Supportive Care Case Manager - Remote

At DaVita—affectionately referred to as The Village—we are a community first and a company second. Our Trilogy of Care—Caring for Our Patients, Caring for Each Other and Caring for Our World—has been at the heart of everything we do and we work together to pursue our company Mission and practice our Core Values. We are dedicated to innovating patient care to improve our patients’ lives; to honoring and supporting our teammates, physician partners and their families; and to nurturing the neighborhoods of our growing community. DaVita cares for patients at every stage and setting along their kidney health journey—from slowing the progression of kidney disease to helping to support transplantation, from acute hospital care to dialysis at home. DaVita has reduced hospitalizations, improved mortality, and worked collaboratively to propel the kidney care industry to adopt an equitable and high-quality standard of care for all patients, everywhere. Whether caring for patients or supporting teammates from a corporate office, join the 70K teammates who are building their career here, at DaVita.

As a DaVita Integrated Kidney Care Supportive Care Case Manager (RN) you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. Through medical record review and consultation, you will identify the medical, social, emotional, and financial needs of your patients with CKD/ ESKD and implement appropriate interventions. You’ll work autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, consistent, cost-effective care. Position Details: Location: Remote, work from your designated home office. Monday- Friday schedule with the ability to accommodate patient’s availability. We serve patients nationwide. Full-time position.

Coordinate with Operations Manager, Clinical Services Manager, Nurse Practitioners, Social Worker, and Case Managers to review patient cases and identify clinical judgement escalations Support Patients with potentially declining condition to educate on treatment options, ensure patients care aligned with their wishes, and navigate to appropriate resources. Assist patients with identifying their goals, values, preferences, and develop care plan that aligns with patient wishes. Work with patients to develop and/or update advance care plans. Facilitate patient/family communication Serve as a role model and coach to help peers facilitate ACP and EOL conversations Provide comfort case management guidance to IKC RNs for patients where palliative care is not available or when patient is not ready to stop dialysis but would like to pursue comfort care Coordinate care between patients care team (Neph, PCP, dialysis clinic, supportive care resources, etc.) Develop relationships with supportive care providers Quickly build empathetic relationships with patients and families. Coordinate care for patients’ care including care transitions, management of complex/at risk patients, managing ongoing needs and establishing a treatment plan in partnership with the care team. Coordinate for streamlined/effective transition of care when needed (discharge planning/ care planning)