Subsidized personal healthcare coverage – medical, dental, vision, and wellness programs
Paid Time Off – accrue 3 weeks of vacation (PTO)
Professional development – CEU and tuition reimbursement
How You’ll Make an Impact
The RN Care Manager works closely with complex renal patients in their home, dialysis center, by phone, and electronically. Primary focus is to improve patient outcomes by securing permanent access, promoting home dialysis modalities & kidney transplantation, educating patients on self‑management, addressing comorbid risks, and coordinating care.
Responsibilities:
Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs; perform ~12 assessments per week and manage ~150 patients.
Create and implement individualized care plans with patient, nephrologist, PCP, and team.
Act as advocate and resource for patient, family, and provider(s).
Facilitate care across settings: home, hospital, skilled nursing, and acute care facilities.
Manage transitions of care to reduce avoidable readmissions.
Assess patient knowledge of renal condition and provide education and self‑management support.
Provide ongoing reassessment and follow‑up to improve outcomes.
Offer clinical oversight to non‑licensed support teams (community health workers, health coaches) and licensed teams (social workers, renal dietitians), delegating tasks as appropriate.
Measures of Success
Provider Relationships
Dialysis Interventions monitoring and coordination
Medical Management
Qualifications
1+ years of nursing experience in case or care management, preferably coordinating across multiple settings.
2+ years of healthcare related experience.
Current, unrestricted compact Registered Nurse license.
Valid BLS certification from an AHA or American Red Cross training facility.
Commitment to patient‑centered care and proactive patient advocacy.
Ability to empower patients in self‑management and shared decision making.
Strong written and verbal communication with cultural awareness.
Analytical, critical thinking, community engagement, and facilitation skills.
Travel flexibility throughout the assigned region and willingness to conduct home visits as needed.
Preferred Qualifications
Bachelor’s degree in nursing.
Empathy, enthusiasm, sense of humor, and strong work ethic.
Experience with vulnerable patient populations (ESRD, geriatrics, minorities, low‑income, uninsured).
Rapport building through inquiry and listening.
Familiarity with electronic medical records.
Community outreach experience.
Competence with MS Office and telecom devices.
Other Requirements
Proof of COVID‑19 vaccination is required for employment. Reasonable accommodations will be considered for medical reasons or sincerely held religious beliefs.
Commitment to Diversity
Somatus celebrates what makes our people unique. We foster an inclusive culture that supports diverse passions, experiences, and perspectives. Our priority is the health and safety of all members, colleagues, partners, and community.
Equal Opportunity Employment
Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.
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Somatus is a leading provider of outcomes‑driven care for individuals and communities living with chronic conditions, helping patients enjoy More Healthy Days at Home™. We focus on a whole‑person approach and work closely with health plans, systems, and provider groups to support patients at risk of or living with cardio, kidney, metabolic, or other chronic conditions.
How We’ll Support You
We offer a comprehensive benefits package that promotes health, growth, and wealth:
Subsidized personal healthcare coverage – medical, dental, vision, and wellness programs
Paid Time Off – accrue 3 weeks of vacation (PTO)
Professional development – CEU and tuition reimbursement
How You’ll Make an Impact
The RN Care Manager works closely with complex renal patients in their home, dialysis center, by phone, and electronically. Primary focus is to improve patient outcomes by securing permanent access, promoting home dialysis modalities & kidney transplantation, educating patients on self‑management, addressing comorbid risks, and coordinating care.
Responsibilities:
Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs; perform ~12 assessments per week and manage ~150 patients.
Create and implement individualized care plans with patient, nephrologist, PCP, and team.
Act as advocate and resource for patient, family, and provider(s).
Facilitate care across settings: home, hospital, skilled nursing, and acute care facilities.
Manage transitions of care to reduce avoidable readmissions.
Assess patient knowledge of renal condition and provide education and self‑management support.
Provide ongoing reassessment and follow‑up to improve outcomes.
Offer clinical oversight to non‑licensed support teams (community health workers, health coaches) and licensed teams (social workers, renal dietitians), delegating tasks as appropriate.
Measures of Success
Provider Relationships
Dialysis Interventions monitoring and coordination
Medical Management
Qualifications
1+ years of nursing experience in case or care management, preferably coordinating across multiple settings.
2+ years of healthcare related experience.
Current, unrestricted compact Registered Nurse license.
Valid BLS certification from an AHA or American Red Cross training facility.
Commitment to patient‑centered care and proactive patient advocacy.
Ability to empower patients in self‑management and shared decision making.
Strong written and verbal communication with cultural awareness.
Analytical, critical thinking, community engagement, and facilitation skills.
Travel flexibility throughout the assigned region and willingness to conduct home visits as needed.
Preferred Qualifications
Bachelor’s degree in nursing.
Empathy, enthusiasm, sense of humor, and strong work ethic.
Experience with vulnerable patient populations (ESRD, geriatrics, minorities, low‑income, uninsured).
Rapport building through inquiry and listening.
Familiarity with electronic medical records.
Community outreach experience.
Competence with MS Office and telecom devices.
Other Requirements
Proof of COVID‑19 vaccination is required for employment. Reasonable accommodations will be considered for medical reasons or sincerely held religious beliefs.
Commitment to Diversity
Somatus celebrates what makes our people unique. We foster an inclusive culture that supports diverse passions, experiences, and perspectives. Our priority is the health and safety of all members, colleagues, partners, and community.
Equal Opportunity Employment
Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.
#J-18808-Ljbffr