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 Director, Compassionate Care Program with Evergreen Nephrology, you are responsible for leading, influencing, and ensuring proactive clinical care through workflows aimed at patients with advanced stage CKD and ESRD as well as patients who are in need of palliative care and or are approaching the end-of-life. You will oversee the strategy, management, and performance of Evergreen’s Compassionate Care Program, ensuring that patients receive compassionate, high-quality, comprehensive, coordinated, and continuous care. This program ensures that patients with CKD/ESRD, or other end stage illnesses, are monitored, connected to nephrologist practices and supported throughout their care journey.

As the Director, you are responsible for driving performance by establishing early awareness and engagement of patients and providers. Your role as an expert includes training and education of staff and ensuring all clinical programs are supported. You will set and monitor key performance indicators (KPIs) to measure success and identify areas for improvement. By deeply engaging with internal and external stakeholders and partners, you will understand and align care management incentives, processes, and operational execution. This engagement will drive significant improvements in clinical quality and outcomes, cost-effectiveness, consistency in care delivery, and model fidelity in our interdisciplinary team approach.

You will utilize a teamwork approach to build a culture of clinical excellence to achieve top performance of clinicians and interdisciplinary teams.

Role Responsibilities

• Oversee the delivery of proactive, high-quality, patient-centered goals of care and advance care planning discussions and coordination of goal concordant care.
• Develop and implement workflows that identify and engage patients and providers with Advanced Directives, palliative care and end of life care.
• Be the subject matter expert in supporting Evergreen’s clinical programs and providers.
• Direct the clinical team’s engagement with practices and community-based partnerships.
• Responsible for and directs overall performance including meeting daily, weekly, and monthly review of team performance and data.
• Use data to inform program strategy and workflow processes.
• Ensure patients receive the appropriate level of care in various settings based on care goals.
• Monitor patient progress and collaborate with care staff to develop and implement Advanced Directives and individualized care plans that support timely and secure transitions.
• Establish and monitor KPIs to measure the effectiveness of Evergreen Compassionate Care initiatives.
• Use data and analytics to identify trends, gaps, and opportunities for improvement.
• Develop and implement strategies to engage patients and their families in their care with practices and local community partners.
• Promote patient and family education and self-management to meet patients where they are.
• Stay current with industry trends and best practices in palliative and end-of-life care management.
• Incorporate innovative approaches to enhance care delivery and achieve better health outcomes.
• Partner with CMO, central clinical teams, learning and development, and operational leadership to roll out clinical education & training that supports patient engagement and enrollments in Evergreen’s Compassionate Care Program
• Collaborate with the technology and population health operations team to ensure clinical excellence as we operationalize clinical pathways, workflows, and processes; set goals for clinical excellence to drive high quality and reliability in care.
• Identify and allocate essential resources efficiently.
• Influence and inspire field teams within your region to close clinical gaps and be seen as a trusted expert and SME for them to go to when they need support.
• Build trusting relationships with our care partners, gather feedback, and help to align clinical pathways to eliminate barriers to care and achieve optimal clinical quality.
• Assist with coaching and training clinicians and interdisciplinary staff (dieticians, pharmacists, social workers, BH support, care coordinators, health coaches, etc.) who do not have experience with goals of care or end-of-life care discussions and care management.
• Regular and reliable attendance.
• Other duties as assigned, including cross-market coverage as needed.

Required Qualifications

• Bachelor’s degree and at least 7 years of experience in the healthcare field as a Registered Nurse, Nurse Practitioner, or Physician Assistant.
• Minimum of 4 years of experience with palliative care, hospice or end-of-life leadership
• You excel at leading with influence and building trusting relationships
• Skilled in having goals of care discussions and supporting patients and families through complex end of life care decisions and issues
• Proven ability to lead teams, influence culture, and drive performance.
• Proven experience leading significant improvements in clinical quality and outcomes for care delivery and/or managed care organizations
• You have experience leading collaborative, consensus-generating committees or work groups with conviction and decisiveness
• You have a strong comprehension of clinical standards of care and are focused on quality of life for your patients
• Intermediate skills with MS Office Suite of products including Outlook and Teams
• Able to work effectively in a primarily remote environment:
  • 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
  • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
  • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

• Master’s degree or higher related to education, quality, public health, business administration, health services research, or a related field preferred
• You hold an unrestricted RN, NP, or PA state license, including board certification
• Hospice and Palliative Care Board Certification
• Knowledge and understanding of value-based care
• Strong business acumen with experience in referral development and strategic partnerships
• Exceptional organizational, communication, and interpersonal skills.

Compensation

The pay range for this role is $140,000 to $150,000 annually. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.

This role is also eligible for an annual bonus.

Benefits

Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect:

• Flexible time off policies
• 12 paid holidays per year
• Medical, dental, vision and life insurance, including an HSA with employer match
• Reimbursement for continuing medical education for eligible roles
• A 401(k) program where Evergreen matches up to 4% of contributions
• Paid parental leave
• A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.

If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at recruiting@evergreennephrology.com.