CLINICAL MANAGER - INTEGRATED CARE (RN) - $10k Sign-On Bonus

 DO YOU HAVE A PASSION FOR THE UNDERSERVED GERIATRIC POPULATION?

 Join PACE “Program of All-Inclusive Care for the Elderly” 

and visit participants at home!

Location: Ridgewood, NY (Queens)

Full Time - FIELD/ONSITE

Weekly Hours: 40 Hours

Schedule: 8:30 AM - 5:30 PM

Salary Range: $135,000.00 - $140,000.00 + $10k sign-on bonus

BENEFITS:

• Medical, Vision, Dental, and Life Insurance


• 28 days of PTO + 9 paid holidays


• Short and Long Term Disability


• Paid Family Leave


• FSA 


• HRA and HSA


• 403(b) Retirement Plan

MUST MEET QUALIFICATIONS TO APPLY:

• Education: Degree from an NLN-accredited nursing school (RN, BSN preferred).


• Experience: At least 3 years of clinical nursing experience, including 1-2 years in home care or a similar healthcare setting. Experience in care transitions, case management, or PACE programs preferred.


• Licensure: Current active and unrestricted license as a Registered Nurse in New York State.


• Skills: Strong clinical assessment and critical thinking abilities, excellent communication skills, and the capacity to manage multiple participant cases effectively.


• Ability to travel to participants’ homes and work in varying environmental conditions.


• Proficiency with computers and electronic health record (EHR) systems.


• Experience with long-term care or managed care systems beneficial.


• Reliable vehicle and current New York State driver's license.

WHO ARE WE?

We are a non-for-profit New York State Managed Long Term Care organization. Providing exceptional home healthcare services to the elderly, disabled and chronically ill in the New York metropolitan area, today we are recognized as an innovator in the managed care field.

JOB PURPOSE:

The Clinical Manager – Integrated Care plays an essential role in ensuring that participants in contracted organizations experience smooth and effective transitions from hospital to home, helping to reduce hospital readmissions and improve health outcomes. This role provides direct care, participant education, and coordinates with interdisciplinary teams (IDT) to enhance participant outcomes during the post-discharge period. The Clinical Manager - Integrated Care also supervises home care staff, ensures compliance with clinical standards, and ensures that participants receive appropriate, high-quality care at home. This position combines oversight of the clinical care of contracted organizations provided at participants' homes with leadership in care transition planning and execution. The Clinical Manager collaborates with hospital discharge planners, physicians, and home care staff to create and implement personalized care plans for participants, ensuring their health needs are met in alignment with organizational goals and best practices.

JOB RESPONSIBILITIES:

Care Transition Oversight:

• Collaborate with hospital discharge planners, physicians, and interdisciplinary teams to develop personalized care transition plans for participants discharged from hospital to home.


• Review participants' medical histories, discharge instructions, medications, and follow-up care to ensure smooth, safe transitions.


• Ensure that participants understand their post-discharge care plan and provide education on medication management, wound care, and follow-up appointments.

Participant Assessments and Care Coordination:

• Conduct comprehensive home visits to assess participants' health, living environment, and support systems.


• Monitor participants’ conditions during the transition period, identifying any changes or complications that require adjustments to the care plan.


• Work with the IDT to ensure comprehensive care coordination and optimize participant outcomes.

Direct Nursing Care:

• Provide skilled nursing services in the home, including medication administration, wound care, vital sign monitoring, and support with activities of daily living.


• Educate participants and families on managing chronic conditions, preventing complications, and improving overall health outcomes.


• Identify early signs of health deterioration and take proactive measures to prevent readmissions.

Supervision and Field Support:

• Supervise, instruct, and guide Nurses, Personal Care Aides (PCAs), and Home Health Aides (HHAs) in the delivery of home health care services.


• Conduct joint visits with Nurses and other field staff for supervision and competency assessments.


• Provide mentorship and guidance, acting as a resource for nursing staff and care teams.


• Monitor adherence to care plans and clinical training protocols, addressing deficiencies when needed in coordination with leadership.

Quality and Compliance:

• Maintain accurate, up-to-date documentation of participant assessments and care provided, ensuring compliance with PACE, LHCSA regulations, and organizational standards.


• Participate in quality improvement initiatives and conduct routine audits to ensure quality care delivery.


• Stay informed about current health-related issues, evidence-based clinical practices, and regulatory changes.

Managerial Oversight and Team Collaboration:

• Ensure that all clinical team members are adequately trained and provide high-quality care according to best practice standards.


• Coordinate with the Care Planning Team to develop and implement care plans based on participant assessments and goals.


• Participate in mandatory in-service education and staff development programs.


• Support the training department in developing orientation programs for new hires and staff members.

Participant and Family Education:

• Educate participants and families about care plans, including medication management, lifestyle modifications, and safety precautions.


• Empower participants to manage their health and understand when additional care is needed.


• Address participant-specific concerns related to transitioning from hospital to home.

IF INTERESTED AND FULLY QUALIFIED, APPLY NOW and TEXT (949)874-2697 to schedule an interview.