Title:Nurse Care Manager
Department: Social Services
FLSA Status: Non-Exempt
Reports To:Director of Social Services
Summary: Provides skilled nursing assessment, planning and care to frail seniors to avoid premature placement of persons in nursing facilities, while fostering independent living in the community.
Essential Functions:
• Conducts in-depth assessments and/or reassessments covering medical, health, and rehabilitation concerns within the required deadlines.
• Certifies level of care determinations.
• Collaborates and consults with the SWCM in the development of the participant's individualized care plan.
• Implements the services detailed in the care plan.
• Monitors participant's needs and provisions in the care plan.
• Identifies and develops support systems for the participant.
• Collaborates with physicians and other health professionals.
• Ensures that prior to purchasing and authorizing Waiver Services, all other resources have been exhausted.
• Provides health education presentations to the participants/families.
• Provides in-service training for staff on health-related topics and medical consultation with other staff.
• Performs other duties as assigned.
Qualifications:
• Current California Licensed Registered Nurse, plus one year of clinical nursing experience, or one year of case management experience working with frail older adults, the chronically ill, or experience in home health, public health, or acute care preferred.
• Ability to organize time and set priorities to certify Level of Care determinations, collaborate on Care Plans, and implement services while maintaining deadlines and program requirements.
• Good interpersonal skills with the ability to work well in a multidisciplinary team, and demonstrates skills at cultivating and maintaining cohesive working relationships with coworkers.
• Sensitivity and awareness of participants' rights, wishes and needs, while also showing the ability to maintain the boundaries of a professional relationship with participants.
• Responsibilities include geriatric assessments of medication, physical, psychological, and medical needs. Ability to monitor participant's needs and provision in the care plans.
• Familiar with different patient transferring techniques. Must pass a strength test for physical fitness for the job prior to employment and every 2 years thereafter: ability to transfer participants of up to 120 lbs, stand, walk, bend/twist/turn the neck/waist, reach, grip/grasp, pinch/squeeze, exercise fine manipulation of the hands and wrist movements, kneel, squat, and push/pull up to 75% of the time.
• Must have TB clearance within 12 months prior to employment and maintain clearance annually thereafter.
• Must pass health screening for physical examination.
• Must acquire CPR and First Aid certificates within 6 months of employment and maintain current certificates thereafter.
