SUMMARY

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

Primary duties include:

• ESKD rounding, including limited and comprehensive visits, under the guidance of practice nephrologists
• ESKD hollistic patient care management including but not limited to patient activation, depression, high risk of hospitalization, transition of care and co-morbid medical issue oversight
• ESKD patient education
• ESKD comprehensive disease management annual visits
• Care collaboration with with nephrologists, dialysis center IDT, Kidneylink IDT, hospital discharge care coordination team, PCPs and sub-specialisits as clinically indicated
• CKD clinical care and kidney disease education
• Other duties and tasks as assigned

Functions performed during above duties:

• Perform physical examinations of patients to evaluate health and diagnose illnesses
• Order and assess diagnostic tests, such as x-rays and laboratory tests
• Determine, plan, and initiate appropriate treatment, and adjust treatment if necessary
• Prescribe medications
• Document medical information of patients and maintain electronic medical records
• Educate, instruct, and counsel patients and families on presenting health problems, treatment plans, and home care, and encourage and promote preventative health care and positive health behaviors
• Request consultation or referral with other health care providers, such as physicians and clinics, collaborate with Kidneylink RN Care Manager
• Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization.
• Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.
• Regular and reliable attendance is required for the job.