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
Requirements
Minimum of 2+ years experience as an RN in Hospice or Palliative medicine required
Minimum of five (5) years experience as an RN required
Current RN License is required, BSN preferred
Current Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification
Intermediate computer skills and proficiency in MS Word, Excel & Outlook required
Home office with internet connectivity at a minimum of 1MB upload and 1MB download speed required
IKC Experience as a DaVita IKC RN Case Manager preferred
Live in the Mountain or Pacific Time zones
Highly Preferred
2+ years of Case Management or Chronic Care Management
Minimum of two (2) years experience in renal nursing preferred
2+ years of care plan creation, proactive discharge planning and utilization
Spanish-speaking Preferred
Compact License
Highly preferred.
Benefits
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.