Benefits:

Company parties

Competitive salary

Flexible schedule

Training & development

Wellness resources

The Nurse Care Manager is a health and human services specialist who acts as a guide and advocate for families who are caring for older relatives or disabled adults. The Nurse Care Manager is educated and experienced in fields related to aging life care / care management, including a specialized focus on issues related to aging and elder care. The Nurse Care Manager will provide professional insight to clients in their homes. This involves coordinating client status through comprehensive care planning on a weekly basis. Nurse Care Manager collaborates with and ensures that doctors’ orders are followed, supports family decision-making, monitors medications, surveys physical activity and safety in the home, along with psychological behavior. Nurse Care Manager supports clients through a holistic, client-centered approach. Nurse Care Manager will support families through guidance leading families to the actions and decisions that ensure quality care and an optimal life for client through assessment and monitoring; planning and problem-solving; education and advocacy; and family caregiver coaching.

Reporting Relationship:

Reports to Director of Care Management

Responsibilities/Activities:

In-home Nurse visits with client

Development of comprehensive plan of care following thorough assessment of physical, functional, and psycho-social status

Provide hospital/facility visits when as needed

Facilitating conference calls between the client and family as needed to clarify treatment plans

Attend physician appointments and facilitate communication between doctor, client, and family

Interact with the health care system effectively and frequently

Reconciling prescribed medication

Assessing client’s environment, functional, psycho-social status and financial well-being

Identifying and developing action plans to empower clients to remain and thrive at home

Help families adjust, cope and problem-solve around long-distance and in-home caregiving

Connecting clients and their families with medical, legal, housing, insurance and financial issues

Coaching clients to manage their health and well-being

Completing required paperwork and documentation within the time frame required

Strategic and analytic thinking to address gaps in care

Help determine types of services including home health and hospice that are right for client and assist in engaging and monitoring those services

Reviewing financial management or consulting with a client’s accountant or Power of Attorney

Help clients and families with insurance concerns, claims, and applications

Assist client and families identify local resources as needed

Provide effective advocacy for clients and their families, promoting the client’s wishes with health care and other providers, ensuring that client’s needs are being adequately addressed

Refer to legal experts, elder law attorneys, estate planners as needed

Provide crisis intervention as needed, supporting clients navigate through emergency departments and hospitalizations, rehabilitation stays, ensuring that adequate care is available to the client

Provides continued ongoing assessment to support clients in attaining their maximum functional potential

Promotes individual independence through encouragement, maintaining safety and security concerns

Perform other duties as requested by Director of Care Management

Required Knowledge:

Knowledge of health care policies

Knowledge of medical ethics

Knowledge of quality assurance techniques

Knowledge of written and verbal communication techniques

Knowledge of effective teamwork techniques

Knowledge of interpersonal sensitivity techniques

Knowledge of leadership techniques

Knowledge of management planning techniques

Knowledge of problem solving techniques

Knowledge of decision making techniques

Knowledge of time management techniques

Knowledge of stress management techniques

Knowledge of prioritizing techniques

A wide degree of creativity and latitude is expected

Required Skills/Abilities:

Ability to demonstrate effective interpersonal relations

Ability to effectively communicate orally and in writing

Ability to utilize strong clinical and psycho-social assessment skills

Ability to gain respect and cooperation

Ability to inspire and motivate Home Care Partners and Agency Caregivers

Ability to direct work groups toward a common goal

Ability to oversee the work of Home Care Partners

Ability to plan and organize work

Ability to resolve conflict

Ability to administer policies and implement procedures

Ability to identify problems and determine effective solutions

Ability to work independently and in cooperation with others

Ability to provide advice and consultation to others

¨ Physical and Mental Demands:

Good physical and mental health.

Mental fortitude and stability to handle stress

Physical and mental ability to drive a vehicle

Qualifications/Education:

Nursing Degree or Equivalent Experience

Current driver’s license

Proper Vehicle Insurance Coverage

Licensed Nurse with at least one year of post graduate case management experience

Training/Experience:

Complex Care Management/Case Management/Managed Care experience

Community-based or In-Home visit experience

Experience working with either Geriatric, chronically ill or functionally challenged populations

Computer skills and resources

Ability to use a variety of electronic information applications/software programs, electronic medical records experience

Intermediate to Advanced computer skills and proficiency with Microsoft Word, Outlook, and Excel, and web navigation skills

Access to a secure computer in order to accommodate data entry within required timelines

Access to High-speed internet connectivity

Valid driver’s license, car insurance, and access to an automobile for home visits to client is required