IDD Waiver Services RN Case Manager

PASCO (Personal Assistance Services of Colorado)•Lakewood, CO

2d•$70,000 - $80,000•Hybrid

About The Position

The RN Case Manger will support individuals with an intellectual and/or developmental disability who reside in a community by providing clinical case management and oversight of client care. Clinical case management will support service provision focused on achieving client goals established by the person receiving services and/or his or her family while supporting medical needs and activities of daily living. The Waiver Services Registered Nurse (I/DD) Coordinator will perform skilled nursing services, clinical oversight, and clinical case management, including but not limited to providing ongoing clinical case management and assessment through phone calls and home visits to individuals and their families receiving DD Services at PASCO. The role involves carrying a caseload of clients, serving as a clinical resource, and establishing and maintaining relationships with clients and Direct Service Providers. Education will be provided to individuals, families, and Direct Service Providers regarding medical care, health and safety, clinical care, medication, disease process, and delegated nursing care. The RN will assess Direct Service Provider proficiency, perform nursing delegation, and write individualized clinical care plans. Maintaining open communication with clients and families to manage medical documentation, updating the Medication Administration Record, and performing quarterly and annual delegation monitoring are key responsibilities. During client onboarding, the RN will create a Medication Administration Record, identify skilled nursing tasks requiring delegation, and collaborate on care plans. They will also assess medical supplies and assistive technology, research protocols, and educate Direct Service Providers. Availability for clinical questions via phone during business hours is expected. The RN will utilize Service Plans and medical documentation to create and manage various medical documentation, evaluate client response to psychotropic medications, and ensure high quality of care through communication and coordination with various care teams. Adherence to PASCO policies, State and Federal Regulations, including HIPAA, is mandatory. The role requires timely record-keeping, attendance at meetings, and completion of all required documentation. Other duties may be assigned to support quality service.

Requirements

Current license to practice as a Registered Nurse in the state of Colorado
Bachelor of Science in Nursing
Current CPR
1-year nurse experience in an acute care setting required
Ability to operate a computer, familiarity with Microsoft products, specifically Outlook, and ability to receive and process work in an Electronic Health Record system
Access to reliable transportation, either public transportation or an automobile, with a valid Colorado driver’s license and insurance

Nice To Haves

1-year nurse case management or home health nursing experience preferred
1-year of supervision experience in the health care industry preferred
Intellectual and/or developmental disability services experience preferred.
Experience working with, interviewing, and relationship-building with individuals receiving services and their families.

Responsibilities

Perform skilled nursing services, clinical oversight, and clinical case management.
Provide ongoing clinical case management and assessment through phone calls and home visits to individuals and their families receiving DD Services at PASCO.
Carry a caseload of clients receiving DD Services and serve as a clinical resource to clients.
Establish and maintain relationships with assigned clients and Direct Service Providers.
Provide ongoing education regarding medical care and health and safety techniques to individuals receiving services and their families.
Provide education and detailed explanations to Direct Service Providers on clinical care, medication, disease process, and delegated nursing care.
Assess Direct Service Provider proficiency in the client’s individual care needs and validate that Direct Service Provide can safely and legally carry out all duties assigned.
Perform nursing delegation by Board of Nursing Regulations for physician-ordered skilled nursing tasks.
Write individualized and client-specific clinical care plans aligned with Physician’s Orders/ recommendations for client care.
Maintain effective open communication and collaboration with individuals receiving services and their families to manage, track, and report on the ongoing creation and management of all medical documentation, including managing changes and obtaining Physician Orders.
Update the client’s Medication Administration Record as the need arises to incorporate new Physician’s Orders.
Perform quarterly and annual delegation monitoring, care supervision, and medication administration record reconciliation.
Thoroughly understand the client’s individualized Care Plans and amending Care Plans to reflect updated Physician’s Orders, as needed.
During client onboarding, create a Medication Administration Record, identify skilled nursing tasks that require nurse delegation, and collaborate with I/DD Service Coordinators to generate care plans that address the client’s clinical needs.
During client onboarding, gather and assess all medical supplies and assistive technology/equipment for individuals receiving services to research and create all needed individual protocols. Routinely assess for new or changed medical supplies/equipment/assistive technology and provide Direct Service Provider education to ensure safe client care.
Be available during business hours to receive phone calls from clients, their families, and/or Direct Service Providers to answer clinical questions and provide appropriate recommendations for the next steps.
Utilize Service Plans and medical documentation and gather assessment data to create, update, and manage nursing delegation protocols, Physician Orders, Medication Administration Records, Treatment Administration Records, Seizure Protocols and Tracking Records, G/J-tube Protocols and Tracking Records, and other medical documentation.
Evaluate the client's response to psychotropic medications and communicate findings to physicians and other members of the client’s care team. Gather informed consent from the client and/or caregiver and provide appropriate documentation to the service coordinator.
Ensure high quality and high continuity of care by communicating and coordinating with I/DD Service Coordinators, physicians, and other members of the client’s care team, both orally and through documentation.
In conjunction with the I/DD Intake and Service Coordinator, care coordination with Community Center Board Service Coordinators/Case Managers who manage the Children’s Extensive Services (CES), Supported Living Services (SLS), and Developmental Disabilities Comprehensive Services (DD), Waivers and Services.
Complete Generalized Event Records: Observe, record, and report key information to appropriate supervisory personnel (wounds, infections, hospitalizations, etc.), the client's general physical and mental condition, and signs and symptoms that may indicate condition changes.
Report client changes in condition to the Primary Care Provider and request updated Physician’s Orders, as appropriate.
Proactively communicate any other issues, including (but not limited to) clinical questions or special circumstances, compliance questions or issues, etc., to the supervisor.
Communicate and collaborate with the client’s internal and external care teams to ensure non-duplicated and effective care is delivered, which maintains or improves client outcomes.
Adhere to rules established by PASCO policies, State Regulations, and Federal Regulations.
Maintain timely records of visits, contact documentation, and updated individuals receiving services information per PASCO policy and governing body rules and regulations.
Understand and comply with all appropriate HIPAA regulations and maintain strict client health care record privacy and confidentiality.
Attend nurse meetings and companywide meetings. Assimilate information provided or proactively acquire information to incorporate new information into current practice.
Complete and submit all required documentation per governing body rules and regulations and within established Agency guidelines.
Other duties as assigned to support quality service to individuals receiving services.