IKC RN Case Manager

Arrival: Typically starts from home, checking emails/dashboard for hospitalized or high-risk patients.

Primary Tasks:

• Caseload Management: Reviewing a roster of high-risk patients (often ~100+).
• Field Visits: Traveling to dialysis centers or nephrology offices to meet patients during their treatment/appointment.
• Assessments: Conducting Comprehensive Health Evaluations (CHEs)—head-to-toe assessments covering medical, social, and emotional needs.
• Education & Coordination: Teaching patients about comorbidities (diabetes, heart failure), reconciling medications, and arranging follow-up care to prevent hospital readmissions.
• Documentation: Heavy focus on documentation for risk adjustment and care plans (often completed from home).

Outcome Focus: Reducing hospitalizations and managing overall health long-term.

Care coordination along with Nurse Practitioner and Care Coordina...