Registered Nurse Case Manager

Job Type

Full-time

Description

Who We Are

Are you interested in working for an organization whose mission is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible?

Fresno Program of All-Inclusive Care for the Elderly (PACE) is dedicated to providing its participants with comprehensive health and social supports that are proven to effectively manage chronic conditions and to reduce the risk for premature institutionalization. PACE staff are leaders in the "aging in place" industry and we have had the honor of serving Fresno, Bakersfield and Orange County seniors and their families / caregivers.

Job Summary

The Registered Nurse Case Manager (RN CM) is responsible for assessing, coordinating, monitoring, and providing health care services and case management for an assigned panel of Innovative Integrated Health participants.

Essential Job Functions

• Assessing participants physical and mental wellness, needs, preferences and abilities, and developing plans to improve
• Conducting Home Care Nursing assessments to determine the nursing, personal care and equipment needs in the home,

preferences and goals of the participants and actively participating in Interdisciplinary Team (IDT) meetings to develop

participant care plans.

limited to maintaining a healthy and safe environment, promptly and accurately responding to physician orders, and correctly

administering medications and performing ordered tests and treatments.

participants' homes at least as frequently as specified in the Home Health Agency regulations and more often if necessary.

changes in participants' condition or medical status.

satisfied with services and are seen by their Primary Care Physician (PCP) upon discharge.

skilled nursing facilities, home, etc.).

and semi-annual, annual, and unscheduled assessments; communicate changes in participant health or functional status to the

interdisciplinary team members and participate in development of the plan of care and coordination of care delivery.

implementing change and quality improvement as needed.

immunizations, routine monitoring of chronic problems, and nursing care plan development.

facilities, lab, oxygen, etc.

care provider.

in working order.

Working Conditions and Physical Demands

The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

objectionable.

Requirements

Experience

Knowledge, Skills, and Abilities

caregivers in a pleasant, patient, and professional manner.

Education and Certification

contact.

Core Values

Salary Description

$55 - $58 / hr