Jodi Conti has worked in nephrology for over 20 years. She has worked as a nurse with both in-center hemodialysis and home therapies, she has also managed a nephrology practice but the bulk of her years has been spent as a clinical manager. In late 2014, she was approached with the opportunity to start up the Care Navigation Unit with Fresenius. This department has been developed to coordinate care for multiple value-based programs including sub-capitation agreements, a Chronic Special Needs Plan, and ESCOs. The Care Navigation Unit frequently coordinates transportation through the ESCO waiver when patients run into obstacles.