Care Manager, RN




Full Time

Days, M-F

Blue Ridge PACE (Program of All-Inclusive Care for the Elderly) is a community based program which provides patients with all necessary health services while they stay in their homes. PACE covers many different types of services including a day center, personal care in the home, Lifeline emergency response system, transportation to appointments, delivery of medical supplies, therapy, as well as inpatient services.

We have an exciting opportunity for a Care Manager - RN. This position works under the supervision of the Home Care Manager and performs the initial assessment, semi-annual assessment, annual reassessment and change of condition assessments of participants in the center and the participants home environment. Provides skilled nursing care, treatments, and health education to participants, families, and caregivers in the home and community setting (ALF, NF, Respite). Implements orders, develops appropriate plans of care for participants in their home, and supervises other in-home care staff members (LPNs, UCPs) in carrying out duties and responsibilities. The RN is assigned to oversee the review, authorization, care, transition planning and utilization of Emergency Department, Hospital and Skilled Nursing Facility services by PACE participants. This role coordinates the plan of care with appropriate community resources, the IDT and PACE Providers. Maintains the participant's medical record with thorough documentation. Communicates participant condition, plan and progress to team members and the IDT as appropriate. The RN must have strong communication skills and the ability to converse comfortably with patients, caregivers, physicians, community partners and the interdisciplinary team. The RN performs the core nursing functions of Assessment, Planning, Intervention and Evaluation. The position requires a high degree of flexibility, independence and willingness to participate in multiple activities with local travel. Requires ability to serve in on-call capacity after hours on as needed basis.

EDUCATION: Minimum of a diploma from an accredited School of Professional Nursing (RN) required. 

LICENSURE: Licensed RN or board eligible by the State of Virginia or compact state. Must have or obtain BLS per departmental requirements. Current valid driver's license and acceptable driving record required upon hire and to be maintained during employment. Must have reliable transportation to make visits to participants homes as needed.

EXPERIENCE: Minimum of 1 year experience with a frail or elderly population required. A minimum of 3 years of RN nursing experience in healthcare, preferably in an acute, home care or long term care. Preferred care management highly desired.

HOURS: Monday-Friday 8:00 am – 5:00 pm with evenings and weekends as needed.

We offer a competitive salary, compensation package and benefits to include: tuition assistance, Health, Dental, Retirement, Life Insurance and much more!!!

A Program of the Commonwealth of VA