Chronic Care Management Coordinator RN Position Available In New Hanover, North Carolina
Tallo's Job Summary: The Chronic Care Management Coordinator RN at Eastern Nephrology Associates in Wilmington, NC, partners with patients with chronic kidney disease to ensure continuity of care. This role involves telephonic and in-person engagement, care plan development, education, and coordination. The ideal candidate is a licensed RN with experience in case management and knowledge of nephrology is preferred.
Job Description
Chronic Care Management Coordinator RN Eastern Nephrology Asso Wilmington, NC Job Details Full-time Estimated:
$67.6K
- $83.
7K a year 1 hour ago Qualifications Nephrology Nursing Microsoft Excel RN License Mid-level Microsoft Office Case management Organizational skills Epic Care plans Communication skills Full Job Description Summary The Chronic Care Management RN partners with patients living with chronic kidney disease and other co-morbidities to support continuity of care between office visits. This role combines telephonic and in-person engagement with care plan development, education, and coordination. The RN supports adherence and improved outcomes through proactive outreach and partnership with ENA’s interdisciplinary team. Knowledge of nephrology is preferred but not required. Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Minimum Qualifications Graduation from an accredited nursing program Licensed as Registered Nurse and licensed to practice in North Carolina/South Carolina Experience in Case Management preferred. Knowledge of chronic care management practices and value-based care principles Experience with EPIC and Microsoft Office Suite preferred Knowledge of nephrology preferred but not required Self-motivated with strong communication and organizational skills
Preferred:
Ability to advance into Chronic Care Management Manager Knowledge, Skills and Abilities Develops and implements individualized care plans using EMR data, with a focus on chronic kidney disease and co-morbidities Demonstrates sound clinical judgment, strong problem-solving skills, and the ability to interpret clinical data and technical instructions Communicates clearly and respectfully with patients, caregivers, providers, and interdisciplinary teams Builds rapport with patients from diverse backgrounds using cultural humility, empathy, and patient-centered engagement Organizes and prioritizes tasks independently and in team settings, even in complex or high-pressure situations Navigates electronic health records and CCM documentation platforms efficiently (EPIC, Word, Excel preferred) Coordinates care across clinical and community resources, addressing barriers related to social determinants of health Maintains confidentiality, professionalism, and adherence to HIPAA and ENA policies Ability to emulate ENA’s core values: Compassion, Excellence, Inclusion Collaboration, and Innovation.
Supervisory Responsibilities:
None Essential Functions Partners with patients to develop and carry out nephrology-focused care plans
- 20% Manages chronic care caseload and documents outreach using designated platforms
- 60% Identifies patient needs and makes appropriate referrals to internal or community resources
- 10% Educates patients on chronic kidney disease, co-morbidities, and self-management goals
- 5% Participates in team-based care planning meetings and continuous improvement activities
- 5% Physical Demands Hearing, visual acuity, depth perception, balancing, handling, and talking. Reaching, grabbing, holding
- fine motor skills Extended periods in a stationary or standing position Repetitive motion such as entering data into computer-based programs Lift or move up to 25 pounds.
Employees are expected to use appropriate ergonomics and tolls such as hand carts for heavier loads. Work Environment Work is normally performed in a typical interior/office work environment. The noise level is usually moderate. While performing the duties of this job, the employee is regularly required to stand and talk or hear.