Talent.com
RN Care Manager - Exempt

RN Care Manager - Exempt

BoldAge PACELakehurst, NJ, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Join BoldAge PACE and Make a Difference!

Why work with us?

  • A People First Environment :   We make what is important to those we serve important to us.
  • Make an Impact :   Enhance the quality of life for seniors.
  • Professional Growth : Access to training and career development.

Competitive Compensation

  • Medical / Dental
  • Generous PTO
  • 401K with Match
  • Life Insurance
  • Tuition Reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • BE PART OF OUR MISSION!

    Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple : We listen to our participants and their caregivers to truly understand their needs and desires.

    Registered Nurse Care Manager

    SUMMARY : The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare interventions, and evaluates outcomes of care of participants on an ongoing basis. In collaboration with the interdisciplinary team (IDT), develops plans of care to meet participants’ needs. Delegates tasks to clinic, center, and homecare aides according to participant needs and care plans. Collaborates and communicates with the primary care provider, clinic staff, and other members of the IDT. Provides care to participants in the clinic, center, and participant homes as needed.

    ESSESNTIAL DUTIES AND RESPONSIBILITIES :

  • Provide high quality clinical care and serves as a member of the PACE interdisciplinary team (IDT).
  • Provide nursing care in the center, clinic, contracted facilities, and participants’ homes according to each participant’s plan of care. (NJ : in accordance with the State of New Jersey Nursing Practice Act, N.J.S.A. 45 : 11-23 et seq., as interpreted by the New Jersey State Board of Nursing, and written job descriptions. Services provided shall be documented in the participant's medical record).
  • Participate in 24 / 7 “on-call” process for triage of participants and their needs.
  • Assess, plan, and coordinate participants’ home care services. Provide input to the IDT in developing home care plan interventions.  The nursing care needs of the participant shall be assessed only by a registered professional nurse.
  • Monitor participants’ acute and chronic care needs in all settings. Provide coordination and direct care as indicated to promote continued care in the community or promote optimal institutional care (Assisted Living, Nursing Home, Hospital, etc.) as needed.
  • Ensure timely follow-up by providers on specialist visits and will assist with obtaining specialist reports, facility documentation, and labs if needed.
  • Reconcile facility MARs for your assigned panel of participants monthly to ensure accuracy and medication adherence, notify provider of any discrepancies.
  • Notify participants of normal test results.
  • Complete timely and accurate nursing assessments in accordance with policies and regulatory requirements.
  • Implement nursing-related care plan interventions.
  • Teach participants, caregivers and families about self-care, medications, healthy lifestyles, infection control and safety to promote optimal health and safety.
  • Review and revises goals and approaches to participants’ care in coordination with participant, family, caregiver and interdisciplinary team.
  • Works collaboratively with the interdisciplinary team (IDT) to develop and implement comprehensive plans of care for participants.
  • Develop and maintain positive relationships and communication with co-workers, participants and their families / significant others, and members of the community.
  • Participate in all interdisciplinary team meetings.
  • Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant’s health problems.
  • Performs the duties of Home Care Coordinator on the IDT as needed / assigned.  May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed.
  • Actively participates in utilization review meetings and quality improvement projects / meetings.
  • Evaluates the competence of CNAs and Home Care Aides and delegates tasks and duties to them as indicated.
  • Participates in family meetings, staff meetings, in-service and training and orientation programs as required.
  • Follows all PACE Program Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
  • Protects privacy and maintains confidentiality of all company procedures and information about employees, participants and families.
  • Practices standard precautions and follows PACE Program Infection Control protocols.
  • Performs other duties as required or requested.
  • EXPERIENCE, EDUCATION AND CERTIFICATIONS :

  • Bachelor of Science in Nursing Degree preferred.
  • State RN License required
  • NJ : Licensed by the New Jersey State Board of Nursing.
  • BLS required (must have within 90 days of employment).
  • 1 year of experience working with a frail or elderly population preferred. If this is not present, training will be provided upon hiring (If applicable for the role).
  • Experience in home care, long-term care and / or managed care preferred.
  • 1 year experience providing care as an RN required.
  • PRE-EMPLOYMENT REQUIREMENTS :

  • Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
  • Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
  • Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare / Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.
  • Required immunizations
  • BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

  • Match begins after one year of employment
  • Monday - Friday

    8 : 00am - 4 : 30pm

    Full time

    serp_jobs.job_alerts.create_a_job

    Rn Care Manager • Lakehurst, NJ, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    RN Denials Management Associate Manager

    RN Denials Management Associate Manager

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for an Associate Manager RN Denials Management.Key Responsibilities Oversee operations of the team to ensure efficient payer denial and appeal reviews Supervise team members...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    South Carolina Licensed RN Case Manager

    South Carolina Licensed RN Case Manager

    VirtualVocationsHamilton, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for an RN Concierge Care Manager - Case Manager.Key Responsibilities Direct day-to-day high-touch member management, including treatment plan coordination for high-risk popul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    New York RN Case Manager

    New York RN Case Manager

    VirtualVocationsHamilton, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for an RN Case Manager.Key Responsibilities Coordinate all aspects of a patient's care, including medical, behavioral, functional, and social needs Conduct ongoing care coor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    PA Licensed Precertification RN

    PA Licensed Precertification RN

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Precertification RN.Key Responsibilities Evaluate healthcare service requests and apply clinical criteria to determine medical necessity Collaborate with providers to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Oklahoma Licensed Care Manager

    Oklahoma Licensed Care Manager

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    RN Clinical Coordinator - Field Based in Monmouth and Surrounding Counties - NJ

    RN Clinical Coordinator - Field Based in Monmouth and Surrounding Counties - NJ

    UnitedHealth GroupEast Brunswick, NJ, United States
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    RN Clinical Coordinator

    RN Clinical Coordinator

    VirtualVocationsHamilton, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Prior Authorization Clinical Review Coordinator.Key Responsibilities Review prior-authorization requests for post-acute levels of care based on medical necessity and In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Mississippi Licensed Care Manager

    Mississippi Licensed Care Manager

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and recommend ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Assistant Nurse Certified

    Assistant Nurse Certified

    Jersey Shore Post Acute Rehabilitation and NursingOcean Grove, NJ, US
    serp_jobs.job_card.full_time +1
    Now hiring Certified Nursing Assistants (CNA).Join a fantastic company and facility.Experience a great environment led by an engaged management team!. Full time, Part time, Per Diem Shifts available...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Ohio Licensed Patient Care Manager

    Ohio Licensed Patient Care Manager

    VirtualVocationsHamilton, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Patient Care Resource Manager - Retrospective Review.Key Responsibilities Conduct retrospective reviews of medical services to assess medical necessity and compliance w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
    • serp_jobs.job_card.promoted
    RN Clinical Coordinator - Field Based in Union and Middlesex Counties - NJ

    RN Clinical Coordinator - Field Based in Union and Middlesex Counties - NJ

    UnitedHealth GroupEast Brunswick, NJ, United States
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Full Time Nurse Practitioner

    Full Time Nurse Practitioner

    Allied Digestive HealthFreehold, US
    serp_jobs.job_card.full_time
    Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York.As a fas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Nurse Practitioner (NP) - Nurse Practitioner in Lanoka Harbor, NJ

    Nurse Practitioner (NP) - Nurse Practitioner in Lanoka Harbor, NJ

    LocumJobsOnlineLanoka Harbor, NJ, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with The Inline Group to find a qualified Nurse Practitioner NP in Lanoka Harbor, New Jersey, 08734!. Your Own 36 Hour Schedule | Three, Four, or Five Days per Week, 12-ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Director of Compassionate Care

    Director of Compassionate Care

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Director, Compassionate Care Program.Key Responsibilities Oversee proactive, high-quality, patient-centered care and advance care planning Develop and implement workfl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    State Licensed Behavioral Health Director

    State Licensed Behavioral Health Director

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Director, Utilization Management - Behavioral Health.Key Responsibilities Lead and oversee behavioral health management within the utilization management organiz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Washington State Care Coordination Supervisor

    Washington State Care Coordination Supervisor

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Supervisor, Care Coordination.Key Responsibilities Supervises care coordination activities to ensure appropriate service delivery and continuity of care Monitors docum...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    RN Clinical Coordinator - Field Based in Hudson and Bergen Counties - NJ

    RN Clinical Coordinator - Field Based in Hudson and Bergen Counties - NJ

    UnitedHealth GroupEast Brunswick, NJ, United States
    serp_jobs.job_card.full_time
    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Utilization Management Nurse Supervisor

    Utilization Management Nurse Supervisor

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for a Utilization Management Nurse Supervisor to provide leadership and oversight to the nursing team. Key Responsibilities Supervise UM nurses, ensuring productivity, accurac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Healthcare Industry Success Leader

    Healthcare Industry Success Leader

    VirtualVocationsToms River, New Jersey, United States
    serp_jobs.job_card.full_time
    A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Full Time Nurse Practitioner

    Full Time Nurse Practitioner

    HealthEcareers - ClientFreehold, NJ, USA
    serp_jobs.job_card.full_time
    Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York.As a fas...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours