Population Health RN, Bilingual Spanish/English Preferred - Tucson Area

Company: Arizona Kidney Disease and Hypertension Center (AK
Location: Tucson
Posted on: May 24, 2023

Job Description:

Arizona Kidney Disease and Hypertension Center ( AKDHC ) is one of the nation's largest groups of physicians specializing in the care of patients with Chronic Kidney disease. Since 1976, we have enjoyed the trust of patients and the respect of the community throughout the Phoenix Metropolitan area and across Arizona. We are a professional medical association consisting of physicians and other vital support staff. To learn more about us, please visit our website: .


Population Health RN, Bilingual Spanish and English Preferred - AKDHC Tucson Area


The Population Health RN, Bilingual Spanish and English Preferred collaborates with all members of the health care team to coordinate and facilitate quality care for late-stage CKD and ESRD patients. The Care Navigator partners with the care team to improve the preparation of patients requiring Renal Replacement Therapy by ensuring each patient receives treatment options, modality education, early vascular access planning, and dialysis preparation when necessary. This RN also coordinates and monitors the assessment, treatment planning process, the follow-up for each patient, and serves as an advocate and liaison for and on behalf of the patient's rights and benefits by performing the following duties:


Essential Duties and Responsibilities include the following. Other duties may be assigned.
-- Actively partner with the Nephrologist and nephrology care team to participate in the assessment, evaluation, and planning of patient care, revising as necessary for CKD and ESRD population health management.
-- Engages with patients and their families to provide education and support relative to the management of their disease and treatment options.
-- Collaborates with patients, Nephrologist, and nephrology care team to identify potential barriers to achieving the plan of care goals, as well as, create solutions to overcome barriers to achieve goals.
-- Identifies and communicates significant abnormalities in the patient data to appropriate team members who are responsible for the coordination of all patient services.
-- Utilizes the appropriate charting format and documents accurately and timely with an understanding of the legal implications.
-- Serves as the patient advocate, assessing care and ensuring that quality care is given.
-- Communicates the patient plan of care with the physician, patient, and care team members. Remains aware of patient needs and changes in patient's condition.
-- Evaluates program processes and makes recommendations to management that will improve the effectiveness and efficiency of the program.
-- Partners with appropriate teams to provide, coordinate and integrate Treatment Options and Kidney Disease Education programs to reduce the incidence of acute ESRD onset and improve the management of co-morbid diseases for patients starting Renal Replacement Therapy.
-- Intervenes with patients and caregivers to ensure the successful transition into dialysis, including but not limited to receiving modality education, permanent access placement, and adjusting to the demands of dialysis while maintaining the patient-identified quality of life
-- Assists with various projects as assigned by direct supervisor.
-- Keeps supervisor informed on any patient issues, and overall opportunities for improvement.
-- Other duties as assigned.

Keywords: Arizona Kidney Disease and Hypertension Center (AK, Tucson , Population Health RN, Bilingual Spanish/English Preferred - Tucson Area, Other , Tucson, Arizona