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Care Manager-RN

Loma Linda University Health•Redlands, CA

About The Position

The Care Manager-Registered Nurse (RN) communicates and coordinates health care services for participants in the Program for All Inclusive Care for the Elderly (PACE). The role provides evidence-based comprehensive care coordination, monitoring, support, health education, and coordination of services in the home or PACE Clinic setting. The Care Manager collaborates and coordinates with participants, significant others, physicians, pharmacists, and other providers to support holistic health care coordination, planning, and care management across settings. The position arranges and coordinates community resources, services, health promotion, and ongoing evaluation of care delivery to ensure cost-effective services and an appropriate level and combination of care. It collects and synthesizes information from management and research reports, applies theoretical concepts to clinical practice, and continually expands clinical knowledge and skills. The Care Manager serves as a role model in participant care delivery and consistently demonstrates evidence-based clinical practice. Other duties may be assigned as needed.

Requirements

  • Completion of a Registered Nursing (RN) program.
  • Bachelor or Associate Degree in Nursing from an accredited institution.
  • At least two years of experience in Care Management, Primary Care, or Home care.
  • Basic knowledge of care and utilization management practices and methodologies.
  • Understanding of PACE regulations.
  • Knowledge of the aging process and related psychosocial issues.
  • Strong assessment, problem-solving, interpersonal, and clinical skills.
  • Ability to collaborate and work in a multidisciplinary setting.
  • Ability to work independently, synthesize clinical information, and use data from a variety of sources.
  • Ability to use a computer, printer, and software programs necessary for the position, such as Word, Excel, Outlook, and PowerPoint.
  • Ability to communicate positively, effectively, and professionally with others; provide leadership; enforce policies assertively and consistently; remain calm and courteous under pressure; collaborate; and accept direction.
  • Ability to communicate effectively in English in person, in writing, and on the telephone.
  • Ability to think critically, perform basic math and statistical functions, manage multiple assignments, compose written material, problem-solve, organize and prioritize workload, recall information accurately, and pay close attention to detail.
  • Ability to distinguish colors as necessary; hear sufficiently for general conversation and to identify workplace sounds; and see adequately to read computer screens and written documents necessary to the position.
  • California Registered Nurse (RN) licensure.
  • Basic Life Support (BLS) certification from the American Heart Association within 60 days of hire.
  • Valid driver's license.

Nice To Haves

  • Experience working with older adults and families.
  • Experience at a PACE Center.
  • Bilingual in Spanish.

Responsibilities

  • Communicate and coordinate health care services for PACE participants.
  • Provide evidence-based comprehensive care coordination, monitoring, support, health education, and coordination of services in the home or PACE Clinic setting.
  • Collaborate with participants, significant others, physicians, pharmacists, and other providers on holistic health care coordination, planning, and care management across settings.
  • Arrange and coordinate community resources, services, and health promotion.
  • Evaluate care delivery on an ongoing basis to support cost-effective services and an appropriate level and combination of care.
  • Collect and synthesize information from management and research reports.
  • Apply theoretical concepts to clinical practice and continually expand clinical knowledge and skills.
  • Serve as a role model in participant care delivery and demonstrate evidence-based clinical practice.
  • Perform other duties as needed.

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