RN Case Manager

Description The Center for Elders’ Independenceis a PACE (Program of All-Inclusive Care for the elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, and promoting autonomy, quality of life and the ability of individuals to live in their communities.  The Home and Community-Based Alternatives (HCBA) Waiver allows Medi-Cal beneficiaries with high-level care needs to continue to live at home or in the community by identifying and ensuring they receive services that will sustain their health and safety outside of an institution. The Position: The HCBA RN Case Manager works closely with a team of RNs, Patient Care Navigators and Social Workers to develop a plan to allow applicants to live safely in the community. The salary range for this role is $93,850-$140,750.  The salary for HCBA RN Case Manager is based on the market for the position, as well as experience, skills, abilities and work history. DUTIES AND RESPONSIBILITES ~Perform intake assessments and regular re-assessments of program participants. ~Assess level of care needed to allow participants to live safely in their homes. ~Assess and implement necessary waiver service levels. ~Regularly evaluate service level effectiveness and safety. ~Assess non-waiver service levels and connect clients to additional service agencies. ~Perform monthly check-ins with participants. ~Approve treatment authorizations and verify service delivery. ~Complete home safety evaluations. ~Assists with development, review and revision of departmental policy and procedures which support positive outcomes and organizational objectives. ~Open to best practice model suggestions.  ~Offer input and comply with department standards of care and practice as well as quality improvement activities. ~Develop collaborative, productive relationships with healthcare facilities and partner agencies to achieve timely discharges that include optimal participant care and outcomes across the continuum. ~Investigate participant concerns as identified and offers satisfactory resolution regarding case management role. ~Models ethical behavior; adheres to organizational policies and guidelines; maintains confidences; admits mistakes; conducts work with honesty; shows consistency in words and actions and follows through on commitments. ~Demonstrate openness to creative and innovative approaches to providing service. ~Comply with all DHCS reporting requirements. QUALIFICATIONS: ~Graduate of accredited school of nursing. Current California Nursing RN license required. ~CPR certificate required. ~3-5 years of Case Management experience preferred. ~Case Manager Certification preferred. ~Understanding of Nurse Practice Act and all other local, state, and federal regulations ~Demonstrated strong interpersonal communication skills. ~Experience working with electronic medical records and intermediate/advanced computer skills (Microsoft Office Suite) required. ~Ability to perform duties in heavy workload, fluctuating environment. Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities. Unlike other healthcare plans, CEI is not a "fee-for-service" plan. It is a “capitation” healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care. We are a growing company that offers stability and continues to thrive.