Kidney Care Options Educator, Care Coordination
SUMMARY
The Kidney Care Options Educator & Care Coordination role supports the growth of home dialysis and patient admissions by providing education for optimal management of advanced CKD and modality options to patients and families, physicians, community members, USRC Staff and Hospital partners. This role acts as a patient liaison to coordinate care in preparation for initiation of dialysis or navigation between dialysis modalities. This position provides support and care coordination in the CKD period through education on Kidney Care Options, access placement, and financial concerns and introduces the patient to USRC facilities and modality of choice. The Kidney Care Options Educator & Care Coordinator bridges care/communication between physician practice and USRC to ensure continuity of care in timely manner.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
- Strategically promote USRC Kidney Care Options Program to Nephrology Offices, Hospital Case Managers and Primary Care Physicians.
- Develop and sustain strong relationships with external and internal physicians/hospitals. Provide follow-up to Nephrologists regarding education provided to their patients.
- Develop and provide scheduled group and individual classes for CKD Stage 4 and 5 patients and their families for optimal management of advanced stage CKD, including Kidney Care Options education.
- Under direct supervision of a Registered Nurse, provide Kidney Care Option Education to all new patients admitted to the in-center facilities within 60 days and identified existing in-center patients.
- Manage overall Kidney Care Options education calendar. Communicate the group class schedule to all local Administrators, Regional Vice Presidents, Director of Home Therapies, Home Therapy Registered Nurses, physician groups and community and Hospital partners.
- Manage process for monitoring and tracking patients through the Kidney Care Options program. Maintain communications throughout to In Center and Home Personnel on patient status. Report metrics to Home Management at an established cadence.
- Act as the patient liaison to coordinate care for patient including, but not limited to, access placement, financial concerns, and transition to USRC facility
- Strategize with Administrators, Social Workers, Home Therapy Registered Nurses, Regional Vice Presidents and Home Therapy Management for Home growth opportunities.
- Follow-up with patients educated on a monthly basis to ensure a continued relationship with USRC.
- Cultivate professional relationships outside of USRC by participating in community activities at a minimum of once per quarter.
- Participate in USRC staff training and education programs to ensure knowledge of program.
- Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization.
- Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.
- Regular and reliable attendance is required for the job.