Nurse Case Manager and Care Coordinator - Sickle Cell

Location: Atlanta, GA

Summary:

At Marti Health, we advocate to eliminate health and social disparities for populations that have historically experienced barriers to optimal health, because we believe “injustice in health care is inhuman”.

We are a health services and digital health equity company passionate about improving the quality, consistency, and equity of well-being and health outcomes for socially disadvantaged patients and their caregivers. We're creating the gold standard for patient experience, compassionate care with dignity, and access to care and resources through our digital coordinated care hub. Our goal is to build and establish trust and improve health outcomes for a segment of the population that often feels overlooked by the healthcare system. We are creating value for individuals, caregivers, providers, health systems, and health service purchasers. We achieve this goal by building a value-based care model that uses community engagement to address gaps in care, and allocate social resources to address health inequities, starting with the sickle cell disease (SCD) community.

The Marti Health RN Nurse case manager and care coordinator serves as the leader of a team that supports patient-centered case management and care coordination for patients and their caregivers. The nurse manager provides age-appropriate, culturally sensitive care, maintains a safe environment, educates patients and their families about healthy practices and treatment modalities, assures continuity of care, coordinates care across settings and among caregivers, manages information, communicates effectively, leveraging the Marti Health technology for efficiency. The position utilizes the nursing care process to provide and plan case management and overall care, i.e. assessment, nurse diagnosis, planning and coordination, implementation, and evaluation. The selected candidate advocates for clinically competent and culturally sensitive care, participates in performance improvement, leadership, problem solving, delegation, and conflict resolution.

This position seeks to assure the necessary level of care for medical requests and needs, avoiding unnecessary ED admissions and hospital care. Key manager of patient portal messages, even sometimes from community health workers or intended for physicians. Triages and manages patient messages and lab triage, determining level of medical necessity and urgency, and appropriateness of and level of medical response. In particular, coordinates optimal medication therapeutic management and determinations regarding necessity of urgent versus non-urgent care using evidence-based guidelines. The selected candidate will assist with prior authorizations, utilization requests, referrals for specialty services, assists with addressing health related social needs and performs various other responsibilities as deemed appropriate for patient care and safety.

Requirements

Responsibilities:

• Conduct outpatient case management to include:
• Conduct in-person and telephone visits
• Manage patient portal, community health workers or physicians directed messages.
• Triages and manages patient messages and lab triage.
• Determines level of medical necessity and urgency of telephone or text requests
• Determine appropriateness of and level of medical response to patient phone and other requests.
• In particular, determines needs for medication refills and necessity of urgent versus non-urgent response.
• For medication requests, assists with prior authorizations.
• For utilization requests, determines need for referrals for specialty appointments, and assists with appointments.
• Performs various other responsibilities as deemed appropriate for patient care and safety.
• Under Advanced patient practitioner (APP) or physician supervision, electronically propose prescription refills to be confirmed by APP or physicians.
• Troubleshoot prescription refill issues.
• Assess pain (acute and chronic)
• Refer to a 24/7/365 on-call provider schedule, fielding calls from outside providers, patients, and institutions about medical home sickle cell patients.
• Participate in daily case management huddles.
• As needed, supervise other nurse or community health worker team members, and train them in case management.

Minimum Requirements:

• A Bachelor of Science in Nursing is required. Advanced degree is desirable.
• One (1) or more years’ experience as a Registered Nurse required. Far more is strongly preferred.
• Ambulatory and inpatient care experience in sickle cell disease is highly desirable.
• Ability to demonstrate empathy, cultural sensitivity and provide compassionate care is a prerequisite.
• Previous case management experience and team experience in managed care is strongly preferred.
• 1-3 years supervisory experience desirable.
• Specific area of previous specialty experience preferred.
• Current state license as a Registered Professional Nurse required
• Current American Heart Association (AHA) Basic Life Support (BLS) health care provider card required

At Marti Health, you will be part of a culture of care transformation and innovation, driven by a passion to tackle complex challenges facing the patients and their families, with respect, empathy, open-mindedness with a growth mindset. You will be part of a high-performing team willing to bring their range of experiences, interest, lived experience and values to their work- and who are all united by a shared passion for promoting health justice and a commitment to the Marti Health mission.

Marti Health is committed to upholding the principles of human rights and promoting fair labor practices in accordance with the United Nations Guiding Principles for Business and Human Rights (UN Guiding Principles) and the International Labor Organization’s Declaration on Fundamental Principles and Rights at Work (ILO Declaration).

Benefits

• Competitive salary plus equity plan
• Medical, dental & vision Insurance 
• PTO plan to encourage a healthy work - life balance
• A collaborative, entrepreneurial environment with a proven venture studio playbook
• The opportunity to create, build and grow innovative products with world class founders