Remote Nurse Case Manager – Transplant (RN)

Job Type

Full-time

Description

Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.

About Our Opportunity

As a Transplant Nurse Case Manager, you’ll play a pivotal role in coordinating complex patient care specific to transplant patients, ensuring high-quality service and effective communication among specialized healthcare teams. Leveraging your expertise in transplant care, you’ll guide patients and their families through the intricacies of their healthcare journey, collaborating with transplant specialists to design personalized care plans, monitor clinical progress, and advocate for the best possible outcomes.

Things You’ll Do Here:

• Coordinate and manage healthcare services specifically for transplant patients, ensuring comprehensive care delivery and effective communication among specialized healthcare providers.
• Assess patients’ healthcare needs and develop personalized care plans based on their unique conditions, transplant procedures, and rehabilitation goals.
• Advocate for the rights, preferences, and needs of patients, assisting them in navigating the complex healthcare system, including pre- and post-transplant care.
• Closely monitor patients’ progress, adherence to treatment regimens specific to transplant care, and evaluate the effectiveness of interventions.
• Maintain accurate documentation of patient assessments, care plans, transplant procedures, and outcomes.
• Generate detailed reports on patient progress, outcomes, and utilization of healthcare resources.
• Provide patient education on medication regimens, post-transplant care, rejection prevention, and self-care techniques.
• Offer emotional support and counseling to patients and their families, addressing their unique concerns and fears.
• Promote health and wellness by encouraging preventive measures, healthy lifestyle choices, and adherence to post-transplant guidelines.
• Adhere to URAC Standards, CMSA’s Standards of Practice, state, local, and federal laws, as well as policies and procedures relevant to transplant care.
• Collaborate with internal teams to optimize health plan coverage for transplant-related healthcare.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

Where You’ll Work

This role is a fully remote role.

Why You Will Love Working Here

We offer employee perks that go beyond standard benefits and compensation packages – see below!

At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you’re ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!

Perks and Benefits

• Generously subsidized company-sponsored medical, dental, and vision insurance
• Company-funded HRA
• 401K with company match and immediate vesting
• Flexible working environment
• Generous Paid Time Off
• Paid maternity and paternity leave
• Paid company holidays
• Community giveback opportunities, including paid time off for philanthropic endeavors

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Requirements

What You’ll Bring to the Team:

• 3+ years of direct case management experience, with a focus on transplant patient care. Demonstrated ability to develop, implement, and monitor specialized care plans for transplant patients.
• RN License with an active and unrestricted license to practice in the state of primary residence – compact license preferred.
• Experience in a deadline driven environment with a knack for organization and detail.
• Ability to comprehend the consequences of various problem situations and to refer such problems to the appropriate individual (or supervisor) for decision-making.
• Excellent communication skills to liaise between patients, families, and healthcare professionals.
• Patience and resilience, especially when faced with challenging situations.

A plus if you have:

• Additional state licensures
• Certifications: CCM, CCTC (Certified Clinical Transplant Coordinator) or willingness to obtain CCM in 18 months of hire.