The Registered Nurse Case Manager performs daily coordination of acute and post-acute care with facility staffing. The RN Case Manager actively assists providers and facility staff in managing InnovAge admitted participants by facilitating care through interaction with facility departments and community services. Reviews for medical necessity and level of care appropriateness in collaboration with the InnovAge IDT while coordinating post-facility discharge planning and support utilization review and improvement activities. The role aims to optimize positive health outcomes and prevent hospital readmissions by focusing on the transitional care period. Participant Nursing Care Coordination – 70% Assesses, develops, plans, and evaluates care provided to participants while admitted to hospital settings via facility EMR and discussions with facility staff. Collaborates with providers, other members of the interdisciplinary health care team, and patient/family in the development, implementation, and documentation of appropriate, individualized plans of care to ensure continuity, quality, and appropriate resources upon discharge. Participates in the daily IDT meeting and formulating Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate, and monitor the care of InnovAge PACE program participants. Recommends alternative levels of care and ensures compliance with federal, state, and local requirements. Collaborates with facility staff to develop and coordinate the implementation of a discharge plan to meet participants’ identified needs. For participants discharging to home, coordinates with IDT to identify new equipment and/or service needs. Communicates the plan to providers, patients, family/caregivers, staff, and appropriate community agencies. Ensures scheduling of appointments for post-discharge care for primary care and/or home care visits and ensures priorities are made based on participants’ needs. When appropriate, provides participants with verbal education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Documents all necessary information and maintains participant medical record(s), and fulfills agency charting and reporting requirements. Complies with all regulatory and policy, and procedure guidelines. Utilization Management – 30% Maintains an ongoing list of participants who are currently hospitalized and obtains daily updates regarding their condition and discharge plans. Relays these updates to IDT daily. Maintains an ongoing list of participants receiving skilled services in a SNF. Relays updates to IDT as appropriate. Sends any clinical updates, therapy evaluations, discharge summaries, etc., received from hospitals to IDT for review. Participates in IDT discussions of ongoing SNF stays, aware of reasons for long stays and barriers to discharge. Closely monitors all patients at skilled status within SNFs, including short-stay and long-stay residents, working with the IDT to ensure that skilled status is only provided when necessary and for the minimum number of needed days. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Maintains and reviews participant records, charts, and other pertinent information. Requests documents of hospital stay and diagnostic results for participant records when needed. Effectively communicates in interdisciplinary team meetings, family meetings, and clinic meetings. Identifies relevant staff involved in discharge planning at frequently used hospitals and maintains ongoing relationships with these staff members. Visits the PACE center, hospitals, and contracted SNFs quarterly to build relationships REQUIRED Associate degree in nursing Current State-issued Registered Nurses License Current First Aid and BLS certifications are required prior to hire . Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross. PREFERRED 3 years coordinating care and discharge planning 3 years health care experience with emphasis in geriatrics Bachelor’s degree in nursing Bi-lingual Certification as a Gerontological Nurse InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $92,900 - $120,800 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
***$1000 Signing Bonus!! The In Home Services CNA is responsible for providing routine care and assisting participants or clients with activities of daily living, restorative and supportive care. Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties. Follows plan of care and assists participants with activities of daily living such as bathing, dressing, grooming, hair care, mouth care, eating, hand and toileting as assigned or needed. Documents care provided in accordance with established policies, guidelines and applicable regulations Carries out, reports and documents care given in an effective, timely manner as observed by the RN and through periodic record reviews. Participates in the care planning of participants through cooperation with the multidisciplinary teams. Monitors participants’ health status by taking vital signs and weights (monthly). Monitors appetite in addition to looking for changes in functional ability and checking skin condition while assisting with toileting. Monitors/assists participants in a courteous manner with meals and provides assistance with feeding as necessary. Assists participants with restorative and supportive care such as ambulating, positioning, transferring, skin care, catheters, fills oxygen and provides other aides as assigned or needed. Monitors participants’ health status such as vital signs, weights, skin condition, appetite and changes in functional ability and reports pertinent information to clinical supervisor in a timely manner. Reports any variance, accident or unusual occurrence to the appropriate personnel. Attends in-service and continuing education programs as scheduled and necessary. Perform nursing assistant services to clients in their place of residence Attends position related in-services. Attends all mandatory in-service programs as scheduled; minimally 12 hours/year Participates in QM activities as requested. Completes appropriate visit records in a timely manner as per Agency policy Performs simple procedures as an extension of the therapy or nursing services as assigned. Performs household services essential to health care in the home as assigned. Does not accept assignments for a patient with special needs for which he/she has not received appropriate training. Additional work functions and duties may be assigned REQUIRED Current and valid state issued Certified Nursing Assistant (CNA) license Current First Aid and BLS certifications are required prior to hire . Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross. Require personal transportation, current state issued driver’s license, good driving record and auto insurance as required by law A minimum of one year experience working the frail or elderly. High School Diploma / GED or relevant work experience in lieu of education. PREFERRED Bi-lingual InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $19.23-$23.08 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
The Clinic RN (Registered Nurse) provides skilled nursing care in accordance with InnovAge policies and all applicable regulations to participants. Assists in the examination, testing, and treatment of participants. Implements orders written by primary care providers. Triages participant and staff phone calls to determine the priority of care and routes accordingly. Schedules outside appointments for participants when necessary. Administers prescribed medications and treatments. Provides training to participants in self-administration of applicable medications and monitors medication compliance. Documents all necessary information and maintains participant medical record(s). Provides health counseling and education to participants and their families. Observes, records, and reports participant’s condition and reaction to drugs and treatments to providers. Assist with clinical teaching and clinical supervision of CNA Day Center staff. Develops, implements, and maintains a current nursing care plan. Supervises LPN/LVN’s and Medical Assistants in addition to evaluating the overall effectiveness of the clinic in the absence of the Nursing Services Director/Clinic Nurse Supervisor. Ensure that exam rooms and/or triage area is stocked for necessary supplies and materials and that appropriate staff maintains a list of medical supplies. Effectively communicates and actively engages in interdisciplinary team meetings, family meetings, and clinic meetings. Participates within the interdisciplinary team in the formulation of Plans of Care participants, as well as in other interdisciplinary team settings. May be required to provide after hours and holiday coverage. Complies with all regulatory and policy and procedure guidelines. REQUIRED Current State issued Registered Nurse License Current First Aid and BLS certifications are required prior to hire . Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross. 1+ yr working with the frail or elderly PREFERRED Bachelor’s degree in nursing 1+ yr acute care nursing 3+ yrs health care experience with emphasis in geriatrics Bi-lingual-Spanish, Russian, Punjabi, or Hmong InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $44.66 - $58.08 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
The Clinic RN (Registered Nurse) provides skilled nursing care in accordance with InnovAge policies and all applicable regulations to participants. Assists in the examination, testing, and treatment of participants. Implements orders written by primary care providers. Triages participant and staff phone calls to determine the priority of care and routes accordingly. Schedules outside appointments for participants when necessary. Administers prescribed medications and treatments. Provides training to participants in self-administration of applicable medications and monitors medication compliance. Documents all necessary information and maintains participant medical record(s). Provides health counseling and education to participants and their families. Observes, records, and reports participant’s condition and reaction to drugs and treatments to providers. Assist with clinical teaching and clinical supervision of CNA Day Center staff. Develops, implements, and maintains a current nursing care plan. Supervises LPN/LVN’s and Medical Assistants in addition to evaluating the overall effectiveness of the clinic in the absence of the Nursing Services Director/Clinic Nurse Supervisor. Ensure that exam rooms and/or triage area is stocked for necessary supplies and materials and that appropriate staff maintains a list of medical supplies. Effectively communicates and actively engages in interdisciplinary team meetings, family meetings, and clinic meetings. Participates within the interdisciplinary team in the formulation of Plans of Care participants, as well as in other interdisciplinary team settings. May be required to provide after hours and holiday coverage. Complies with all regulatory and policy and procedure guidelines. REQUIRED Current State issued Registered Nurse License Current First Aid and BLS certifications are required prior to hire . Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross. 1+ yr working with the frail or elderly PREFERRED Bachelor’s degree in nursing 1+ yr acute care nursing 3+ yrs health care experience with emphasis in geriatrics Bi-lingual-Spanish, Russian, Punjabi, or Hmong InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $41.73-$54.28 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
The Eligibility RN is part of the In-Home Services team and partners with the local Enrollment team to determine if prospective participants meet the guidelines for enrolling in the PACE program. Schedules and conducts home visits, to make level of care assessments to appropriately determine participant eligibility. Completes respective documentation, in close collaboration with the InnovAge Primary Care Physician, and compiling supporting documentation for enrollment. Participates and assists with outreach programs. Serve as member of the Interdisciplinary Team (IDT), and coordinate appointments for prospects that require further assessments by other IDT members. Participates in the case management of peer review of client records and provides consultation to case managers and other staff members regarding medical and nursing issues. Maintain knowledge and expertise in eligibility, enrollment, and program specifications for the Federal and State health coverage programs Medicare and Medicaid, and specifically as those guidelines apply to the Program of All Inclusive Care for the Elderly (PACE). As a member of the In Hom Services team, assists in completing in home assessments, reassessments, supervisory visits, and routine RN care as scheduled and needed by department. REQUIRED Associate degree from accredited nursing school. Current Registered Nurses License in state in which working. Current First Aid and BLS certifications are required prior to hire . Acceptable vendors for certifications are from either American Heart Association and/or American Red Cross. 3+ years health care experience with emphasis in geriatrics 1+ year working with the frail or elderly. PREFERRED Bachelor’s in nursing. Certification as a Gerontological Nurse Prior experience working with State and Federal Regulators Bi-lingual InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. $44.66-$58.08 Compensation Disclaimer The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity. InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays. Agency Disclaimer InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
