Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Accrual of 3 weeks’ Vacation (PTO) Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! Field Based Nurse Case Managers are an important part of the interdisciplinary care team. They are responsible for outreaching and scheduling member face-to-face visits in homes, dialysis clinics, and or physician offices to support higher risk members needing barrier assessments and face-to-face care plan education. In addition, our field nurses develop trusting relationships with the nephrology practices in their markets and work closely with those practices to support improvement in members health outcomes. This is a field-based position meeting with members in their homes and facilities and will be in the field at least 75% of the time. The territory will primarily cover the greater North Houston TX area. Work schedule: Daytime hours, option to work 4/10 hour or 5/8 hour days with expectations of some flexibility with a combination of day and consumer hours. Responsibilities Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Travel to complete in home and in facility visits with members Travel to participate in care planning in facilities & provider offices Use nursing assessment skills to identify medical, behavioral, social determinates of health gaps or barriers in treatment plan Provide condition education, conduct medication reviews, assist with advance planning and connect to community resources Demonstrate ability to establish trusting relationships with members & caregivers and identify innovative strategies to improve and maintain engagement Participate in interactions with interdisciplinary team, treating providers and community resources Complete in- patient & post-discharge visits to ensure that discharged members receive the necessary services and resources to focus on reducing readmissions Documenting and track findings; solid computer and software navigation skills are critical Complete and maintain field based safety trainings Qualifications Required Qualifications: Current, unrestricted RN license in the state of Texas Ability to get licensed in other states as needed 3+ years of RN experience Renal, Chronic Kidney Disease or Dialysis Care experience as a main focus of your job Computer proficiency, to include strong data entry, utilizing MS Office (Word, Excel, PowerPoint and Outlook), and the ability to type and talk at the same time while navigating a Windows environment Reside in a location that can receive a high speed internet connection or can leverage existing high-speed internet service Preferred Qualifications: BSN or higher level of education Certified Case Manager (CCM) Diabetic Educator experience Field-based experience going into homes Telephonic case management experience Experience working within a managed care environment Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.