RN Special Projects

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.

The Special Projects RNCM (RN Care Manager) is a critical member of the care team working collaboratively with market and shared services teams on assignments including, but not limited to special pharmacy outreach, retrospective risk adjustment, and assistance with care team activities. This position will be working closely with Chronic Kidney Disease (CKD), End Stage Kidney Disease (ESKD) and Congestive Heart Failure (CHF) patients and other co-morbidity disease by phone or via telehealth.

Create and manage Care plan creation for unengaged members Assist and support care coordination activities that include the medical, behavioral, pharmaceutical, and social needs of the patient, identifying gaps in care and barriers to good health., Develop care plans based on assessment and predictive modeling; in conjunction with the patient, patient’s nephrologist & PCP (Primary Care Physician), and other members of the care team, create and implement a care plan that will address identified needs, remove barriers to care, and improve the health of the patient. Manage patients during transitions of care to minimize avoidable readmissions. Assess the patient’s knowledge of their medical condition(s) and provide education and self-management support. Participate in ongoing educational and compliance programs, staff meetings, continuous quality improvement, and performance/protocol evaluations and development. Maintain all current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education. Provide support to care teams to assist with member/business needs as they arise. Flexibility on working hours depending on project, extended work hours and/or Saturday Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.