Nurse Care Manager MSSP

*POSITION DESCRIPTION* MSSP uses a team approach to care management.
The Nurse Care Manager is responsible for the health evaluation of the client and development and delivery of health-related services to promote independent living.
The Nurse Care Manager (NCM) will work closely with a Social Work Care Manager to assess needs, and to plan, coordinate and monitor care.
The NCM must also maintain open communication and cooperative working relationships with other case management team members.
The NCM is a liaison between MSSP and the medical community.
*EDUCATION & EXPERIENCE* RN certificate and current California License.
A minimum three (3) years of general nursing experience with experience in public health nursing or related field.
Experience in assessment and/or the care of the elderly is also required.
*REQUIRED KNOWLEDGE, SKILLS, & ABILITIES* · Ability to relate to the frail elderly in a caring and non-judgmental manner and to relate to professionals and caregivers.
· Sensitivity and awareness of client’s rights, wishes and needs.
· An in-depth understanding of the effects of drugs on elderly, as well as a basic grasp of Gerontological assessment skills.
· Ability to interview and perform comprehensive assessments of client health conditions, health habits, cognition, environment and needs.
· Ability to understand the psychological/medical needs of the elderly in order to formulate a creative and cost-effective Care Plan.
· Ability to relate to, and communicate effectively with, physicians, discharge planner, home health providers and representatives of the helping bureaucracies.
· Ability to evaluate and interpret client’s health needs to staff, physicians and other service providers.
· Ability to network, develop and maintain positive working relationships with community agencies, service providers, and the health care team.
· Ability to exercise sound judgment in problem solving.
· Ability to organize time and set priorities.
· Ability to communicate difficult ideas clearly in oral and written form.
· Ability to work in a cooperative and harmonious manner as a member of the multidisciplinary team.
· Ability to assess homes for safety and handicap modifications.
· Be able to transport supplies and equipment to client homes.
· Be able to work in stressful situations.
· Be able to respond to occasional job demands which extend beyond the usual work day.
· Be able to work with individuals with communicable diseases.
· Maintain the boundaries of a professional relationships with clients.
· Ability to read and interpret documents and procedure manuals.
· Must be able to write routine reports and correspondence.
· Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
· Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.
Ability to use a calculator a must.
· Demonstrates attention to detail.
· Ability to cultivate and maintain cohesive working relationships with coworkers.
· Works well in group problem solving situations · Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions.
· Writes clearly and informatively; edits work for spelling and grammar; able to read and interpret written information.
· Must be able to operate a computer, related equipment and software.
· Ability to manage time and tasks in order to meet strict deadlines while maintaining quality of work.
*ROLES & RESPONSIBILITIES* The NCM must evaluate the potential client as a total person and identify the functional and health limitations that impede independent living.
The NCM is responsible for the follow activities: · Conduct in-depth assessments and/or reassessments covering medical, health, and rehabilitation concerns.
· Certify level of care determinations.
· Perform physical assessments as necessary and interpret clinical findings.
· Work with physicians and other health professionals.
· Consult with SWCM · Collaborate in the development of the care plan.
· Implement the services detailed in the care plan.
· Conduct follow-up and monitoring of client’s needs and care plan.
· Identify and develop support systems for the client.
· Case recording and reporting.
· The duties of this position include, but are not limited to the above responsibilities.
This job description is not permanent and serves as a guideline that can normally be expected to change when appropriate.
· From time to time, employees are asked to perform duties and handle responsibilities that are not in their job descriptions.
If, over the months, the new duties and responsibilities remain a significant part of the assignment, the job description is changed.
*PHYSICAL DEMANDS* The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations will be made to enable individuals with disabilities to perform these functions provided those accommodations pose no danger or threat to the employee, staff, clients, vendors, etc.
, or create undue hardship for the agency or its staff.
While performing the duties of this job, the employee is required to have ordinary ambulatory skills sufficient to visit other locations, and the ability to stand, walk, stoop, kneel, crouch, and manipulate (lift, carry, move) light to medium weights of 10-50 pounds.
Requires good hand-eye coordination, arm, hand, and finger dexterity, including ability to grasp, and visual acuity to use a keyboard.
The employee frequently is required to sit for long periods of time, reach with hands and arms, talk and hear.
Ability to operate a motor vehicle in order to visit other sites, and run errands required.
*WORK ENVIRONMENT* Remote workspace.
*ADDITIONAL REQUIREMENTS* · All employees must pass a State and Federal Live Scan background check before the start of employment.
· All employees of Community Care must carry a minimum California state liability insurance on vehicles used for work.
· Community Care is an equal opportunity employer and makes employment decisions based on merit.
Agency policy prohibits unlawful discrimination based on race, color, creed, marital status, sexual orientation, gender identity, age, national origin or ancestry, physical or mental disability, medical condition, gender, pregnancy or any other consideration made unlawful by Federal, State or local laws.
· Community Care is an at will employer.
Employment with Community Care is for an indefinite period of time and is subject to termination by the employee or Community Care, with or without cause, with or without notice, and at any time.
Job Type: Full-time Pay: $32.
47 - $38.
80 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Medical specialties: * Geriatrics * Home Health Schedule: * 8 hour shift * Day shift * Monday to Friday Work setting: * Office Work Location: In person