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RN Case Manager

Location : Huntington Park, CA
Job Type : Direct
Reference Code : Huntington Park PACE
Required Years of Experience : 1
Required Education : AA
Job Industry : Healthcare - Health Services

Job Description :
The Nurse (RN) Case Manager/Care Coordination Team Leader has the responsibility to case manage all participants who are in the ambulatory setting. 

  1. Develop the nursing component in the plan of care for patients, specifying short- term nursing goals in each individualized plan of care.

  2. Responsible for Initial Assessment for potential new enrollees (Home-Visits to support environmental and physical assessments).

  3. Responsible for ensuring coordination and completion of reassessments every 6 months 1:1 at Center and/or Home for assigned case load.

  4. Responsible for the allocating in home supportive caregiver hours based on the Nurse and the IDT Assessment. Activities of Daily Living and Instrumental Activities of Activities Living.

  5. Acts as a liaison between the Participants and the Interdisciplinary Team Members.

  6. Acts as a liaison between homecare services and PACE center services to ensure adequate coordination and effectiveness of program delivery.

  7. Provides Family, and Caregiver Individual Health Education on Disease Process.  Elements of the health education process include verbal and written hand-outs for their reference.

  8. Documents any activities encountered between the participant, families, caregivers, contracted providers, hospitals, SNF, and other facilities working together with PACE for participant’s well being.

Required Qualifications :

  1. Current valid License as a Registered Nurse through the California Board of Registered Nursing.

  2. A minimum of one year experience in Geriatric Nursing required.

  3. A minimum of one year experience preferred in managed care setting, preferably in utilization or case management in ambulatory or inpatient setting.

  4. CPR/First Aid Certificate required.

  5. Bilingual English and Spanish preferred.

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