- Complex care experience
- Efficient and Effective computer skills including navigating multiple systems and keyboarding
- Proficiency using Gmail application
- Strong writing skills, capability to succinctly document all activities with complete nursing notes in secure online charting system.
- Serves as the contact, advocate and resource person for clients, families, providers and community partners
- Evaluates, identifies, and effectively coordinates clinical resources and community resources to meet the needs of clients/families
- Collaborates with the Director of Care Management and other key stakeholders in the clients' healthcare in overcoming barriers in meeting goals and objectives
- Demonstrates a high level of clinical care competency specific to assessment skills, problem solving and critical thinking, solutions-based approach, crisis issues and discharge planning
- Develops supportive professional relationships with clients, families, providers, and natural supports
- Facilitates routine care conferences as appropriate
- Performs initial and periodic client assessments to understand and identify clients' physical, behavioral health and social determinants strengths, barriers, and clinical needs to evaluate medical history and current status
- Advocates for clients at home, in the hospital or other facility, and with medical appointments to ensure quality and continuity of care
- Performs management of medications and complex care through collaboration with appropriate resources and entities
- Possesses knowledge of local community resources
- Ability to be on call rotation and cell phone responsive to client calls
- Creates and implements a care management care plan that addresses client gaps and barriers identified in the assessment that is mutually agreed upon by the client/family
- Evaluates the effectiveness of the care plan in meeting established care goals; Documents care management activity in the electronic medical record per company policy
- Assumes responsibility for special projects as needed, not stated in this role description
- Medical/Dental/Vision Insurance
- Health Savings Account
- Flexible Spending Account
- Employee Assistance Program
- Flexible PTO Plan for Exempt Employees
- Holidays and Floating Holidays
- TheKey prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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RN Care Manager - Delray Beach, FL, United States - TheKey LLC
Description
RN Care ManagerFor nearly 20 years, TheKey has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care.
Ensuring the dignity, safety, and independence of its clients, TheKey is committed to changing how the world lives and ages at home.
Employee-teams get the training, resources, and support they need to deliver an exceptional care experience for clients and their families.
View our video to learn more about TheKey.This RN Care Manager is responsible for providing comprehensive support to clients and their families dealing with the complexities of care and aging.
The RN Care Manager has the opportunity to make a positive impact for clients with complex health issues.With compassionate attention and excellent communication, the RN Care Manager will collaborate with clients and their families, providers, and community resources to address the full continuum of our clients' health care needs using a holistic, person-centered approach.
Care management services will assist clients in achieving optimal quality outcomes through advocacy, harmonizing doctors, medications and minimizing the fragmentation of healthcare delivery systems.
Minimum of 5 years of case/care management experience
