Career Opportunities
RN Nephrology Care Coordinator (RN CC) Job Description
The RN Care Coordinator (CC) is charged with an intense focus on improved patient outcome for chronic kidney disease and better patient engagement in the Carolina Kidney Partners (CKP) value-based system. Our goal is to improve the quality of life for patients that have chronic kidney disease. The RN will provide patient care coordination in a clinical role working directly in a nephrology clinic practice . All directives for the role and responsibilities will be provided and managed through CKP leadership team.
Data & Quality Management
The CC will coordinate care utilizing the CKP analytic system, and nephrology providers to implement clinically meaningful improvement in patient outcomes. This data will then be used to measure quality outcomes, population costs, and patient satisfaction. The CC will provide feedback to the medical groups, providers, and company (CKP). The CC will contribute to action loops to implement change in individual patient care, population care, and cost evaluation.
RN Care Coordination (RN CC)
The RN CC will provide chronic kidney disease education (treatment modalities including kidney transplant referrals, home or in-center dialysis education), and work to reduce hospital admissions/readmissions. The RN CC will devote 80% of effort in-person with patients in clinic and 20% through telephonic patient communication. We will embed the RN care coordinator in an individual nephrology practice to use the support system that is developed and provide a direct touch for patient centered care.
Additional Roles and Responsibilities
Dialysis education with an emphasis on home dialysis and transplant
Transplant education and referrals
Optimal dialysis start coordination for all patients expected to need a dialysis start
Provide treatment modality education for chronic kidney disease patients with stage 4 and 5.
Prevent or reduce hospital admissions and discharges
Individualize care coordination of patients with collaboration and direction with primary nephrologist
Collaborate with the CKP clinical care navigators also embedded in the practice
Up to 20-25% travel required to other office locationsDialysis education with an emphasis on home dialysis
Optimal dialysis starts coordination for all patients expected to need a dialysis start within 6 months
Individual CC of patients in concert with their providers
Care Coordinator goals:
Contribute to development of dialysis education products
Contribute to the development of transplant education products
Responsibility for optimal dialysis starts metrics
Responsibility for the development of transitional care, and end of life counseling referrals
The care coordinator will contribute ideas to policies and procedures for the flow of information
Education/Discipline Requirements
Registered Nurse (RN) & BLS, BSN preferred
Experience required in at least one area for kidney disease management: chronic kidney disease, renal care, care coordination, kidney transplant or dialysis experience (home, in-center, hospital).
Preferred experience with home dialysis (HHD or peritoneal dialysis) education
