RN Case Manager

5 days ago


San Bernardino California, United States InnovAge Full time
Job Summary

We are seeking a highly skilled Registered Nurse Case Manager to join our team at InnovAge. As a key member of our interdisciplinary team, you will play a critical role in coordinating care for our participants and ensuring they receive the highest quality of care.

Key Responsibilities
  • Participant Nursing Care Coordination
    • Assess, develop, plan, and evaluate care provided to participants while admitted to hospital settings.
    • Collaborate with providers, other members of the interdisciplinary healthcare team, and patient/family in the development, implementation, and documentation of appropriate, individualized plans of care.
    • Participate in daily IDT meetings and formulate Plans of Care for InnovAge PACE program participants.
    • Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.
    • Collaborate with facility staff to develop and coordinate the implementation of a discharge plan to meet participants' identified needs.
  • Utilization Management
    • Maintain an ongoing list of participants who are currently hospitalized and obtain daily updates regarding their condition and discharge plans.
    • Relay these updates to IDT daily.
    • Maintain an ongoing list of participants receiving skilled services in a SNF and relay updates to IDT as appropriate.
    • Send any clinical updates, therapy evaluations, discharge summaries, etc., received from hospitals to IDT for review.
    • Closely monitor all patients at skilled status within SNFs and work with the IDT to ensure that skilled status is only provided when necessary and for the minimum number of needed days.
Requirements
  • Associate degree in nursing
  • Current State-issued Registered Nurses License
  • PREFERRED: 3 years coordinating care and discharge planning, 3 years healthcare experience with emphasis in geriatrics, Bachelor's degree in nursing, Bi-lingual, Certification as a Gerontological Nurse
About InnovAge

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. We offer an alternative to nursing homes through our Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. Our team members are our greatest asset and have a significant impact on the lives of our participants every day.


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