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LVN / RN Care Manager

Job Details

Santa Cruz, CA

Description

As a care manager, your responsibilities include coordinating, collaborating, and supervising care in the client’s home in a safe and dignified manner. The care manager assesses the healthcare status of the clients, identifies problems and needs, and develops a care plan based on the assessment. Some duties of a care manager include care consultations, health and safety assessments, placement assistance, and advice about ongoing care in a safe environment. Lead liaison for Veterans Administration Home Care Contract, facilitating assessments, home care services, follow-up periodic re-assessments, communication with the VA, and discharge of Lifespan Services. A care manager provides training, orientation, and supervision of home care aides.

Qualifications

Qualifications

  • Graduate of an accredited nursing program
  • Current California license as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
  • Minimum of 2 years’ experience in community health
  • Home health and supervisory experience preferred
  • Reliable personal vehicle available for daily work
  • Valid California driver’s license with a clean DMV record
  • Automobile insurance as required by the State of California

Physical Requirements

  • Ability to communicate clearly in person and by phone frequently
  • Able to sit or stand at a desk for approximately 25% of the workday
  • Proficient with computers, including word processing, documentation, and scheduling systems
  • Occasional walking, bending, or reaching for file access
  • Ability to travel to and work from the Lifespan office

Job Responsibilities

Orientation and Education

  • Complete the required orientation and ongoing in-service training
  • Provide in-service education to agency staff as requested by the Lifespan Trainer

Safety and Compliance

  • Ensure a safe environment for clients, staff, and the public
  • Identify and report unsafe conditions; address hazards when feasible
  • Adhere to agency safety and infection control policies
  • Educate employees and clients on safety and infection control practices
  • Participate in annual training related to safety and infection prevention

Care Management

  • Deliver direct care management services in clients' homes
  • Clearly explain Lifespan services, fees, and contracts to clients
  • Conduct comprehensive assessments, including:
    • Physical and mental health
    • Emotional, psychological, and social status
    • Functional and financial status
    • Home safety
    • Advance directives
  • Document assessments accurately and file in client records
  • Develop individualized care plans based on assessment data
  • Provide written reports recommending care options
  • Refer clients to appropriate community resources (e.g., home health, meal services, support groups)

Ongoing Monitoring & Supervision

  • Conduct regular follow-ups to assess health status, home safety, and satisfaction with services
  • Supervise and instruct care staff on client needs, safety, and infection control practices
  • Notify physicians and other health professionals of relevant client changes
  • Recommend treatment changes or further evaluations as needed
  • Assist clients and families with housing options that support independence and safety
  • Evaluate and adjust care plans as needed
  • Document all interactions in progress notes and the ClearCare database
  • Maintain effective communication with the Lifespan team through email, documentation, and meetings
  • Prepare and send client progress reports to designated family or legal representatives

Administrative Responsibilities

  • Aim for a 70% ratio of billable to total work hours
  • Participate in performance management and disciplinary actions when necessary
  • Administer and read TB tests (RN or LVN only)
  • Collaborate with staff and clients to address care concerns
  • Represent Lifespan in outreach and marketing efforts
  • Serve as a community resource on geriatric care
  • Conduct long-term care insurance assessments
  • Provide backup on-call support at least once per month (for nurses only)
  • Maintain an up-to-date work calendar in Microsoft Outlook
  • Participate in service calls with prospective clients; possess a clear understanding of Lifespan’s services and pricing
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