RN Case Manager
Brookdale Senior Living
- Lakeway, TX
- $75,610-96,324 per year
- Permanent
- Full-time
- Tuition Reimbursement
- Pet Insurance
- Adoption Reimbursement Benefits
- Variety of Associate Discounts
- Collaborates with community Health and Wellness Director (HWD) to coordinate and communicate care for each resident.
- Reviews current population’s medical diagnoses to identify care needs. Assists in assessing the health, functional, and psycho social status of residents.
- Coordinates services required to enhance optimum wellness and manage chronic conditions.
- Assists resident with developing and implementing personalized, holistic care plan.
- Collaborates with hospice, palliative and home health services/therapy as indicated.
- Participates in collaborative care reviews (CCR) and care conferences.
- Assists in the achievement of occupancy goals by monitoring the health, safety and well-being of residents, and proactively identifying those at risk for move out. Implements timely problem solving.
- Educates and explains Brookdale’s care pathways as determined by individual diagnosis and healthcare needs.
- Provides resources for residents and families to make informed decisions regarding choices in meeting healthcare needs.
- Effectively advocates for residents and their families the benefits of residing and receiving care and services at the community.
- 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 resident’s Advanced Care Plan(s).
- Applies quality improvement methodology for analyzing, improving and managing outcomes; collaborates with HWD to ensure compliance with service plan.
- In collaboration with Clinical Coordinators where applicable, provides oversight, coordination and family communication when necessary during resident hospitalization and rehab stays. Ensures return to community where appropriate.
- Communicates information in a timely manner to the appropriate care provider regarding changes in residents’ health/well-being, personal needs, risk management issues, customer service issues, family, or outside health care provider concerns.
- Maintains working knowledge of all Brookdale business lines (Independent Living, Assisted Living, Memory Care, Clare Bridge Crossings, Skilled Nursing Care, Home Health, Hospice, and Personalized Living).
- Facilitates continuity of care for those residents receiving home health care, hospice services, and other third party healthcare- related services. Partners with Brookdale Healthcare Services (BHS) and BHS Care Transition Managers to determine appropriate resident solutions.
- Completes documentation as required by Brookdale or state regulatory agencies.
- When residents return to the community after an inpatient admission, ensures appropriate care transitions protocols are being met.
- Completes other duties as assigned.
Education as required to obtain state nursing license (RN) and a minimum of 2-3 years relevant experience.Certifications, Licenses, and other Special Requirements
RN license required.Management/Decision Making
Uses independent critical thinking judgment to make decisions based on protocols and established guidelines. Solves problems using standard procedures and protocols.Knowledge and Skills
Has a working knowledge of a skill or discipline that requires basic analytic ability. Has an overall understanding of the work environment and process. Has working knowledge of the organization.Physical Demands and Working Conditions
- Standing
- Walking
- Sitting
- Use hands and fingers to handle or feel
- Reach with hands and arms
- Climb or balance
- Stoop, kneel, crouch crawl
- Ability to lift: up to 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