RN Care Manager

7 days ago

Lakeland, Florida, United States Brookdale Senior Living Full time
Job Summary

Brookdale Senior Living is seeking a skilled RN Care Manager to serve as a liaison among our teams, residents, families, and healthcare providers within our communities. This role promotes coordination, communication, and collaboration at Brookdale's HealthPlus communities.

Responsibilities

Serve as a resident advocate, actively contributing to identifying and improving service delivery, closing gaps in care, and understanding key interventions and care protocols relevant to treating residents in place.
Educate and explain Brookdale's care pathways as determined by individual diagnosis and healthcare needs.
Monitor and communicate quality performance measures, and assist with training and education of teams to ensure quality outcomes for residents.
Review the current population's medical diagnoses to identify care needs, and assist in assessing the health, functional, and psycho-social status of residents.
Coordinate services required to enhance optimum wellness and manage chronic conditions.
Collaborate with hospice, palliative, and home health services/therapy as indicated.
Provide advanced care planning education to residents and families/responsible parties, and help ensure each resident has a completed Advanced Care Plan, inclusive of goals of care.
Communicate with healthcare providers to ensure care delivery is consistent with the resident's Advanced Care Plan(s), and participate in collaborative care reviews (CCR) and care conferences.
Provide resources for residents and families to make informed decisions regarding choices in meeting healthcare needs, and effectively champion the benefits of residing and receiving care and services at the community.
Apply quality improvement methodology to analyze, enhance, and manage outcomes, striving to achieve quality measure goals, and collaborate with Health and Wellness Directors (HWD) to ensure compliance with service plans, while working with providers to attain value-based outcomes for our residents.
Provide oversight, coordination, and family communication during resident hospitalization and rehab stays, and ensure return to the community where appropriate.
Communicate information promptly to the appropriate care provider regarding changes in residents' health/well-being, personal needs, risk management issues, customer service issues, and family, or outside health care provider concerns.
Facilitate continuity of care for those residents receiving home health care, hospice services, and other third-party healthcare-related services.
Complete documentation as required by Brookdale or state regulatory agencies.

Qualifications

Graduate from Accredited Nursing School and a minimum of 5-7 years of relevant experience required.
Knowledge of value-based care models is preferred.
Experience working in SNF and HH environments preferred.
Previous Care Management, Case Management, or Care Coordination preferred.

Certifications, Licenses, and other Special Requirements

RN license required.

Physical Demands and Working Conditions

Standing
Walking
Sitting
Use hands and fingers to handle or feel
Reach with hands and arms
Stoop, kneel, crouch crawl
Ability to lift: up to 50 pounds
Vision
Requires interaction with co-workers, residents or vendors
Occasional weekend, evening or night work if needed to ensure shift coverage
On-Call on an as needed basis
Possible exposure to communicable diseases and infections
Potential injury from transferring, repositioning, or lifting residents
Exposure to latex
Possible exposure to blood-borne pathogens
Possible exposure to various drugs, chemical, infectious, or biological hazards
Subject to injury from falls, burns, odors, or cuts from equipment
Requires Travel: Frequently

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