Resident Care Manager. Sunday -Thursday. 9a-530p

Resident Care Manager Job Category: Resident Care/Healthcare Employment Type: Full Time - Exempt Department: Integrated Care Location: New York, NY Position Summary: The Care Manager is responsible for ensuring that all residents have a person-centered, Individualized Service Plan (ISP) based on each resident's goals, capabilities, interests, and physical, spiritual, and cognitive needs. This position functions in collaboration with all members of the interdisciplinary team, including the resident, family, PCP, specialists, acute and post-acute providers, to coordinate and facilitate quality care while minimizing fragmentation of the care and service delivery system for Inspīr residents. The Care Manager is responsible for performing comprehensive assessments on residents at regular intervals and as needed so that the ISP is always up to date. The role includes a compendium of care management/care coordination functions geared towards the development and implementation of an ISP that promotes whole-person wellness, and avoids unnecessary utilization of EMS, ED, hospital admissions/re-admissions and SNF stays or pre-mature discharge. Essential Functions: Provide care management services, psychosocial support and community linkages to Inspīr residents; In collaboration with the interdisciplinary care team and external provider partners, integrate and coordinate wellness, primary care, behavioral health, rehab, pharmacy, acute, subacute, palliative, and hospice services to residents to optimize outcomes Provide psychosocial support, consultation and community linkages/resources to family members of residents, including helping navigate the complexities of the healthcare system Perform comprehensive assessments on residents requiring advanced assessment/care planning; or who may be experiencing acute episodes, crises, exacerbation of chronic conditions, or transitions of care. Assessments may be performed in various settings including home, community, hospital or SNF Perform post discharge assessments from acute facilities or skilled nursing facilities to include care coordination, resident/family education, and Post D/C Action Plan designed to promote wellness and avoid readmission Communicate regularly with Interdisciplinary Team members, external providers and resident family members regarding resident status, changes in condition, or updates to care plan Participate in regular RCT meetings, external provider partner meetings, and liaise with community based providers as needed Act as a clinical resource and mentor to Inspīr staff and other members of the Interdisciplinary Team providing advanced clinical knowledge, skill, and expertise and consultation and support; Help to foster clinical excellence, accountability, and reliability among team members Ensure complete, timely and appropriate documentation of encounters and care management duties and activities in the EHR and external EHRs as indicated Be readily available and accessible via phone, email and text during working hours and respond to requests promptly Actively participate in self-performance evaluations and engage in continuing education to maintain advanced competency Participate in ongoing quality improvement efforts and initiatives Contribute to innovation efforts and participate in innovation pilots Manage and build professional relationships with geriatric professionals and similar professional colleagues Demonstrate innovative, entrepreneurial thinking in response to competitive trends and business development opportunities and respond/adapt to market/industry trends Consult/collaborate with Inspīr senior leadership Provide mentoring and shadowing experiences to new team members to aid in their orientation and onboarding Participate in professional growth, development and education opportunities in an effort to be relevant and current for ongoing changes/trends in geriatric care, aging, Alzheimer's disease, related dementias, and other best practices Education/Experience/Licensure/Certification: Minimum of Bachelor-level NY-state licensed Registered Nurse (RN) in good standing, preferably with advanced degrees/training and certification(s) Minimum of 1 year of care management experience Minimum of 2 years' experience in hospital, senior living, LTC, SNF, and/or home health care Minimum of 2 years working with elder adult population with complex medical needs including dementia Basic first aid and CPR certification Proficiency with Microsoft Word and Excel and use of Electronic Medical Record Why You'll Love Working With Us: Innovative Culture: We are a group of smart, forward-thinking and compassionate pros dedicated to enhancing the lives of our residents through service excellence, creative and meaningful programs and continuous innovation. HEART: We recognize Humor, Empathy, Autonomy, Respect and Trust as core values that guide our work. Growth Opportunities: We promote and foster career development and continuous learning. Work-Life Balance: We value autonomy, flexibility and a family-friendly supportive workplace. Competitive Comp and Benefits: We offer a competitive compensation package, bonus, health insurance, 401K with match, paid time off, and more. Inspir believes in rewarding top talent and dedication, depending upon years of experience and commitment to the company. Inspir strives for transparency, reviewing pay periodically, to be the industry leader in recruiting talent like you! Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. Inspīr Senior Living