Unicitycaremanagement
Hourly RN Care Manager
Paramus, New Jersey, United States
Sponsorship not specifiedDetected 119 days ago
Business DevelopmentCommunicationCollaborationCritical Thinking
About the role
- Complete and interpret clinical screening tools such as Fall Risk Assessments, Mini-Mental Status Examinations, and Depression Screenings, and incorporate findings into the care plan.
- Use nursing judgment to identify safety issues, changes in condition, and gaps in care; proactively intervene and escalate when appropriate.
- Participate in ongoing nursing and care management education, CE opportunities, and networking events to stay current on best practices in senior care and care coordination.
Responsibilities
- (RN Care Manager) Manage a small caseload of private‑pay clients as the primary RN point of contact for clients and families in their homes or in Independent Living, Assisted Living, or Nursing Facilities.
- Develop individualized plans of care in collaboration with clients and families, focusing on safety, chronic disease management, medication oversight, independence, and quality of life.
- Communicate with attorneys, financial planners, Meals on Wheels, and other community partners involved in each client's broader support system.
- Perform regular home or facility visits to monitor clinical status, environment, adherence to recommendations, and overall well‑being; update care plans as needs change.
- Offer crisis intervention and use strong critical thinking to manage urgent situations (falls, hospitalizations, sudden decline, caregiver burnout), coordinating with providers and family as needed.
- Provide back‑up support to fellow Care Managers as needed.
- Thoroughly document assessments, care plans, communications, and interventions; carefully track and record time spent on each client to support accurate billing and clear communication.
- Organized and self‑directed, able to manage a mobile schedule, documentation, and follow‑up.
- A relationship‑builder who enjoys collaborating with physicians, facilities, and community partners.
Benefits
- Perform in‑depth assessments, including medical, psychosocial, environmental, functional, legal, and family dynamics, to develop a complete picture of each client's health status and risks.
- Recommend and coordinate services such as home health, therapy, PCP and specialist follow‑up, durable medical equipment, in‑home support, and community resources.
- Collaborate with hospitals, nursing homes, assisted living and memory care staff, physicians, and other medical providers to ensure smooth transitions of care (admission, discharge, post‑hospital follow‑up).
- Provide ongoing emotional support, education, and counseling to clients and families regarding diagnosis, prognosis, care options, and advance planning.
- Partner with the business development team to meet with prospective clients, families, and referral sources to explain RN‑led care management services and benefits.
- A strong communicator who can translate medical information into clear, actionable plans for families.
- Benefits Mileage reimbursement Company cell phone & Computer Hybrid position with flexible schedule and ability to work from home when not visiting clients.
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