RN Care Manager

EveryAge•New Bern, NC

24d•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 to help them remain in their communities. The RN Care Manager works under the supervision of the Center Manager and Center Administrator to manage clinic flow and lead staff in providing high-quality medical and nursing care. The role coordinates services with the primary care team and serves as its primary liaison, triages and assesses participants, and serves as the 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, educates participants, caregivers, and families, and communicates participant conditions to caregivers, primary care, and the Interdisciplinary Team. The role shares responsibility for participant well-being with an MSW and Provider and facilitates assessments, reassessments, coordination, monitoring, and provision of health care services and treatments. The RN also helps integrate new participants into the health care delivery system, including medication oversight, immunizations, routine monitoring of chronic problems, and nursing care plan development. The position participates in utilization review and quality improvement and helps ensure 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 standards for coverage.

Nice To Haves

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

Responsibilities

Participate in care planning and implementation, prepare for weekly Interdisciplinary Team conferences, and monitor and coordinate participant follow-up and loop-closure needs.
Perform utilization reviews at skilled nursing facilities, assisted living facilities, and hospitals.
Provide oversight and direct care for day-to-day participant care 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 make 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.
Facilitate initial assessments, assessments, and reassessments, and coordinate, monitor, and provide health care services and treatments.
Help integrate new participants into the health care delivery system, including medication oversight, immunizations, chronic-problem monitoring, and nursing care plan development.
Provide skilled nursing care, implement orders, develop plans of care, and teach participants, caregivers, and families.
Communicate participants’ conditions to caregivers, primary care, and the Interdisciplinary Team.
Perform other duties as assigned by the supervisor.