Evergreen Nephrology
Healthcare
RemoteLicensedPracticalNurse
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Remote Licensed Practical Nurse at Evergreen Nephrology. Skills: Licensed Practical Nurse, Clinical assessment, Patient education, Documentation. Conduct monthly clinical check-ins. Identify and address clinical concerns”
What You'll Achieve.
Improving patient outcomes; Improving quality of life; Delaying disease progression; Shifting care to the home; Accelerating kidney transplants; Ensures the highest possible quality of life; Ensures best outcomes for those in our care; ≥80% monthly engagement; ≥90% billable conversion; High QA/documentation accuracy scores
Industry & Context.
Identify and address clinical concerns; Identify clinical red flags requiring escalation; Identify social, behavioral, or access barriers; Determine appropriate interventions or referrals
Must be able to work from 8:30am – 5pm in the Mountain time zone, Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps, Cable, Fiber, or DSL connections hardwired to the internet device are recommended, Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
What They're Looking For.
Must Have
Active LPN or Licensed Vocational Nurse (LVN) license, 1–2 years of clinical experience in Ambulatory care, 1–2 years of clinical experience in Population health, 1–2 years of clinical experience in Care coordination, 1–2 years of clinical experience in Case management, Clinical assessment skills, Clinical communication skills, Clinical documentation skills, Comfortable working in two systems (EHR + CCM platform) simultaneously, Ability to manage a structured, metric-driven workflow with reliability, Intermediate skills with MS Office Suite of products including Outlook and Teams, Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps, Cable, Fiber, or DSL connections hardwired to the internet device are recommended, Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Nice to Have
Experience in chronic disease management, Prior work in virtual care, Prior work in remote nursing, Prior work in telehealth programs, Familiarity with CCM regulatory requirements, Patient education skills, Motivational interviewing skills
What You'll Do.
Conduct monthly clinical check-ins
Identify and address clinical concerns
Escalate issues appropriately
Ensure clinical documentation accuracy
Perform monthly CCM touchpoints
Build strong relationships with patients
Review patient chart data
Explain CCM participation
Reinforce program benefits
Conduct structured symptom assessments
Evaluate changes in condition
Assess medication adherence issues
Identify clinical red flags
Escalate urgent issues
Collaborate with provider team
Assist in coordinating care
Provide clinical explanation
Support adherence to medications
Identify social barriers
Determine appropriate interventions
Document all patient interactions
Track and log qualifying CCM time
Ensure documentation meets expectations
Maintain high call quality
Maintain or exceed engagement targets
Maintain or exceed billable conversion targets
Maintain high QA/documentation accuracy scores
Participate in peer reviews
Participate in QA audits
Participate in coaching sessions
Participate in continuous education
Identify recurring patient needs
Communicate trends to Program Manager
How You'll Work.
Team & Collaboration
Collaborating closely with Evergreen’s providers; Collaborating closely with Evergreen’s care teams; Collaborating closely with Evergreen’s leadership; Collaborate with the provider team on symptom changes; Collaborate with the provider team on new concerns; Collaborate with the provider team on medication-related issues
Communication Scope
Clinical communication skills; Patient education; Motivational interviewing
Full Job Description
Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants. We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today. Who You Are You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Your Role As a Licensed Practical Nurse (LPN) with Evergreen Nephrology, you are responsible for conducting monthly clinical check-ins, identifying and addressing clinical concerns, reinforcing care plans, escalating issues appropriately, and ensuring clinical documentation accuracy across both the EHR and partner technology platform. This position requires clinical judgment, licensed expertise, and the ability to support patients between office visits while collaborating closely with Evergreen’s providers, care teams, and leadership
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