Registered Nurse Case Manager: Fresno, CA 93721.

Excellence Recruiting is seeking an Experienced Registered Nurse Case Manager to join a fast-growing, multi-ethnic integrative healthcare company in Fresno, CA. You will be partnering with a dedicated team of healthcare professionals in the fast-paced environment of their Fresno, CA Office.

This Direct-Hire position is a 100% on-site role, 8 am-5 pm Monday to Friday.

Registered Nurse Case Manager Overview:

Under direct supervision of the Clinical Manager for administrative and case management functions, the RN Case Manager is responsible for assessing, coordinating, monitoring, and providing health care services and case management for an assigned panel of Innovative Integrated Health participants.

Registered Nurse Case Manager Responsibilities:

• Assessing participants' physical and mental wellness, needs, preferences, and abilities, and developing plans to improve.
• Conducting Home Care Nursing assessments to determine the nursing, personal care, and equipment needs in the home, preferences, and goals of the participants and actively participating in IDT meetings to develop participant care plans.
• Delivering and documenting home care nursing interventions as agreed upon in the participants’ care plans including but not limited to maintaining a healthy and safe environment, promptly and accurately responding to physician orders, and correctly administering medications and performing ordered tests and treatments.
• Instructing the participant, family, and caregivers regarding the disease process, self-care techniques, and prevention strategies.
• Providing on-site supervision and instruction to Personal Care Assistants and LVNs assigned to participants’ homes at least as frequently as specified in the Home Health Agency regulations and more often if necessary.
• Recording participants’ progress, charting referrals, and scheduling home visits.
  
• Tracking and monitoring home care hours and scheduling.
• Remaining alert to pertinent input from other team members, participants, and caregivers and updating the IDT promptly of any changes in participants’ condition or medical status.
• Following up with participants who are admitted into the hospital and/or SNF to ensure they are satisfied with services and are seen by their PCPs upon discharge.
• Working with the PACE Providers and other members of the IDT to manage smooth care transitions between settings (hospitals, skilled nursing facilities, homes, etc.).
• In coordination with the Marketing Team, supporting enrollment of prospective participants into the program.
• Participating in end-of-life care coordination and support.
• Listening to participants' concerns and providing counseling or intervention as required.
• Evaluating participants’ progress periodically and making adjustments as needed.
• Responsible for completion of initial medical history, physical exam, and functional nursing assessments of each new participant and semi-annual, annual, and unscheduled assessments; communicate changes in participant health or functional status to the interdisciplinary team members, and participate in the development of the plan of care and coordination of care delivery.
• Involved in the development and implementation of Quality Improvement activities; evaluate the overall effectiveness of the center, implementing change and quality improvement as needed.
• Facilitate integration of new participants into the Innovative Integrated Health care delivery system, including medication, immunizations, routine monitoring of chronic problems, and nursing care plan development.
• Will provide phlebotomy services in the participant's home and/or clinic as ordered by the PCP.
• Coordinate participant care with outside contracted service providers, including hospitals, nursing facilities, assisted living facilities, lab, oxygen, etc.
• Communicate with weekend and after-hours on-call staff, following up on issues as necessary.
• Review participant medical records to ensure timely and accurate clinic staff documentation.
• Supervise clinic staff’s administration of prescribed medications and treatments in accordance with nursing standards.
• Act as liaison with the primary care provider in the event of an episodic illness; assist in coordinating services provided by the primary care provider.
• Provide health education and counseling to participants and caregivers experiencing chronic conditions and end-of-life issues.
• Ensure that all clinic areas are stocked with necessary supplies and materials and that all emergency equipment is available and in working order.
• Maintain confidentiality of participant information.
• Attend and participate in staff meetings, in-services, projects, and committees as assigned.
• Adhere to and support the center’s practices, procedures, and policies including assigned break times and attendance.
• Accept assigned duties in a cooperative manner, and perform all other related duties as assigned.
• Participate in on-call rotation for after-hours participant needs.

Registered Nurse Case Manager Qualifications:

• Graduate of an accredited nursing program.
• Must have a "Current" California registered nurse's license.
  
• At least a minimum of three (3) years of health care experience with emphasis in geriatrics.
• At least a minimum of one (1) year of documented experience working with a frail or elderly population.
• A broad knowledge base of physical, mental, and social needs of the frail elderly population.
• Knowledge of medical equipment and instruments.
• Knowledge of common safety hazards and precautions to establish a safe work environment.
• Possess management and leadership skills.
• Experienced in physical assessment and triaging.
• Skilled in identifying problems and recommending solutions.
• Able to effectively prepare and maintain records, write reports, and respond to correspondence.
• Clinical competency in home health care, effective care planning, and utilization management.
• Ability to react calmly and effectively in emergency situations.
• Able to establish and maintain effective working relationships with participants, medical staff, staff members, and family caregivers in a pleasant, patient, and professional manner.
• Well-organized, dependable, flexible, and resourceful.
• Effective oral and written communication skills.
• Computer skills are required.
• CPR Certification.
• BSN preferred.
• Must be medically cleared for communicable diseases and has all immunizations up-to-date before engaging in direct participant contact.

Registered Nurse Case Manager Compensation and Benefits:

• Hourly rate between $55 and $60 depending on experience.
• Health Insurance Coverage (Medical, Dental and Vision)
• 401K
• Life Insurance
• Paid time off (including holidays, vacation and sick time)
  
• Recruitment Referral Bonus Program
• Free covered parking located downtown
• Professional development opportunities
• Employee Recognition events and activities

Excellence-Recruiting.com is an Executive Talent Destination, Search Firm, and Recruitment Agency specializing in Full Cycle Recruitment and Direct-Hire Placement of Top Talented leaders. We provide customized approaches to companies across US & Internationally to hire Top-tiered Professionals excelling in core competencies and holding the right soft skills to support strategic key roles.