RN Care Manager

Brookdale Senior Living -RN Care Manager - Registered Nurse (RN) Required

Brookdale HealthPlus is a unique service offered to our senior living residents and the RN Care Manager position is an exciting new role designed to enhance healthcare services within Brookdale's assisted living and memory care communities. The Brookdale HealthPlus program is offered in limited Brookdale locations and this is a unique opportunity to introduce Brookdale HealthPlus to the Orlando area. This role offers the opportunity to redesign the way care is provided at Brookdale.

Prior experience as a care manager, case manager, care navigator supporting chronic disease management is a plus. Experience using robust electronic charting systems and data interpretation a plus.

Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.

Base pay in range will be determined by applicant's skills and experience. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.

Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

The application window is anticipated to close within 30 days of the date of the posting.

Responsibilities

The RN Care Manager serves as a liaison among Brookdale teams, residents, families, and healthcare providers within our communities, promoting coordination, communication, and collaboration at Brookdale's HealthPlus communities. This role encompasses the identification, coordination, communication, and implementation of services essential for enhancing residents' quality of life and achieving an optimal level of wellness. Works closely with primary and specialty care providers to formulate resident-specific care plans, ensuring that the delivery of medically necessary services aligns with established care plans. Serves as a resident advocate and actively contributes to identifying and improving service delivery, closing gaps in care, and understanding key interventions and care protocols relevant to treating residents in place.

1. Educates and explains Brookdale's care pathways as determined by individual diagnoses and healthcare needs.
2. Monitors and communicates quality performance measures, and assists with training and education of teams to ensure quality outcomes for residents. This involves effective communication and collaboration with providers and other healthcare entities, such as managed care coordinators, insurance providers, and external healthcare partners responsible for coordinating resources and supplies pertinent to resident needs.
3. Reviews the current population's medical diagnoses to identify care needs. Assists in assessing the health, functional, and psychosocial status of residents.
4. Coordinates services required to enhance optimal wellness and manage chronic conditions.
5. Supports implementation of value-based care initiatives that enhance resident outcomes, quality, and care coordination.
6. Advances value-based care practices through interdisciplinary collaboration and continuous quality improvement.
7. Collaborates with hospice, palliative care, home health, and therapy services as indicated.
8. Provides advanced care planning education to residents and families/responsible parties. Helps ensure each resident has a completed Advanced Care Plan, inclusive of goals of care. Communicates with healthcare providers to ensure care delivery is consistent with the resident's Advanced Care Plan(s) Participates in collaborative care reviews (CCR) and care conferences.
9. Provides resources for residents and families to make informed decisions regarding choices in meeting healthcare needs and effectively champions the benefits of residing and receiving care and services at the community. This includes informing them about opportunities to enhance care and the benefits of an IE-SNP plan or other benefit opportunities.
10. Applies quality improvement methodology to analyze, enhance, and manage outcomes, striving to achieve quality measure goals. Collaborates with Health and Wellness Directors (HWDs) to ensure compliance with service plans, while working with providers to attain value-based outcomes for our residents. This includes coordinating and communicating care for each resident.
11. Provides oversight, coordination, and family communication during resident hospitalizations and rehabilitation stays. Supports a safe and timely return to the community when clinically appropriate.
12. Communicates information promptly to the appropriate care provider regarding changes in residents' health/well-being, personal needs, risk management issues, customer service issues, and concerns raised by families or outside healthcare providers.
13. Facilitates continuity of care for those residents receiving home health care, hospice services, and other third-party healthcare-related services.
14. Completes documentation as required by Brookdale and applicable state regulatory agencies.
15. Collaborates with the Sales Manager to educate prospective residents, families, referral sources, and community partners on the value of Brookdale HealthPlus and the RN Care Manager role
16. Participates in business development activities, including periodic outreach to physicians, advanced practice providers, hospitals, and other healthcare professionals within the greater community to promote awareness of Brookdale HealthPlus.

This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.

Qualifications

• Graduate from Accredited Nursing School and a minimum of 5-7 years of relevant experience required.
• Knowledge of value-based care models is preferred.
• Experience working in SNF and HH environments preferred.
• Previous care management, case management, or care coordination experience preferred.

Certifications, Licenses, and other Special Requirements Active RN license in good standing required.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Stoop, kneel, crouch crawl
• Ability to lift 50 pounds
• Vision
• Requires interaction with co-workers, residents or vendors
• Occasional weekend, evening or night work if needed to ensure shift coverage
• On-Call on an as needed basis
• Possible exposure to communicable diseases and infections
• Potential injury from transferring, repositioning, or lifting residents
• Exposure to latex
• Possible exposure to blood-borne pathogens
• Possible exposure to various drugs, chemical, infectious, or biological hazards
• Subject to injury from falls, burns, odors, or cuts from equipment
• Requires Travel: Frequently

Brookdale is an equal opportunity employer and a drug-free workplace.