RN Care Manager - Evansville

Job Description

RN Care Manager - PACE Program

Location : Evansville, IN

Full Time | Salary : $85,000 - $95,000

Field visits and occasional on-call required

A well-established PACE (Program of All-Inclusive Care for the Elderly) organization is seeking an experienced and mission-driven RN Care Manager to join its interdisciplinary team. This role is ideal for a nurse who thrives in a community-based care model and enjoys working closely with older adults across clinic, center, home, and facility settings.

Position Summary

The RN Care Manager is responsible for assessing participants' care needs, providing nursing interventions, evaluating outcomes, and collaborating closely with the interdisciplinary team (IDT) to develop comprehensive, person-centered care plans. This role includes field visits, clinic-based care, and participation in the on-call rotation to support participant needs.

Key Responsibilities

• Provide high-quality clinical care as a member of the PACE interdisciplinary team
• Deliver nursing care in the center, clinic, contracted facilities, and participant homes based on individualized care plans
• Participate in the 24 / 7 on-call triage rotation
• Assess, plan, and coordinate home care services; provide nursing input to the IDT for home care interventions
• Monitor acute and chronic care needs, coordinating care to support aging in place or optimal facility placement
• Follow up on specialist visits, gather documentation, and ensure timely communication with providers
• Reconcile medication administration records (MARs) monthly for assigned participants
• Notify participants of normal test results and ensure timely documentation
• Complete nursing assessments and implement nursing-related care plan interventions
• Educate participants, caregivers, and families on self-care, medications, safety, and health promotion
• Review and update goals and care approaches with participants, caregivers, and the IDT
• Collaborate with IDT members and participate in all team meetings
• Assist team members in understanding participants' functional and nursing needs
• Perform responsibilities of Home Care Coordinator or other licensed roles as needed
• Participate in quality improvement projects, staff meetings, and training
• Evaluate competence of CNAs and Home Care Aides; delegate tasks as appropriate
• Maintain confidentiality and follow all PACE, OSHA, and infection control protocols

Qualifications

Pre-Employment Requirements

#AC1

#ACP