Registered Nurse (R.N.) Geriatric Case Manager - Home Care (Full-Time, Days)
About The Position
The Geriatric Case Manager is responsible for delivering comprehensive nursing care to assigned patients through the Rochester Regional Health Geriatric Service Verification program. The role includes pre-surgical assessment of eligible patients and collaboration with patients, families, and the Geriatric APP team to identify post-discharge needs and develop, implement, and evaluate an appropriate plan of care. The RN adjusts care in response to patient assessments and evaluations, identifies and coordinates needed interdisciplinary services, and supervises care delivery. Rochester Regional Health Home Care is described as the region’s only home care provider with a CMS 5-Star Quality of Patient Care rating; its CHHA is among the top 3.5% of agencies nationwide. U.S. News & World Report also recognized the CHHA as a “High Performing Home Care Agency.” The position is based at Rochester Regional Health Home Care on Monroe Avenue in Rochester, New York, and is scheduled Monday through Friday, 8:30 a.m. to 4:30 p.m.
Requirements
- Associate degree in Nursing.
- At least 2 years of nursing experience in home care, geriatric care, or case management.
- Registered Nurse license in New York State.
- Valid New York State driver’s license.
Nice To Haves
- Master’s degree in Nursing, Healthcare Leadership, or as a Geriatric Nurse Practitioner.
- Strong communication, organizational, and problem-solving skills to support clients in settings such as hospitals and patient homes.
- Consistently demonstrate integrity by supporting Rochester Regional Health Companies’ mission and values and adhering to the Corporate Code of Conduct.
Responsibilities
- Conduct comprehensive assessments of older adults’ physical, emotional, cognitive, and social needs, including pre-surgical in-home evaluations and post-discharge follow-up, with attention to Social Determinants of Health.
- Develop and implement interdisciplinary care plans with patients, caregivers, and healthcare teams to support recovery and independence in the least restrictive setting.
- Coordinate and monitor care by navigating health systems, ensuring timely services, tracking patient progress, and adjusting care plans to meet individual goals.
- Respond to health crises, including hospitalizations, and advocate for high-quality, patient-centered care aligned with individual preferences.
- Provide leadership and quality oversight by supervising care teams, mentoring new staff, documenting thoroughly, participating in quality improvement, and supporting program growth.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
