RN Care Manager - Exempt

AcuteCare Health System LLC•Lakehurst, NJ

8d•$90,000 - $103,000

About The Position

The RN Care Manager assesses participants’ care needs, provides nursing and healthcare interventions, and evaluates care outcomes on an ongoing basis. In collaboration with the interdisciplinary team (IDT), the RN develops plans of care, delegates tasks to clinic, center, and homecare aides according to participant needs and care plans, and communicates with primary care providers, clinic staff, and other IDT members. Care is provided in clinics, centers, contracted facilities, and participants’ homes as needed. The role serves older adults through BoldAge PACE’s personalized, all-inclusive care program, supporting their health, well-being, and ability to live independently at home. The position participates in a 24/7 on-call triage process and in interdisciplinary team meetings, utilization review, quality improvement, family meetings, and staff training. It also supports the Home Care Coordinator function when assigned and may perform duties of other IDT members within the scope of professional licensing, competencies, and experience.

Requirements

State Registered Nurse (RN) license required; New Jersey positions require licensure by the New Jersey State Board of Nursing.
At least one year of experience providing care as an RN required.
BLS required within 90 days of employment.
Reliable transportation, a valid driver’s license, and at least the state-required liability auto insurance are required.
Must be medically cleared for communicable diseases and have required immunizations up to date before direct participant contact.
Must pass a comprehensive pre-employment background check, which may include federal and state Medicare/Medicaid exclusion lists, criminal history, education and license verification, reference checks, and a drug screen.

Nice To Haves

Bachelor of Science in Nursing degree preferred.
One year of experience working with a frail or elderly population preferred; training will be provided upon hiring if this experience is not present, where applicable.
Experience in home care, long-term care, and/or managed care preferred.

Responsibilities

Provide high-quality clinical nursing care as a member of the PACE interdisciplinary team (IDT).
Provide nursing care in the center, clinic, contracted facilities, and participants’ homes according to each participant’s plan of care and applicable nursing regulations; document services in participants’ medical records.
Participate in the 24/7 on-call process to triage participants and their needs.
Assess, plan, and coordinate participants’ home care services, and provide input to the IDT on home care plan interventions. Nursing care needs must be assessed by a registered professional nurse.
Monitor participants’ acute and chronic care needs across settings; coordinate and provide direct care as indicated to support continued community care or appropriate institutional care.
Follow up with providers regarding specialist visits and help obtain specialist reports, facility documentation, and laboratory results as needed.
Reconcile facility medication administration records (MARs) monthly for assigned participants, ensure accuracy and medication adherence, and notify providers of discrepancies.
Notify participants of normal test results.
Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements.
Implement nursing-related care plan interventions.
Teach participants, caregivers, and families about self-care, medications, healthy lifestyles, infection control, and safety.
Review and revise care goals and approaches in coordination with participants, families, caregivers, and the IDT.
Collaborate with the IDT to develop and implement comprehensive participant care plans.
Maintain positive relationships and communication with coworkers, participants, families and significant others, and community members.
Participate in all IDT meetings and help team members understand participants’ nursing, self-care, and functional needs related to their health problems.
Back up the OT in performing Home Care Coordinator duties on the IDT when needed or assigned; perform other IDT members’ duties as appropriate to licensing, competencies, and experience.
Participate in utilization review meetings and quality improvement projects and meetings.
Evaluate the competence of CNAs and Home Care Aides and delegate tasks and duties as indicated.
Participate in family and staff meetings, in-service programs, and training and orientation programs as required.
Follow PACE Program policies and procedures and OSHA safety guidelines.
Protect privacy and maintain confidentiality of company procedures and information about employees, participants, and families.
Practice standard precautions and follow PACE Program infection control protocols.
Perform other duties as required or requested.