Home-Based RN Case Manager - Elder Care Liaison

PACE Southeast Michigan; Detroit (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

The Registered Nurse Case Manager (RNCM) at PACE Southeast Michigan coordinates care for frail elders within the PACE program, focusing on autonomy and functional capacity. Responsibilities include home visits, medication administration, education for participants and families, and collaboration with the multidisciplinary team to revise plans of care.

The RNCM leads licensed and non-professional staff, ensures quality assurance, documents outcomes, and participates in on-call coverage as

Qualifications

• Must be a Registered Nurse with current Michigan licensure.
• BSN preferred.
• Experience coordinating care for frail elderly populations.
• Ability to educate participants and families using adult learning principles.
• Ability to lead and supervise licensed and non‑professional staff.

Responsibilities

• Assess participant needs and plan appropriate nursing care.
• Collaborate with participant, family and multidisciplinary team to develop care plan.
• Encourage autonomy and maximize functional capacity.
• Provide education to participants, caregivers or family about nursing care.
• Administer medications as ordered and monitor responses.
• Document care outcomes and maintain accurate records.
• Lead and supervise staff in delivery of nursing care.
• Coordinate care plan revisions with the Interdisciplinary Team.
• Participate in quality assurance and nursing research initiatives.

Skills

Registered Nurse

Michigan licensure

BSN preferred

Adult learning

Teaching and counseling

Case management

Leadership

Critical thinking

Education

RN license

BSN preferred

Job description

The Registered Nurse Case Manager (RNCM) at PACE Southeast Michigan coordinates care for frail elders within the PACE program, focusing on autonomy and functional capacity. Responsibilities include home visits, medication administration, education for participants and families, and collaboration with the multidisciplinary team to revise plans of care.

The RNCM leads licensed and non-professional staff, ensures quality assurance, documents outcomes, and participates in on-call coverage as