<h3>Job Description</h3>
Job DescriptionJob Description: Care Manager – Registered Nurse
Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.
Your Impact:
As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 
Highlights &amp; Benefits  
<ul>
<li>Flexible scheduling with a hybrid and in-home model</li>
<li>Competitive compensation and a performance-based bonus program</li>
<li>Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time</li>
</ul>
Roles and Responsibilities
<ul>
<li>Work closely with patients’ medical providers to develop and continually adapt care plan</li>
<li>Perform in-home care management visits to execute care management plan</li>
<li>Monitor biometric data and follow approved protocols for any necessary interventions</li>
<li>Inventory and reconcile medications and coordinate with pharmacists and prescribers</li>
<li>Perform patient health assessments and surveys as required</li>
<li>Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities</li>
<li>Encourage medication and treatment adherence through frequent contact with patients</li>
<li>Engage family and social support groups in the education and care of patients</li>
<li>Serve as the primary point of contact and be the first call when patients have questions (business hours)</li>
<li>Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices</li>
<li>Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities</li>
<li>Obtain vital signs when visiting patient and escalate any concerns to the provider</li>
<li>Initiate patient relationships through enrolment and onboarding processes</li>
<li>Perform post-op and hospital discharge visits to help patients through vulnerable transitions</li>
<li>Review and document patient updates and progress in care management platform</li>
<li>Coordinate with dialysis providers to ensure transitions of care are seamless</li>
</ul>
Position Requirements
<ul>
<li>Frequent local travel to perform in-home visits</li>
<li>Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding</li>
<li>Infrequent domestic travel may be required, primarily to Brentwood, TN for training</li>
<li>Self-starter with the ability to work independently with minimal supervision</li>
<li>Ability to show empathy and quickly build relationships with patients and physicians</li>
<li>Graduate of an accredited School of Nursing</li>
<li>Currently licensed as a Registered Nurse in the State of the posted location</li>
<li>2+ years previous experience working in care management and/or with CKD/ESRD patients</li>
<li>Ability to take call remotely on some nights and weekends</li>
<li>Excellent verbal communication skills both in person and on the phone</li>
<li>Familiarity with Microsoft Office and mobile phone and web-based applications</li>
</ul>
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Care Manager - Registered Nurse

<h3>Job Description</h3>
Job DescriptionJob Description: Care Manager – Registered Nurse
Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.
Your Impact:
As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 
Highlights &amp; Benefits  
<ul>
<li>$100k starting salary </li>
<li>Flexible scheduling with a hybrid and in-home model</li>
<li>Competitive compensation and a performance-based bonus program</li>
<li>Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time</li>
</ul>
Roles and Responsibilities
<ul>
<li>Work closely with patients’ medical providers to develop and continually adapt care plan</li>
<li>Perform in-home care management visits to execute care management plan</li>
<li>Monitor biometric data and follow approved protocols for any necessary interventions</li>
<li>Inventory and reconcile medications and coordinate with pharmacists and prescribers</li>
<li>Perform patient health assessments and surveys as required</li>
<li>Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities</li>
<li>Encourage medication and treatment adherence through frequent contact with patients</li>
<li>Engage family and social support groups in the education and care of patients</li>
<li>Serve as the primary point of contact and be the first call when patients have questions (business hours)</li>
<li>Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices</li>
<li>Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities</li>
<li>Obtain vital signs when visiting patient and escalate any concerns to the provider</li>
<li>Initiate patient relationships through enrolment and onboarding processes</li>
<li>Perform post-op and hospital discharge visits to help patients through vulnerable transitions</li>
<li>Review and document patient updates and progress in care management platform</li>
<li>Coordinate with dialysis providers to ensure transitions of care are seamless</li>
</ul>
Position Requirements
<ul>
<li>Frequent local travel to perform in-home visits</li>
<li>Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding</li>
<li>Infrequent domestic travel may be required, primarily to Brentwood, TN for training</li>
<li>Self-starter with the ability to work independently with minimal supervision</li>
<li>Ability to show empathy and quickly build relationships with patients and physicians</li>
<li>Graduate of an accredited School of Nursing</li>
<li>Currently licensed as a Registered Nurse in the State of the posted location</li>
<li>2+ years previous experience working in care management and/or with CKD/ESRD patients</li>
<li>Ability to take call remotely on some nights and weekends</li>
<li>Excellent verbal communication skills both in person and on the phone</li>
<li>Familiarity with Microsoft Office and mobile phone and web-based applications</li>
</ul>
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

<h3>Job Description</h3>
Job DescriptionPosition: Palliative Care Nurse Practitioner 
Monogram Health is seeking a full-time Palliative Care Advanced Practice Provider (APP) to join the team to support our rapid nationwide growth. This Palliative Care APP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care APP will support the Market Physician Executive, the Palliative Care Lead Physician, and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.
Your Impact
Palliative Care APPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. 
They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health’s comprehensive polychronic care model.
Highlights &amp; Benefits 
<ul>
<li>Flexible scheduling</li>
<li>Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li>
<li>Competitive salary plus company bonus program </li>
<li>Full benefits including medical, dental, vision and life insurance </li>
<li>Paid time off and 401(k) with matching contributions</li>
</ul>
Roles &amp; Responsibilities 
<ul>
<li>Collaborate with the Market Physician Executive and clinical leaders including Palliative Care physician to proactively identify patients who qualify for palliative care services and build a patient panel</li>
<li>Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders including Palliative Care physician to ensure patients are placed on appropriate evidence-based interventions and pathways</li>
<li>Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient’s goals</li>
<li>Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc. </li>
<li>Collaborate with pharmacists and other clinicians to manage medication panels for complex patients  </li>
<li>Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles</li>
<li>Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms </li>
<li>Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first </li>
<li>Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain</li>
<li>Assist with transition to hospice care as appropriate </li>
<li>Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals</li>
<li>Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication</li>
<li>As needed for patient care, conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment </li>
<li>Counsels and educates patients and families about benefits and programs available to help them live healthier lives </li>
<li>Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan. Completes all documentation and paperwork in a timely manner </li>
<li>Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services </li>
<li>This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state </li>
<li>Prescribe medications, order tests, and collaborate with patient’s Monogram physician </li>
<li>Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily </li>
<li>Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing </li>
<li>Assists patients with enrolling to access educational videos </li>
<li>Participates in the integrated care team meetings </li>
<li>Make assessment of patient's health status and develop treatment plan </li>
<li>Implement a plan consistent with patient’ goals of appropriate plan of care </li>
<li>Follow-up and evaluate patient's status </li>
<li>Other duties as assigned </li>
</ul>
Minimum Qualifications
<ul>
<li>Active and unrestricted Nurse Practitioner or Physician Assistant license </li>
<li>Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA) </li>
<li>Current and unrestricted DEA certificate </li>
<li>Ability to work without direct supervision and practice autonomously </li>
<li>Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed. Access to transportation, a valid driver's license, and car insurance </li>
<li>Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require</li>
<li>2+ years working with patients in a palliative care setting; other relevant experience will be considered</li>
</ul>
Preferred Qualifications
<ul>
<li>Is certified in ACHPN or CHPN</li>
<li>Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria </li>
<li>Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning</li>
<li>Proficiency with electronic health record (EHR) systems to document complex case details</li>
</ul>
 About Monogram Health:
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. 
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Palliative Nurse Practitioner

Care Manager - Registered Nurse - Covington, GA

<h3>Job Description</h3>
Job Description
We are looking for a dedicated candidate join our team as a Community Health Worker (CHW) to service our patients in the Little River area. The Community Health Worker (CHW) serves as a vital link between patients, healthcare services, and community resources, ensuring seamless access to care and improving the quality-of-service delivery. This role includes visiting patients in their homes and Assisted Living Facilities (ALFs) to facilitate visits with providers and specialty services. Additionally, the CHW is responsible for delivering medications and durable medical equipment (DME) to ensure patients have timely and safe access to essential supplies.
Community Health workers perform visits in homes and facilities (ALF and ILF's) in their designated service area. You must have reliable transportation as travel is required daily. This is a full time, salary-based working 12-hour shifts (7:00AM-7:00PM) Monday-Sunday; 7days on, 7days off
The following service area(s) are available:
<ul>
<li>Little River</li>
<li>Murrells Inlet</li>
</ul>
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
Why Choose a Career at Your Health?
Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
<ul>
<li>Competitive Compensation Package with Bonus Opportunities</li>
<li>Employer Matched 401K</li>
<li>Free Visit &amp; Prescriptive Services with HDHP Insurance Plan</li>
<li>Employer Matched HSA</li>
<li>Generous PTO Package</li>
<li>Career Development &amp; Growth Opportunities</li>
<li>Vehicle Allowance</li>
</ul>
What Are We Looking For?
A successful Community Health Worker will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
 The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s)
Areas of Responsibility:
<ul>
<li>Work closely with care team members and other staff to ensure coordinated patient care and compliance with the care plan.</li>
<li>Communicate effectively via phone, email, Microsoft Teams, Athena, in-person, etc.</li>
<li>Facilitate and coordinate visits with PT’s, OT’s and Providers in Assisted Living Facilities and patients' homes to enhance patient care and support.</li>
<li>Deliver medications to patients’ homes, review instructions, and perform medication reconciliation, ensuring accuracy between current medication lists and what is found in the home.</li>
<li>Coordinate and facilitate telehealth visits between patients and pharmacists, specialists, therapists, and primary care providers, ensuring patients receive timely care.</li>
<li>Set up training, instruct patients on the use of Remote Patient Monitoring (RPM) equipment, providing ongoing support, education and troubleshooting, when necessary.</li>
<li>Deliver durable medical equipment (DME) to patients in homes and ALFs, ensuring proper assembly and functionality. Provide training to patients and caregivers on the correct use of DME.</li>
<li>Perform routine venipuncture for laboratory testing and ensure proper specimen handling and labeling.</li>
<li>Collect blood specimens during home or facility visits as needed to support patient care and diagnostics.</li>
</ul>
Qualifications:
<ul>
<li>Certified Medical Assistant, Paramedic, or Licensed Nurse preferred. Certifications or licenses must be in good standing.</li>
<li>Phlebotomy experience preferred. If not experienced in phlebotomy, candidate must be willing to complete training and demonstrate competency in the skill.</li>
<li>Previous experience in public health or home health preferred.</li>
<li>Experience with DME delivery or logistics operations preferred.</li>
<li>Must be proficient in using technology tools and platforms for remote patient monitoring, telemedicine, and electronic medical records.</li>
<li>Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.</li>
<li>Ability to read and communicate effectively. Strong written and verbal communication skills.</li>
<li>Basic computer knowledge.</li>
<li>Must be able to work independently with minimal supervision and direction.</li>
<li>Should demonstrate good interpersonal and communication skills under all conditions and circumstances.</li>
<li>Must be able to work flexible hours and travel between offices, facilities, etc.</li>
<li>Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working condition.</li>
<li>Must have a clean driving record and experience operating vehicles in a professional capacity</li>
</ul>

Community Health Worker

<h3>Job Description</h3>
Job DescriptionPharmacy Director
Job Description
The Director of Pharmacy Operations oversees and owns the outcomes of all operational aspects of the Pharmacy, ensuring optimal performance of people, processes, and systems. This role is responsible for maintaining compliance with state and federal regulations, upholding ACHC specialty accreditation, and aligning operations with the organization’s mission to improve healthcare access and outcomes in the community. The Director manages a team of 3 staff pharmacists and 7 pharmacy technicians, and reports to the Chief Pharmacy Officer. Additionally, this role serves as the 'face' of the pharmacy at local events.
Responsibilities
<ul>
<li>Oversee all operational aspects of the pharmacy to ensure optimal performance.</li>
<li>Maintain compliance with state and federal regulations.</li>
<li>Uphold ACHC specialty accreditation standards.</li>
<li>Align pharmacy operations with the organization's mission to improve healthcare access and outcomes.</li>
<li>Manage a team of 3 staff pharmacists and 7 pharmacy technicians.</li>
<li>Serve as the pharmacy's representative at local events.</li>
</ul>
Essential Skills
<ul>
<li>Pharmacist license in the state of Florida.</li>
<li>10 years of pharmacy experience, including specialty pharmacy.</li>
<li>10 years of leadership and/or operations experience within a pharmacy setting.</li>
<li>Strong business and entrepreneurial skills.</li>
<li>Comfortable managing profit/loss tables and calculating EBITDA.</li>
<li>Strong commitment to deadlines.</li>
<li>ACHC accreditation for pharmacists.</li>
</ul>
Additional Skills &amp; Qualifications
<ul>
<li>BS/BA required, preferably in Business/Healthcare Administration, Operations Management, Supply Chain, or Logistics.</li>
<li>PharmD preferred.</li>
<li>Preferred experience with the pharmacy ACHC accreditation process.</li>
<li>Preferred utilization of QS1 software.</li>
</ul>
Pay and Benefits
The pay range for this position is $160000.00 - $185000.00/yr.
See AM for full benefits guide. Summary: Medical, Dental &amp; Vision, FSA plans plus supplemental benefits, etc. STD &amp; LTD &amp; Basic Life are 100% employer funded Voluntary Life, Accident, Hospital, and Critical Illness are 100% employee funded
Workplace Type
This is a fully onsite position in Oakland Park,FL.
Application Deadline
This position is anticipated to close on Oct 8, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email <a href="mailto:actalentaccommodation@actalentservices.com" target="_blank">actalentaccommodation@actalentservices.com</a> for other accommodation options.

Pharmacy Director

<h3>Job Description</h3>
Job Description
We are looking for a dedicated candidate join our team as a Community Health Worker (CHW) to service our patients in the Charleston area. The Community Health Worker (CHW) serves as a vital link between patients, healthcare services, and community resources, ensuring seamless access to care and improving the quality-of-service delivery. This role includes visiting patients in their homes and Assisted Living Facilities (ALFs) to facilitate visits with providers and specialty services. Additionally, the CHW is responsible for delivering medications and durable medical equipment (DME) to ensure patients have timely and safe access to essential supplies. 
Community Health workers perform visits in homes and facilities (ALF and ILF's) in their designated service area. You must have reliable transportation as travel is required daily. This is a full time, salary-based working 12-hour shifts (7:00AM-7:00PM) 
The following service area(s) are available:
<ul>
<li>Mt. Pleasant</li>
<li>West Ashley</li>
<li>Moncks Corner</li>
<li>Summerville</li>
<li>Eutawville/St. George</li>
<li>Hollywood</li>
</ul>
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
Why Choose a Career at Your Health?
Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
<ul>
<li>Competitive Compensation Package with Bonus Opportunities</li>
<li>Employer Matched 401K</li>
<li>Free Visit &amp; Prescriptive Services with HDHP Insurance Plan</li>
<li>Employer Matched HSA</li>
<li>Generous PTO Package</li>
<li>Career Development &amp; Growth Opportunities</li>
<li>Vehicle Allowance</li>
</ul>
What Are We Looking For?
A successful Community Health Worker will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions. 
 The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s)
Areas of Responsibility:
<ul>
<li> Work closely with care team members and other staff to ensure coordinated patient care and compliance with the care plan. </li>
<li>Communicate effectively via phone, email, Microsoft Teams, Athena, in-person, etc.</li>
<li>Facilitate and coordinate visits with PT’s, OT’s and Providers in Assisted Living Facilities and patients' homes to enhance patient care and support. </li>
<li>Deliver medications to patients’ homes, review instructions, and perform medication reconciliation, ensuring accuracy between current medication lists and what is found in the home.</li>
<li>Coordinate and facilitate telehealth visits between patients and pharmacists, specialists, therapists, and primary care providers, ensuring patients receive timely care.</li>
<li>Set up training, instruct patients on the use of Remote Patient Monitoring (RPM) equipment, providing ongoing support, education and troubleshooting, when necessary.</li>
<li> Deliver durable medical equipment (DME) to patients in homes and ALFs, ensuring proper assembly and functionality. Provide training to patients and caregivers on the correct use of DME.</li>
<li>Perform routine venipuncture for laboratory testing and ensure proper specimen handling and labeling.</li>
<li>Collect blood specimens during home or facility visits as needed to support patient care and diagnostics.</li>
</ul>
Qualifications:
<ul>
<li>Certified Medical Assistant, Paramedic, or Licensed Nurse preferred. Certifications or licenses must be in good standing.</li>
<li>Phlebotomy experience preferred. If not experienced in phlebotomy, candidate must be willing to complete training and demonstrate competency in the skill.</li>
<li>Previous experience in public health or home health preferred.</li>
<li>Experience with DME delivery or logistics operations preferred.</li>
<li>Must be proficient in using technology tools and platforms for remote patient monitoring, telemedicine, and electronic medical records.</li>
<li>Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.</li>
<li>Ability to read and communicate effectively. Strong written and verbal communication skills.</li>
<li>Basic computer knowledge.</li>
<li>Must be able to work independently with minimal supervision and direction.</li>
<li>Should demonstrate good interpersonal and communication skills under all conditions and circumstances.</li>
<li>Must be able to work flexible hours and travel between offices, facilities, etc. </li>
<li>Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working condition.</li>
<li>Must have a clean driving record and experience operating vehicles in a professional capacity</li>
</ul>

<h3>Job Description</h3>
Job DescriptionJob Description: Care Manager – Registered Nurse
Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.
Your Impact:
As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 
Highlights &amp; Benefits  
<ul>
<li>Flexible scheduling with a hybrid and in-home model</li>
<li>Competitive compensation and a performance-based bonus program</li>
<li>Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time</li>
</ul>
Roles and Responsibilities
<ul>
<li>Work closely with patients’ medical providers to develop and continually adapt care plan</li>
<li>Perform in-home care management visits to execute care management plan</li>
<li>Monitor biometric data and follow approved protocols for any necessary interventions</li>
<li>Inventory and reconcile medications and coordinate with pharmacists and prescribers</li>
<li>Perform patient health assessments and surveys as required</li>
<li>Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities</li>
<li>Encourage medication and treatment adherence through frequent contact with patients</li>
<li>Engage family and social support groups in the education and care of patients</li>
<li>Serve as the primary point of contact and be the first call when patients have questions (business hours)</li>
<li>Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices</li>
<li>Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities</li>
<li>Obtain vital signs when visiting patient and escalate any concerns to the provider</li>
<li>Initiate patient relationships through enrolment and onboarding processes</li>
<li>Perform post-op and hospital discharge visits to help patients through vulnerable transitions</li>
<li>Review and document patient updates and progress in care management platform</li>
<li>Coordinate with dialysis providers to ensure transitions of care are seamless</li>
</ul>
Position Requirements
<ul>
<li>Frequent local travel to perform in-home visits</li>
<li>Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding</li>
<li>Infrequent domestic travel may be required, primarily to Brentwood, TN for training</li>
<li>Self-starter with the ability to work independently with minimal supervision</li>
<li>Ability to show empathy and quickly build relationships with patients and physicians</li>
<li>Graduate of an accredited School of Nursing</li>
<li>Currently licensed as a Registered Nurse in the State of the posted location</li>
<li>2+ years previous experience working in care management and/or with CKD/ESRD patients</li>
<li>Ability to take call remotely on some nights and weekends</li>
<li>Excellent verbal communication skills both in person and on the phone</li>
<li>Familiarity with Microsoft Office and mobile phone and web-based applications</li>
</ul>
About Monogram Health
Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to transform the way nephrology, primary care and chronic condition treatment is delivered. Monogram’s in-home approach utilizes a national nephrology practice supported by case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs. By increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

<h3>Job Description</h3>
Job Description
Overview
Pharmacy Internship designed to familiarize the intern with the Home Infusion Industry, including nutrition, specialty drugs, and other IV medications provided to patients in the home care and ambulatory infusion settings
Schedule: Monday - Saturday 9:00am - 5:00pm
 
Responsibilities
<ul>
<li> Helps health care providers and patients by greeting by phone; answering questions and requests </li>
<li> Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations </li>
<li> Prescription activities in accordance with state and federal laws. </li>
<li> Organize medications for pharmacists to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities </li>
<li> Counseling regarding IV medications </li>
<li> Assisting pharmacist with dispensing </li>
<li> Communicates with patients and physician office staff to coordinate medication refill deliveries</li>
<li> Compliance with professional practice and patient confidentiality laws. </li>
<li> Contributes to team effort by accomplishing related tasks as needed. </li>
<li> Documentation of adverse events and outcomes </li>
<li> Participate in quality assurance and performance improvement activities</li>
</ul>
 
Qualifications
<ul>
<li>Must be currently enrolled in Pharmacy studies at an accredited university. </li>
<li>Valid Pharmacy Intern permit in the state of the pharmacy. </li>
<li>Good interpersonal skills </li>
<li>Excellent verbal and written communication skills </li>
<li>Ability to work independently, meet deadlines and be flexible </li>
<li>Good organizational skills and detail oriented </li>
<li>Knowledge of medical terminology (including sig codes and Roman numeral), brand and generic names of medications and general pharmacy terminology </li>
<li>Ability to perform tasks accurately and efficiently when inputting information </li>
<li>Basic math and analytical skills </li>
<li>Intermediate typing/keyboarding skills </li>
</ul>

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