RN Case Manager

PACE North is seeking a Full-Time RN Case Manager to join our amazing team of professionals. PACE stands for Program of All Inclusive Care for the Elderly. We are a unique option for individuals 55 and older who qualify for nursing facility level of care and wish to remain in their homes as they age. We value Quality, Safety, Compassion, Integrity, Collaboration and Community. If you share our values and have a passion for serving older adults and enjoy working to make a difference in the day to day lives of others, we want to work with you. 

Job Summary:

This position is responsible to develop, implement, and monitor homecare services for PACE North participants. 

Qualifications:Education: Associates degree preferred, High School Diploma or GED required. Bachelor’s of Science inNursing preferred.

Licensure/Registry/ Certification: CPR certification. Valid license as a Registered Nurse. Valid MI driver’slicense.

Experience: At least two years of recent experience working in home or community health. Minimum of oneyear experience working with a frail or elderly population preferred. Two years supervisory experience desired.

Skills: 

Must be able to work effectively in a team environment. Strong communication and problem solving skills. Ability to prioritize projects and assignment. Efficient at multi-tasking, tracking, and organizing. Possess basic computing skills in the workplace. Ability to meet a standardized set of competencies for the specific position description established by PACENorth and approved by CMS before working independently

Immunizations: Be medically cleared for communicable diseases and have recommended immunizations up-to-date before engaging in direct contact with participants. COVID-19 and flu vaccinations required. 

Responsibilities:

• The RNCM leads and monitors licensed and other professional and non-professional staff in thedelivery of nursing care to the participant in the home or other community setting. The RN isresponsible for monthly supervision and subsequent documentation of home health aide servicesprovided in the participant’s home
• The RNCM evaluates participant outcomes and or progress toward achieving the objectives/goalsof the care plan and communicates this information among other members of the IDT.
• The RNCM collaborates with the IDT to revise the plan of care based on changes in theparticipant’s physical or psycho-social status and initiates interventions.
• The RNCM participates with families, participants, and members of the IDT to evaluate/measurethe individual response to nursing care and teaching interventions and documents the outcomesof the problems identified at every care plan review.
• Coordinates care for participants in nursing homes, assisted living, adult foster care and individualresidence
• Conducts initial and periodic assessment of participants’ nursing and home care/safety needs.
• Obtains and tracks supplies and services in participant homes such as durable medicalequipment, medical response systems, incontinence products, etc. in accordance with the careplan.
• Maintains timely documentation, including of services provided in the home.
• Communicates effectively with home care staff, vendors, participants and families regarding carebeing recommended and being received in the home.
• Communicates with hospital discharge planners to minimize participants’ length of stay andfacilitate a smooth transition back to a community setting.
• Provision of after hours on-call medical assistance on a rotating basis, via phone triage or afterhours home visits to participants as needed.
• Demonstrates active participation in QI plan processes
• Abides by all established PACE North policies, rules, and regulations.
• All other duties as assigned.

Immunizations:  All employees must demonstrate that they are fully vaccinated for COVID-19 and have a current flu vaccine. 

Salary : $57,200 - $72,400