Nurse Advocate (Bilingual) at Renalogic

Who We Are

Renalogic is dedicated to helping our clients manage the human and financial costs of chronic kidney disease. To help us in our mission, we hire people who are humble, hungry, and smart. And it sure helps if you have a sense of humor. We're not perfect, but we're trying to build a company that we are all proud of.  Our 96% client retention suggests we’re on the right path.  

Position Overview

This role will be responsible for providing remote health coaching to members at risk for dialysis. This nurse must be bilingual in Spanish and will help members throughout the United States. Some evening hours and travel are required.

How You’ll Contribute

• Effectively maintain an assigned caseload of up to 100 managed members; which requires the ability to develop and maintain rapport, document effectively, and make appropriate escalations.
• Obtain and utilize clinical information to develop an individualized member care plan and clinician-centered care plan per NCQA guidelines.
• Effectively maintain an assigned caseload of up to 200 members requiring claims review, or claims monitoring; which requires the ability to make successful provider outreach as appropriate, document effectively, and make appropriate escalations.
• Outreach to providers to obtain information and assist with coordination of Care.
• Provide support and advocacy to members with barriers related to social determinants of health.
• Provide education and advocacy to members exploring treatment and coverage options for chronic and end-stage disease.
• Request/receive member PHI and ensure all information is appropriately documented/shared.
• Identify and share potential methods of increasing member engagement, improved reporting, or program enhancements.
• Support Integrated Care Nurse and Sr. Director of Member Advocacy with the collection of member level data to support cross-departmental functions.
• Understand the roles and responsibilities of each department within Renalogic to support company-wide business processes.

What You’ll Need to Have

• Bilingual in Spanish is required.
• A minimum of 3 years RN experience in a related role, including risk analysis, utilization review, population health, chronic disease management, and/or renal experience.
• Must have an RN license in good standing within a compact state.
• Ability and willingness to travel multiple times a year, which will include overnight stays for corporate gatherings, conferences, and health fairs.
• Ability to attend and professionally engage in video meetings.
• Strong technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products.
• Autonomous self-starter who is comfortable with ambiguity.
• Creative mindset and ability to appropriately challenge the status quo.
• Superb written and oral communication skills.
• Ability to overcome obstacles with a ‘yes if...’ approach.
• Ability to effectively balance competing deadlines without losing focus on the bigger picture.
• Reliable internet and power with a designated area to conduct work with minimal interruptions.

What We Offer 

• Market competitive salary and company stock options.
• Potential for annual merit increases and bonuses contingent on the company’s fiscal performance.
• Generous time off and paid holidays because we appreciate recharging.
• Partially paid leave for qualifying family or medical reasons once employment eligibility is met.
• A comprehensive health benefits plan with a portion of premiums covered by the company. Benefits include medical, dental, vision, life insurance, short term disability, long term disability, critical illness, accident, hospital indemnity, identity theft, and pet insurance. Eligibility begins the first of the month following 60 days of employment.
• 401k with up to 4% employer match. Eligibility begins the first of the month following 6 months of employment.

We are proud to be an equal opportunity employer, which means that our employment decisions are inclusive and welcoming, regardless of race, gender, age, color, sexual orientation, gender identity, pregnancy status, religion, national origin, disability, or any other personal, physical, mental, or sensory traits. All individuals who are offered a position must successfully pass a background and reference check prior to their start. All individuals must demonstrate they are legally authorized to work in the United States without sponsorship.