RN Case Manager
Brookdale · Tyler, TX · 1 wk ago
HybridHealthcareFull-time
Responsibilities
- Serves as a liaison among Brookdale teams, residents, families, and healthcare providers within our communities.
- Identifies, coordinates, communicates, and implements services essential for enhancing residents' quality of life and achieving an optimal level of wellness.
- Works closely with primary and specialty care providers to formulate resident-specific care plans.
- Assists in assessing the health, functional, and psycho-social status of residents.
- Coordinates services required to enhance optimum wellness and manage chronic conditions.
- Collaborates with hospice, palliative, and home health services/therapy as indicated.
- Provides advanced care planning education to residents and families/responsible parties.
- Communicates with healthcare providers to ensure care delivery is consistent with the resident’s Advanced Care Plan(s).
- Participates in collaborative care reviews (CCR) and care conferences.
- Provides resources for residents and families to make informed decisions regarding choices in meeting healthcare needs.
- Applies quality improvement methodology to analyze, enhance, and manage outcomes, striving to achieve quality measure goals.
- Collaborates with Health and Wellness Directors (HWD) to ensure compliance with service plans.
- Facilitates continuity of care for those residents receiving home health care, hospice services, and other third-party healthcare-related services.
- Completes documentation as required by Brookdale or state regulatory agencies.
Qualifications
- Graduate from Accredited Nursing School and a minimum of 5-7 years of relevant experience required.
- Knowledge of value-based care models is preferred.
- Experience working in SNF and HH environments preferred.
- Previous Care Management, Case Management, or Care Coordination preferred.
- RN license required.