Job Description

Employment Type:

Full time

Shift:

Day Shift

RN Nurse Case Manager

Shift: Monday to Friday, 8 am to 430 pm

Status: Full time

Location: Wilmington and Newark, DE

Incentive: Day 1 Health Benefits!

Position Purpose:

The Nurse Case Manager is responsible for planning, coordination, implementation and evaluation of health care and social services to participants at the PACE program. Serves as the liaison between the interdisciplinary team (IDT), participants, caregivers and community agencies.

Position Details:

Typically, position requires no nights, weekends, holidays.

Administrative on-call requirements one night every other week on average (with stipend)

Requires regular travel to in-network hospitals or skilled nursing facilities as needed to coordinate care.

Will serve PACE programs in both Wilmington and Newark but will office out of the Wilmington program. Will travel to other site as needed.

What you will do:

• Attend required training and continuing education.

• Participate in interdisciplinary team (IDT) assessments, care planning, and ongoing participant evaluations.

• Communicate health status changes and coordinate 24-hour care delivery.

• Serve as liaison among participants, caregivers, IDT, and community agencies.

• Support Quality Assessment and Process Improvement (QAPI) initiatives.

• Coordinate hospital discharges and communicate updates to families.

• Conduct home visits to assess living conditions and support systems.

• Maintain accurate participant records and documentation.

• Educate and counsel participants and families; make referrals as needed.

• Coordinate and manage participant care with clinicians and caregivers.

• Assist with regulatory compliance, survey readiness, and correction plans. Adhere to federal/state regulations and OSHA guidelines.

• Participate in committees supporting program operations.

• Provide on-call coverage and follow up on after-hours issues.

Minimum Qualifications:

• Graduate of an accredited nursing program with an active, unencumbered RN license and current CPR certification.

• BSN preferred

• At least 2 years’ experience with geriatric populations

• EPIC knowledge preferred

• Valid driver’s license and proof of insurance required.

• Strong clinical skills, problem-solving ability, and accurate, thorough documentation practices.

• Proficiency in Microsoft Office.

• Superior written and verbal communication skills.

• Ability to change and be flexible with work priorities.

• Ability to adapt to changing priorities and work independently.

• Strong interpersonal, organizational, customer service and problem-solving skills.

• Up to 25% travel to local facilities required.

Position Highlights and Benefits:

· Comprehensive benefits including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.

· Access to daily pay and employee referral incentives.

· Supportive environment with a patient-centered focus.

· Opportunities for professional development.

Ministry/Facility Information

Saint Francis College Avenue, part of Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.

We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.

Apply now for this rewarding opportunity!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.