ESRD Transitions Coordinator

Description

Metrolina Nephrology Associates is the region’s most recognized and experienced nephrology group. The practice has been on the forefront of the treatment and management of kidney disease for more than 40 years. Our extensive network of providers and offices allow our practice to deliver care in an atmosphere that is personal, patient centered, and compassionate.

It is our mission to provide the most comprehensive nephrology services available with a personal commitment to enhance our patients’ quality of life through professional activity and dedication.

To attract the best and the brightest, Metrolina has competitive wages and benefits and a generous paid time off package beginning in your first year of employment: 4 weeks (accrued) paid time off PLUS 7 additional paid holidays! We also have a generous 401k plan with two entry dates after 90 days of employment.  We offer two medical plans, employer paid employee dental coverage, vision, basic life at no cost to employee, voluntary life, disability and pet insurance among other benefits.  Voted by employees as a Best Places to Work in Healthcare by Modern Healthcare 3 years running.

This is an exempt position responsible for maximizing education for patients, choosing access modality and Home Therapies. Also responsible for empowering patients to confidently choose access type with a focus on Home Therapies as their first modality option.

Duties include, but are not limited to:

• Responsible for creating and maintaining an office Home Therapies process manual as well as implementing Raenali training education
• Establishes a workflow for capture of all potential home therapies candidates at each location
• Collaborates with providers in the evaluation of patient’s access choice and potential home therapies candidates
• Identifies a team representative at each office location and educates them in home therapies using a systematic approach
• Works with VBC to develop education schedules at each location in response to patient activation levels as indicated per PAM survey response
• Conducts regular team representative meetings with a focus on patient identification, progress and resolution of patient issues
• Develops action plans for patients in terms of visit compliance (educational, home, surgical)
• Coordinates all aspects of patient care with the appropriate staff members, from time of identification to training completion
• Develops a workflow based on TOPS visit completion for provider discussion and sign off
• Develops with VBC team implementation of Raenali Education for patients
• Collaborates with VBC team on aligned VBC patient’s status of access and or home therapies choice
• Maintains and monitor a monthly patient progress report for the Director of Value Based Care Operations
• Collaborate with FMC staff to define a patient communication process which evaluates progress and eliminates duplication of efforts
• Empowers patients to recognize their ability to treat themselves in the comfort of their own home
• Provide education and support to patients and caretakers on patient’s modality choice
• Provide education and support to patients and caretakers who have chosen home therapies
• Develops a system whereby patients have direct access to the coordinator and/or team representatives
• Acts as a resource for the patient and their support system to address their concerns and questions

Requirements

INTEGRITY – Demonstrates openness, honesty and consistency in behavior. Can be relied upon. Generates confidence in others through professional and ethical behavior

INITIATIVE – Proactively asserts influence over events to achieve goals. Demonstrates a readiness to generate ideas and solutions. Is self-starting and takes action to achieve goals beyond what is required.

COMMUNICATION – Expresses ideas and information in an accurate, relevant and timely manner using a two-way communication approach. Demonstrates the ability to interpret and convey information for their particular audience. This includes responding to audience feedback and adapting their approach. Keeps people informed.

OPERATING ENVIRONMENT AWARENESS – Understands how the business works. Is knowledgeable about current policies, practices, trends and information affecting the organization.

EXCELLENCE – Strives to excel in every aspect of defined role and approaches challenges with a determination to succeed

Education: : Graduate of an accredited nursing program.

Experience: Minimum three years of professional nursing experience preferred, as well as some supervisory lev