resident care manager rn

Avamere

<div>Interim/Float Resident Care Manager - Registered Nurse

Status: Full Time (First 13 months at Keizer, float after that assignment)

Location: Avamere Court at Keizer - 5300 River Rd. N Keizer, OR 97303

Apply online at www.TeamAvamere.com

Essential Duties and Job Responsibilities:
<ul>
<li>Oversee and coordinate all aspects of resident care, including daily activities, personal care and medical needs.</li>
<li>Develop and implement individualized care plans based on resident needs and preferences.</li>
<li>Develop methods for coordination of nursing services with other resident services to ensure the continuity of the resident&rsquo;s total regimen of care.</li>
<li>Maintain open and effective communication with residents, families, staff and other healthcare professionals.</li>
<li>Ensure compliance with all applicable regulations and facility policies and procedures.</li>
<li>Monitor and evaluate the quality of resident care to ensure it meets standards and expectations.</li>
<li>Train, supervise and evaluate direct care staff to ensure they provide quality care.</li>
<li>Address and problem solve resident care issues and concerns in a timely and effective manner.</li>
<li>Maintain accurate and comprehensive records of resident care.</li>
<li>Participate in state and federal surveys of the facility; assist the Administrator in reviewing deficiencies and developing plans of correction.</li>
<li>Collaborates with the Medical Director to assure quality of care.</li>
<li>Attend continuing education programs designed to keep you abreast of changes in your profession and participate in/provide leadership for in-service training for nursing personnel.</li>
<li>Create and uphold an atmosphere of warmth, patience, enthusiasm, and a calm and cheerful environment.</li>
</ul>
Requirements and Qualifications
<ul>
<li>Must possess a nursing degree from an accredited college or university.</li>
<li>Must possess a current, unencumbered, active license to practice as an RN in this state. BSN preferred.</li>
<li>Must have a minimum of 1 year of experience as a supervisor in a healthcare setting.</li>
<li>Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to nursing care facilities.</li>
<li>Experience with Electronic Medical Records and computer documentation systems</li>
</ul>
At Avamere, we believe in taking care of our employees. We offer a comprehensive benefits package that includes:
<ul>
<li>Health Insurance: Comprehensive medical, dental, and vision plans. Low individual and family deductible.</li>
<li>401 (k) Plan: After 90 days of employment, with matching program.</li>
<li>Paid Time Off (PTO): Accrue up to 4 weeks PTO per year, 6 holidays and accrued sick leave.</li>
<li>EAP Canopy with unlimited telehealth mental health visits.</li>
<li>Continuing Education and Higher Education Reimbursement.</li>
<li>Generous employee referral bonus program.</li>
<li>Flexible Spending Accounts &amp; CERA: Medical FSA, Dependent Care FSA and CERA (Commuter Expense Reimbursement Account).</li>
<li>Professional Development: Opportunities for growth and development within the company.</li>
<li>Voluntary Benefits: Life insurance, disability coverage, supplemental hospital, accident and critical illness coverage, Legal Services, Pet Insurance, discount programs and more.</li>
</ul>
Avamere is an Equal Opportunity Employer and participates in E-Verify.</div>

Resident Care Manager RN - Interim/Float - Avamere Court at Keizer

Chehalem Post Acute

Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day to day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day to day functions of the nursing service department. Facilitates the resolution of issues and concerns associated with resident / patient care including family issues. Ensure that reference material (i.e., PDR’S, regulations, professional standards of practice, etc.) maintained at the nurses’ stations is current.
 
Recommend to the Director written material that will assist the nursing service department in meeting the day to day needs of residents. Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day to day nursing care procedures used by this facility. Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
 
Makes nursing diagnoses that serve as the basis for the delivery of care. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Performs nursing assessments regarding the health status of the resident / patient.
 
Develops a plan of care and implements nursing care based on assessment. Inform the Director when physician visits are not made in a timely manner. Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes Authorize the use of restraints when necessary and in accordance with our established policies and procedures. Provides health education to patients and their families.
 
May assist the In service Director/Educator in developing annual facility in service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).• Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan.
 
Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident’s comprehensive care plan. Participates in quality assurance activities. Adheres to scope of practice limitations based on qualifications.
 
Completes required forms and documents in accordance with company policy and state and/or federal regulations. Will perform general nursing duties in cases of emergency or staffing shortages. Performs other duties as assigned. Participate in the preparation of and planning of the nursing service department’s budget and submit to the Director for his/her review, recommendations, and/or approval.
 
Maintain the confidentiality of all resident care information including protected health information. Supervisory Requirements This position assists with the overall supervision of the nursing staff. Qualification Education and/or Experience Minimum requirements to perform this position include graduation from an Accredited School of Nursing with a Bachelor of Science Degree in Nursing preferred. Must be in good standing with the State Board of Nursing and maintain all required continuing education/licensing requirements.
 
1 3 years of supervisory experience preferred. Language Skills Must possess the ability to make independent decisions, to follow instructions, and to accept constructive criticism. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of maintenance work areas.
 
Ability to seek out new methods and principles and be willing to incorporate them into existing maintenance practices. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
 
Certificates, Licenses, Registrations To perform this job successfully, an individual must be proficient in the Microsoft Suite products. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times.
 
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desk top or laptop computer.
 
While performing the duties of this job, the employee is regularly required to sit, stand; walk and talk, read or hear. Frequent use of all office related equipment to include; copier/scanner/fax, telephone, and calculator. Travel by auto or airline may be required. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
 
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. Additional Information Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above.
 
They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Resident Care Manager (LPN/RN)

TEEMA Group

<div>Job Title: Registered Nurse (RN) Disease Manager
Job Overview: 
The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or complex health conditions. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
Key Responsibilities:<ul><li>
Patient Assessment: Conduct comprehensive assessments of patients&rsquo; physical, emotional, and psychosocial needs related to their chronic conditions.</li><li>
Care Coordination: Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients.</li><li>
Disease Education: Provide education to patients and their families regarding their diagnoses, treatment plans, and self-management techniques to improve disease outcomes.</li><li>
Case Management: Monitor patient progress and adjust care plans as necessary. Ensure that patients are following their prescribed treatment and managing their conditions effectively.</li><li>
Data Management and Reporting: Track patient outcomes and document interactions accurately. Utilize health information technology to document care, track patient progress, and report to appropriate stakeholders.</li><li>
Advocacy: Advocate for the patient&rsquo;s needs, including obtaining necessary resources or services that will improve their health outcomes.</li><li>
Prevention and Health Promotion: Promote preventive care, including vaccinations, screenings, and lifestyle modifications to reduce the impact of chronic conditions.</li><li>
Collaboration with Providers: Maintain communication with healthcare providers to ensure continuity of care, timely follow-ups, and updates on patient status.</li></ul>
Qualifications:<ul><li>
Education: Bachelor&rsquo;s Degree in Nursing (BSN) or an Associate's Degree in Nursing (ADN) with appropriate certifications.</li><li>
Licensure: Current Registered Nurse (RN) license in the state of employment.</li><li>
Experience: 3-5 years of clinical nursing experience, preferably in disease management, case management, or a related field.</li><li>
Certifications: Certification in Disease Management (CDM), Case Management (CCM), or other relevant certifications preferred.</li><li>
Skills: Strong communication, problem-solving, and critical thinking skills. Ability to work independently and as part of a team. Proficiency with electronic health records (EHR) and other healthcare technology.</li></ul>
#Workwolf</div>

RN Case Manager – Managed Care REMOTE

Community Clinic

<div>Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients&mdash;and our team. Every employee plays a vital role in living out our promise: We care. You belong. 
Job Summary
Community Clinic is seeking a Registered Nurse (RN) Lead Care Manager for our Quality team in Springdale, AR. The Lead Care Manager is responsible for leading the execution and performance of care management teams that support the organization&rsquo;s success under quality and value-based care models. This role directly supervises Care Managers and Care Coordinators (CMC Team) and ensures effective delivery of care coordination services that improve clinical outcomes, enhance patient engagement, and reduce avoidable utilization. The Lead Care Manager serves as the operational bridge between value-based care strategy and frontline execution, translating organizational priorities into standardized workflows, compliant documentation, and measurable clinical and financial outcomes across clinics. the schedule for this position is in-person, Monday - Friday 8:00 AM - 5:00 PM 
Key Responsibilities<ul><li>
Directly supervise CMC Team staff, including hiring, training, and performance management</li><li>
Establish and maintain standardized care management playbooks, including step-by-step workflows, escalation protocols, and documentation templates to ensure consistency across sites</li><li>
Monitor caseloads, staffing models, and resource allocation to ensure optimal team performance</li><li>
Conduct regular team huddles, case reviews, and performance discussions</li><li>
Assist with the implementation, execution, and optimization of APCM, CCM, and RPM programs</li><li>
Ensure compliance with CMS and payer requirements including documentation, time tracking, and patient consent</li><li>
Support documentation impacting risk adjustment and financial performance</li><li>
Review risk stratification reports and participate in interdisciplinary case reviews to provide management of high-risk and rising-risk patient panels.</li><li>
Oversee development and execution of comprehensive, individualized care plans for all patients enrolled in care management programs.</li><li>
Monitor clinical and financial outcomes, including ED utilization, hospital readmissions, care gap closure rates, and reimbursement performance, and adjust interventions to improve results.</li><li>
Ensure timely follow-up for discharges and ED visits</li><li>
Promote patient engagement and self-management</li><li>
Ensure closed-loop referral processes</li><li>
Develop and deliver training for CMC Team as needed</li><li>
Collaborate with Quality, IT, and Revenue Cycle teams to optimize population health tools, dashboards, and reporting systems used for risk stratification, care gap identification, program performance tracking, and payer reporting.</li><li>
Contribute to the development and implementation of advanced value-based care models (e.g., ACO participation) by providing input on care management capabilities, identifying opportunities for improved performance, and supporting readiness assessments as directed by the Value-Based Care Strategy Manager.</li><li>
Optimize care management technologies</li></ul> 
Skills<ul><li>
Care management and population health expertise</li><li>
Leadership and team development ability</li><li>
Value-based care financial and operational understanding</li><li>
Program implementation and workflow optimization</li><li>
Expertise in APCM, CCM, RPM compliance and audit readiness</li><li>
Data analysis and program performance improvement</li><li>
Patient engagement</li><li>
Proficient in use of care management technologies (e.g. EHR based tools, population health platforms, patient engagement platforms, payer portals)</li></ul> 
Required Qualifications<ul><li>
Active RN License required</li><li>
3+ years&rsquo; experience in care management, case management, or population health required</li><li>
1+ year leadership experience required</li><li>
Local travel ability required (Northwest Arkansas and Northeast Oklahoma) required</li></ul> 
Preferred Qualifications<ul><li>
BSN or MSN is preferred</li><li>
5+ years of experience in Case or Care Management or Population Health preferred</li><li>
3+ years of experience leading Case Management or Population Health teams preferred</li><li>
Experience with APCM, CCM, and/or RPM programs preferred</li></ul> 
Why Work at Community Clinic?<ul><li>
Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!</li><li>
Excellent Benefits Package including:<ul><li>
Health, Vision, Dental and Life Insurance</li><li>
403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)</li><li>
Paid Time Off and Holidays</li><li>
Employee Discounts for Care</li></ul></li></ul> 
Monday - Friday 8:00 AM - 5:00 PM 
40 - Hours</div>

Lead Care Manager (RN)

ThedaCare

<div>Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you&rsquo;re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness &ndash;<ul><li>
Lifestyle Engagement<ul><li>
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support</li></ul></li></ul><ul><li>
Access &amp; Affordability<ul><li>
e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul>
About ThedaCare!<div>
Summary :</div>
The RN Care Manager is responsible for coordination of multiple disciplines and resources to facilitate transition of the patient to the appropriate level on the continuum of care. Develops a plan of care to ensure the highest quality care with the best outcomes for the patient in the most cost-effective manner. Integrates decisions of committees into the operation and activities of the department.<div>
Job Description:</div>
KEY ACCOUNTABILITIES:<ul><li>
Utilizes nursing process, evidenced-based practice, and unit-specific competencies to complete an accurate and timely assessment of the patient&rsquo;s needs, goals, preferences, and resources available.</li><li>
Facilitates the development of a plan of care in collaboration with the patient, family, caregiver, and health care team. Determines the appropriate level of care and coordinates the interdisciplinary treatment and plan of care.</li><li>
Arranges appropriate and prompt access to care transition needs, primary care providers, physician specialists, and similar services/equipment as necessary.</li><li>
Evaluates progress toward the goals/expected outcomes of the plan, facilitates the progression of care, and ensures revisions in response to changes in patient needs and condition. Proactively identifies, communicates, and resolves barriers that impede the progression of care.</li><li>
Communicates information effectively to the health care team, patient, caregivers/families, and those involved in the treatment and patient&rsquo;s care.</li><li>
Advocates on behalf of patients/families and caregivers for service access and insurance benefits allowing informed choice within the constraints of regulations, and for the protection of the patient&rsquo;s health, safety, and rights.</li><li>
Evaluates the options available and balances cost and quality to ensure the optimal clinical and financial outcomes.</li><li>
Collaborates with multiple disciplines internally and externally to effectively and efficiently identify and provide available community resources/potential partners, and advocates for resolution of gaps in the available resources.</li><li>
Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for the patient&rsquo;s plan of care.</li></ul>
QUALIFICATIONS:<ul><li>
Bachelor&rsquo;s of Science in Nursing (BSN)</li><li>
Current Wisconsin RN License</li><li>
American Heart Association Healthcare Provider Basic Life Support (BLS)</li></ul>
PHYSICAL DEMANDS:<ul><li>
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance</li><li>
Job classification is exposed to blood borne pathogens (blood or bodily fluids) while performing job duties</li></ul>
WORK ENVIRONMENT:<ul><li>
Climate controlled office setting with daily movement throughout the facility</li><li>
Interaction with department members and other healthcare providers</li></ul>
Position requires compliance with department specific competencies.
1.0 FTE, 12 hour shifts with every 5th weekend on rotation.<div>
Scheduled Weekly Hours:</div>
40<div>
Scheduled FTE:</div>
1<div>
Location:</div>
Corporate 1818 N. Meade Street - Appleton,Wisconsin<div>
Overtime Exempt:</div>
No<div>
Worker Shift Details:</div>
Days</div>

RN Care Manager

Southern Regional

<div>Overview:

We are seeking a Risk and Compliance RN, also known as Risk Management RN. The Risk Manager RN plays a crucial role in ensuring patient safety, reducing hospital liability, and improving overall healthcare quality. This position blends clinical knowledge with risk management strategies to mitigate potential risks that could harm patients, staff, or the organization. They are the vital link between clinical care and risk management, ensuring that the hospital environment is as safe as possible. 
Shift&rsquo;s Available: Days
Employment Type: Full Time
Hours: 8 hour
Location: Southern Regional Medical Center &ndash; Riverdale, GA 
Here are some of the benefits of working at Prime Healthcare:<ul><li>
Health, dental, and vision insurance options</li><li>
Paid vacation, sick time and holidays</li><li>
Bereavement leave, FMLA and other leave options</li><li>
Employer 401K options</li><li>
Tuition reimbursement options
</li><li>Life, disability, and other insurance options</li><li>
Many other amazing benefits</li></ul>
Responsibilities:
<div>
Essential Duties and Responsibilities (includes, but not limited to):</div><ul><li>
Responsible for designing, organizing, coordinating and implementing the Risk Management Program with the objective of controlling and minimizing loss to protect the human, physical and fiscal assets of the organization</li><li>
Is an active participant in performance improvement data collection, activities, and functions to promote an integrated program, which ensures the provision of the highest quality of health care.</li><li>
Collaborates with personnel responsible for safety and security and actively participates in risk-related activities in this area</li><li>
Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management program(s) using data capture, follow up and trend analysis and presents findings to appropriate committees</li><li>
Assists with the development and implementation of initiatives, policies and procedures, including staff education activities, regarding risk reduction/elimination throughout the organization</li></ul>
Qualifications:
<div>
Education and Work Experience</div><ul><li>
Bachelor of Science in Nursing or healthcare related field preferred.</li><li>
Fellow or Diplomat of American Society of Healthcare Risk Managers Associate in Risk Management (ARM) or Certified Professional in Healthcare Risk Management (CPHRM), preferred.</li><li>
Five years clinical or management experience in a multidisciplinary health care setting which includes a minimum of two years of inpatient experience preferred.</li><li>
Experience in risk management and/or professional liability claims management preferred.</li><li>
Should be knowledgeable about current State Laws and Regulations as applicable to facility.</li></ul>
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/<div> 
#LI-HM1</div> 
<div></div>
Employment Status: Full Time Shift: Variable Equal Employment Opportunity:
<div>
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf</div></div><div></div>

Risk and Compliance RN

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