RN Care Manager (PACE)

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente.

Requirements

• Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
• Raise the bar by constructively seeking and sharing feedback to improve clinical outcomes and experience for participants.
• Exhibit and honor Habitat’s Values.
• Participate and facilitate Interdisciplinary Team (IDT) meetings.
• Conduct face-to-face nursing assessments.
• Deliver personalized care for a panel of participants.
• Deliver and document nursing interventions.
• Provide case management longitudinally and during transitions of care.
• Coordinate all aspects of care delivery.
• Triage in the outpatient setting.
• Educate participants, caregivers, and team members on care plans.
• Aid with wound care, IVs, and other procedures.
• Delegate tasks to MA and LVNs.
• Remotely take after-hour calls.

Benefits

• Medical/dental/vision insurance
• Short and long-term disability
• Life insurance
• Flexible spending accounts
• 401(k) savings
• Paid time off
• Company-paid holidays