Nurse Case Manager I (Remote)

PURPOSE AND SCOPE:

Promotes quality patient care, ongoing customer support and case management for Fresenius Kidney Care (FKC) renal patient population (internal and external) by providing guidance, support, care coordination, education and other case management functions as defined by the pertinent program.

Manages the implementation of the pertinent program as assigned while acting as the subject matter expert and resource for patients, dialysis staff, physicians and other healthcare professionals.

Services are generally provided telephonically but there may be programs where on-site visits to clinics, medical office, hospital or visits to patient homes are required.

Programs include but are not limited to the Patient Onboarding, Continuity of Care, Hepatitis C Nurse Advocates and Anemia Case Management programs.

Will support FMS’s mission, vision, core values and customer service philosophy.

Adheres to the FMS Compliance Program, including following all regulatory and FMS policy requirements.

PRINCIPAL DUTIES AND RESPONSIBILITIES:


* Utilizes clinical judgment, independent analysis, critical thinking skills, time management skills and detailed knowledge of case management program.


* Adheres to company, department, program policies and clinical guidelines to identify, review, assess and allocate patients for program participation according to their identified needs.


* Collaborates with the clinical staff, physicians and other members of the patient’s healthcare team, to develop an individualized and comprehensive plan of care according to the applicable program specifications.


* Ensures the coordination and integration of services as planned in the pertinent program while revising the plan as needed to provide high quality continuity of services and cost-effective service delivery.


* Utilizing the telephone and other technical and electronic communication formats to remotely monitor the care of the patient according to the program requirements.

There may be situations within the pertinent programs which require the case manager to meet the patient, the patient’s family and/or the physician face to face in the home, clinic or medical office setting.
+ Proactively contacts the patient and/or clinic on a frequent basis as specified in the program details to assess their situation, provide assistance, and answer questions as necessary.
+ Revises and adjusts the patient care plan as needed to fit the needs of the patient.

Provides updates to clinical staff, physician and/or family members as detailed in the program documents.
+ Identifies patient and/or clinic staff knowledge and understanding deficits regarding their specific program and situation.

Provides the appropriate education, support and materials to facilitate informed decision making and understanding.
+ Provides a strong and effective reciprocal communication process with patients (in applicable programs), clinic ...