Job Description
Job Description
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 clientDevelopment of comprehensive plan of care following thorough assessment of physical, functional, and psycho-social statusProvide hospital / facility visits when as neededFacilitating conference calls between the client and family as needed to clarify treatment plansAttend physician appointments and facilitate communication between doctor, client, and familyInteract with the health care system effectively and frequentlyReconciling prescribed medicationAssessing clients environment, functional, psycho-social status and financial well-beingIdentifying and developing action plans to empower clients to remain and thrive at homeHelp families adjust, cope and problem-solve around long-distance and in-home caregivingConnecting clients and their families with medical, legal, housing, insurance and financial issuesCoaching clients to manage their health and well-beingCompleting required paperwork and documentation within the time frame requiredStrategic and analytic thinking to address gaps in careHelp determine types of services including home health and hospice that are right for client and assist in engaging and monitoring those servicesReviewing financial management or consulting with a clients accountant or Power of AttorneyHelp clients and families with insurance concerns, claims, and applicationsAssist client and families identify local resources as neededProvide effective advocacy for clients and their families, promoting the clients wishes with health care and other providers, ensuring that clients needs are being adequately addressedRefer to legal experts, elder law attorneys, estate planners as neededProvide crisis intervention as needed, supporting clients navigate through emergency departments and hospitalizations, rehabilitation stays, ensuring that adequate care is available to the clientProvides continued ongoing assessment to support clients in attaining their maximum functional potentialPromotes individual independence through encouragement, maintaining safety and security concernsPerform other duties as requested by Director of Care ManagementRequired Knowledge :
Knowledge of health care policiesKnowledge of medical ethicsKnowledge of quality assurance techniquesKnowledge of written and verbal communication techniquesKnowledge of effective teamwork techniquesKnowledge of interpersonal sensitivity techniquesKnowledge of leadership techniquesKnowledge of management planning techniquesKnowledge of problem solving techniquesKnowledge of decision making techniquesKnowledge of time management techniquesKnowledge of stress management techniquesKnowledge of prioritizing techniquesA wide degree of creativity and latitude is expectedRequired Skills / Abilities :
Ability to demonstrate effective interpersonal relationsAbility to effectively communicate orally and in writingAbility to utilize strong clinical and psycho-social assessment skillsAbility to gain respect and cooperationAbility to inspire and motivate Home Care Partners and Agency CaregiversAbility to direct work groups toward a common goalAbility to oversee the work of Home Care PartnersAbility to plan and organize workAbility to resolve conflictAbility to administer policies and implement proceduresAbility to identify problems and determine effective solutionsAbility to work independently and in cooperation with othersAbility to provide advice and consultation to othersPhysical and Mental Demands :
Good physical and mental health.Mental fortitude and stability to handle stressPhysical and mental ability to drive a vehicleQualifications / Education :
Nursing Degree or Equivalent ExperienceCurrent drivers licenseProper Vehicle Insurance CoverageLicensed Nurse with at least one year of post graduate case management experienceTraining / Experience :
Complex Care Management / Case Management / Managed Care experienceCommunity-based or In-Home visit experienceExperience working with either Geriatric, chronically ill or functionally challenged populationsComputer skills and resourcesAbility to use a variety of electronic information applications / software programs, electronic medical records experienceIntermediate to Advanced computer skills and proficiency with Microsoft Word, Outlook, and Excel, and web navigation skillsAccess to a secure computer in order to accommodate data entry within required timelinesAccess to High-speed internet connectivityValid drivers license, car insurance, and access to an automobile for home visits to client is required