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Case Manager Registered Nurse (RN) - PACE

Case Manager Registered Nurse (RN) - PACE

Jordan Valley Community Health CenterSpringfield, MO, US
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Job Description

Job Description

Description :

  • Eligible for a $3,500 sign on bonus

About Jordan Valley Community Health Center :

Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple : Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Overview :

The PACE Case Manager RN completes nursing assessments and reassessments for enrolled PACE participants. This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Assist with discharge planning to ensure a seamless transition from hospital to home care. Perform duties and types of care management as assigned by management. The PACE RN provides general and skilled nursing care to participants, executes nursing interventions in accordance with the plan of care, implements primary care orders, evaluates participant conditions in the PACE clinic and by telephone, and assistant to develop appropriate PACE nursing plans of care. The PACE RN provides nursing education to participants, caregivers, and PACE staff. The PACE RN provides nursing care in the PACE Clinic and participant homes as needed.

Key Responsibilities :

  • Responsible for completing comprehensive initial nursing assessments for new PACE participants and nursing reassessments on existing PACE participants.
  • In collaboration with the primary care provider and IDT, develops and implements nursing care plans for participants, identifying and considering the medical, physical, social, and emotional needs of PACE participants
  • Working collaboratively with the primary care provider, initiates nursing interventions independently, triages PACE participant nursing needs in the PACE Clinic, or a community setting and escalates any nursing concerns to the primary care provider and IDT.
  • Promptly responds to primary care provider orders requiring nursing interventions, documents nursing interventions in participant care plans and in the PACE Electronic Health Record (EHR) and administers participant medications in the PACE Clinic as needed.
  • Reviews, signs off, and disseminates orders and instructions to appropriate PACE staff and PACE contracted personnel. Maintains and reviews participant records, charts, and other pertinent information as needed.
  • Serves as a nursing subject matter expert and communicates best practices for a frail elderly population to the IDT, participants, and caregivers.
  • Provides case management and care coordination during care transitions and proactively communicates with hospital and long-term care facility case managers regarding participant discharge care plans.
  • Monitors PACE participants for changes in their health or psychosocial status requiring a nursing reassessment. Promptly communicates pertinent changes in participant status to the IDT.
  • Attends IDT and morning meetings and reports on participants’ clinical status.
  • Participates in the nursing on-call rotation to provide after-hours and weekend call coverage to PACE participants.
  • Supports the PACE QI program and participates in PACE QI activities as assigned.
  • All other duties as assigned.
  • Benefits Overview :

  • Medical and Prescription Drug Coverage : Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
  • Health Savings Account (HSA) : Available for employees in the High Deductible Plan with employer contributions and tax advantages.
  • Flexible Spending Account (FSA) : Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
  • Dental and Vision Coverage : Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
  • Retirement Plan : Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
  • Life and Disability Insurance : Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
  • Employee Assistance Program (EAP) : Free confidential support for personal and professional challenges, including counseling and crisis intervention.
  • Additional Voluntary Benefits : Options for critical illness, accident, hospital care, and pet insurance through MetLife.
  • Pay on Demand Available
  • Holidays :

  • Nine paid holidays per year.
  • Health Requirements :

    All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.

    Application Process :

    Interested applicants should submit a resume and cover letter through the JVCHC career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled.

    Jordan Valley Community Health Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

    Requirements :

    Required Qualifications :

  • Graduate of an accredited School of Nursing.
  • Two years of college with equivalent work experience.
  • One year of clinical experience working with frail and elderly populations or, in the absence of such experience, receiving appropriate training from PACE before working with the population.
  • Current RN License in good standing in Missouri
  • Current BLS Certification required.
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