RN Care Manager

EveryAge•New Bern, NC

12d•Onsite

About The Position

Carolina SeniorCare is a P.A.C.E. (Program of All-inclusive Care for the Elderly) serving participants age 55 and older so they can remain in their communities. The RN Care Manager helps manage clinic operations and leads staff in providing high-quality medical and nursing care. Under the supervision of the Center Manager and Center Administrator, the role coordinates services with the primary care team and serves as its primary liaison, triages and assesses participants, and acts as a primary medical contact for the Care Management Team alongside the MSW and Provider. The RN Care Manager provides skilled nursing care, implements orders, develops plans of care, teaches participants, caregivers, and families, and communicates participants’ conditions to caregivers, primary care, and the Interdisciplinary Team. The position shares responsibility for participant well-being with an MSW and Provider and facilitates initial assessments, ongoing assessments and reassessments, coordination, monitoring, and delivery of health care services and treatments. The role also supports participants’ integration into the health care delivery system, including medication oversight and management, immunizations, chronic-problem monitoring, and nursing care plan development. The RN Care Manager participates in utilization review and quality improvement and ensures compliance with policies and regulations.

Requirements

Graduate of an accredited school of nursing.
Current nursing license.
At least one year of experience working with frail or elderly people.
At least two years of work experience as a registered nurse.
Medical clearance for communicable diseases and up-to-date immunizations before direct participant contact.
Valid driver’s license, proof of insurance, and access to transportation; must meet Carolina SeniorCare’s auto insurance carrier’s coverage standards.
CPR/First Aid certification; certification will be provided if the candidate is not certified.

Nice To Haves

Bachelor of Science in Nursing degree preferred.
One year of home care experience preferred.

Responsibilities

Participate in care planning and implementation and prepare for weekly Interdisciplinary Team (IDT) conferences.
Monitor and coordinate participant follow-up and loop-closure needs.
Perform utilization reviews at skilled nursing facilities (SNFs), assisted living facilities (ALFs), and hospitals.
Oversee and provide direct care for day-to-day participant needs in the clinic and at home.
Triage participants within the assigned panel.
Participate in the Care Management Team to develop, implement, and revise policies and procedures and ongoing operational decisions related to care management.
Work with the Quality Coordinator to track and trend data, develop and implement quality improvement initiatives, and audit new initiatives.
Assist participants with medication management and adherence.
Perform other duties as assigned by the supervisor.
Coordinate services with the primary care team and act as its primary liaison.
Provide skilled nursing care, implement orders, develop plans of care, and provide teaching to participants, caregivers, and families.
Communicate participant conditions to caregivers, primary care, and the Interdisciplinary Team.
Facilitate participant assessments and reassessments, and coordinate, monitor, and provide health care services and treatments.
Support new participants’ integration into the health care delivery system, including medication oversight, immunizations, chronic-problem monitoring, and nursing care plan development.
Participate in utilization review and quality improvement initiatives and ensure compliance with policies and regulations.