RN Care Manager

EveryAge•New Bern, NC

21h

About The Position

Carolina SeniorCare is a P.A.C.E. (Program of All-inclusive Care for the Elderly). A career at Carolina SeniorCare is a calling to help others in their community and help elderly participants (55 or older) stay and live in their respective communities. P.A.C.E. offers a wide variety of services to fulfill this mission such as medical services to medications, from nutritious meals to transportation – all personalized to meet the participant’s specific needs! Under the supervision of the Home Care Agency Director RN and Center Administrator, the RN Care Manager assists with managing the flow of the clinic, leading all staff in the provision of medical and nursing care, ensuring high quality standards. Coordinates services with primary care team, acting as the primary liaison. Triages and assesses participants as needed. Serves as the primary medical contact person for the Care Management Team along with the MSW and Provider. Provides skilled nursing care to participants, implements orders, develops appropriate plans of care, provides participant, caregiver, and family teaching, and communicates participants’ condition to caregivers, primary care, and the Interdisciplinary Team. Shares the responsibility for overseeing the well-being of the participants with a MSW and a Provider. Facilitates the initial assessment, assessment, and re-assessment, coordination, monitoring, and provision of health care services and treatments for program participants. Assists in facilitating the integration of new participants into the health care delivery system, including, but not limited to, the oversight and management of medications, immunizations, routine monitoring of chronic problems, and nursing care plan development. Participates in utilization review, quality improvement initiatives, and ensures compliance with policies and regulations.

Requirements

Graduate of accredited school of nursing.
Bachelor’s degree of Science in Nursing is preferred.
Current Nursing License (must be current).
CPR/First Aid certified (Will be provided if not certified).
Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
Must have a valid driver’s license, proof of insurance and have means of transportation.
Must be able to meet Carolina SeniorCare's auto insurance carrier's standards for coverage.
Minimum of one year working with the frail or elderly.
Minimum of two years' work experience as a registered nurse required.
One year home care experience preferred.

Nice To Haves

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

Responsibilities

Participates in care planning and implementation, preparation for weekly Interdisciplinary Team (IDT) conference, as well as monitors and coordinates participant follow-up and loop closure needs.
Performs utilization reviews at SNF, ALF, and hospitals.
Provides oversight and direct care for the follow-up of day-to-day participant care in the clinic as well as at home.
Provides triage for participants within assigned panel.
Actively participates in Care Management Team to develop, implement, and revise policies and procedures and on-going operations decisions related to care management.
Works closely with the Quality Coordinator in an effort to track and trend data, develop and implement quality improvement initiatives, and audit new initiatives.
Assists participant with medication management and adherence.
Performs other duties as assigned by supervisor.