Manage medication regimens for patients with kidney disease and other complex chronic conditions through collaborative care. Implement pharmacy care management programs, optimize therapy effectiveness, and drive clinical quality initiatives to improve patient outcomes.
Evergreen Nephrology
9 Remote Job Openings at Evergreen Nephrology
Responsible for the overall P&L performance of attributed patients and the operational success of the Patient Engagement Services team. The role involves scaling a virtual care delivery model and driving patient outreach, scheduling, and quality outcomes in a value-based care environment.
Senior Analyst, Reporting & Analytics
Evergreen Nephrology
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Full Time
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21 days ago
Evergreen Nephrology
Collaborate with business partners to gather requirements and develop data-driven solutions, reports, and dashboards to improve clinical and operational efficiency. Maintain documentation and provide analytical insights to stakeholders to drive company performance and patient outcomes.
Lead statistical analyses to identify cost and performance drivers while ensuring the integrity of healthcare claims data. Translate complex economic insights into actionable recommendations to support value-based care strategies and clinical initiatives.
Conduct monthly clinical check-ins and symptom assessments for kidney disease patients to reinforce care plans and identify red flags. Coordinate care between patients and providers while ensuring accurate clinical documentation in EHR and CCM platforms.
Manage a caseload of nephrology patients in Skilled Nursing Facilities to ensure efficient care and seamless transitions to home or community settings. Collaborate with providers and discharge planners to develop patient-centric care plans and optimize length of stay.
Coordinate comprehensive clinical care for kidney disease patients by identifying social determinants of health and navigating resources. Act as the primary point of contact to ensure seamless transitions of care and patient advocacy across an interdisciplinary team.
Care Coordinator - CKD Navigation
Evergreen Nephrology
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Full Time
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2 months ago
Evergreen Nephrology
The Care Coordinator manages patient enrollment and implements comprehensive care plans focusing on Social Determinants of Health. They act as a primary point of contact to help patients navigate the healthcare system and access community resources.
The Quality Improvement Specialist serves as a connector between patients, providers, and internal teams to identify and close quality gaps through data-driven collaboration. They manage a patient panel, conduct proactive outreach, and educate providers on documentation standards and performance measures.
