RN Case Manager - TRU - PACE - Clinic

Founded as Boulder Hospice in 1976, TRU Community Care is a nonprofit healthcare organization serving Boulder, Denver, and surrounding counties. With a mission to affirm life at every step of the journey with illness and loss, TRU provides a continuum of care through TRU Hospice, TRU PACE (Program of All-Inclusive Care for the Elderly), TRU Palliative Care, TRU Grief Services, and Landmark Memory Care.


Title: RN Case Manager

Schedule: Monday-Friday, 8am to 5pm

Pay: $88,067 to $105,680 per year

Clinic RN Case Manager

Job Summary

The Clinic RN Case Manager plays a vital role in coordinating patient care and services in collaboration with the interdisciplinary team (IDT) and contracted providers. This position delivers skilled nursing care to program participants, ensuring the highest quality outcomes in alignment with PACE policies and regulatory standards.

This role includes triaging and assessing participants, implementing physician and nurse practitioner orders, developing individualized care plans, and providing education to participants and their caregivers. The RN Case Manager serves as a central communication point, keeping the care team informed of participant conditions and needs.

Key Responsibilities

Care Coordination & Clinical Practice

• Coordinate participant care proactively with the interdisciplinary team to optimize outcomes.
• Perform initial and annual participant assessments to identify needs and ensure appropriate services.
• Develop, implement, and manage individualized care plans.
• Provide skilled nursing care, including administering medications and treatments in accordance with standards.
• Implement physician and nurse practitioner orders accurately and in a timely manner.
• Manage and maintain accurate participant medical records in accordance with PACE standards.
• Assist with hospital, rehabilitation, and long-term care admissions and transitions.

Interdisciplinary Team Collaboration

• Actively participate in all IDT meetings, communicating participant status and contributing to care planning.
• Collaborate with internal teams and external contracted providers (e.g., nursing homes, labs, medical equipment vendors).
• Maintain effective communication with leadership and escalate concerns as appropriate.

Quality & Compliance

• Participate in the PACE Quality Assurance and Performance Improvement (QAPI) program.
• Identify opportunities for process and quality improvements and contribute to initiatives.
• Ensure compliance with PACE policies, OSHA guidelines, and infection control practices.
• Maintain participant confidentiality and uphold HIPAA standards.

Operational Excellence

• Manage a participant panel and ensure timely, high-quality care delivery.
• Balance multiple priorities and work independently with minimal supervision.
• Participate in the on-call rotation and ensure appropriate follow-up on after-hours concerns.
• Maintain professional certifications and affiliations.

Qualifications

Education & Licensure

• Associate Degree in Nursing (ADN) required; BSN preferred.
• Active Registered Nurse (RN) license in good standing.
• Current BLS/CPR certification (or ability to obtain within 60 days of hire).

Experience

• 2-3 years of experience as a Registered Nurse required.
• Experience working with frail or elderly populations preferred.
• Experience supporting individuals with mental health conditions preferred.
• Experience working within an Interdisciplinary Team (IDT) model preferred.
• Familiarity with Electronic Medical Records (EMR) systems.
• Experience in care coordination or case management strongly preferred.

Skills & Competencies

• Strong clinical assessment and critical thinking skills.
• Excellent communication and collaboration abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong organizational and documentation skills.
• Commitment to compassionate, participant-centered care.

Why Join Us?

• Be part of a mission-driven PACE program focused on improving the lives of older adults.
• Collaborative, interdisciplinary team environment.
• Opportunity to make a meaningful impact in coordinated, patient-centered care.

TRU's Benefits (Eligibility Varies by Position/Status):

• Paid Vacation time
• 401(k) with match
• Health, dental, vision & life insurance
• FSA & HSA available
• Paid orientation
• Paid training
• PSLF Eligible Employer
• Referral & signing bonuses (if applicable)

To learn more about TRU Community Care, please visit

TRU Community Care is an Equal Opportunity Employer