RN Case Manager

RN Case Manager

This is an outstanding opportunity for a mission driven team player who is passionate about enabling seniors to meet their goals and live the independent lives they deserve. In this role, you will serve on an interdisciplinary team (IDT) and provide direct medical care to PACE participants. You will work collaboratively with the IDT to create and drive forward a care plan that improves health outcomes for your panel of participants. In this role, you will meet participants where they are – whether that be in the center, clinic, home, virtually or an external site of care.

Key Responsibilities
● Provide direct medical care to PACE participants
● Complete sections of assessments and care planning
● Manage a panel of participants
● Initiate, evaluate, review and change orders for medications and diagnostic studies or treatments with approval
● Assess, initiate and coordinate care on a daily basis under supervision
● Document all participant interactions, assessments, next steps in the EMR within the specified timeframe set by the center
● Make referrals to specialists with approval and request consults as needed
● Perform history and physicals and participant teaching
● Order, interpret and follow up on lab tests and results
● Perform selected procedures
● Recognize and escalate abnormalities as needed
● Liaise with other team members for participant’s care, including behavioral health and pharmacy
● Evaluate and treat participants where they are located, whether that be in the center, home, virtually, SNF etc
● Facilitate advanced planning discussions with participants
● Document chronic conditions via HCC capture

Schedule and Shift Details
● 40 hours per week, no on-call. Schedule will vary.

401k with Employer match
Your choice of 6 medical plans, with premium coverage of up to 80% for employees and 75% for all dependents
Dental, vision, health savings account, flexible spending accounts, short- and long-term disability coverages
PTO starting at 20 days per year; plus 12 paid holidays per year, and 2 floating holidays per year
Generous CME/CEU budget and time off, and professional development opportunities
One-time stipend towards setting up your home office (for remote or hybrid roles)
Family friendly policies, including paid new parent leave!