In-Home Care Manager RN — Community Care

Visiting Nurse Health System; Buford (GA); On-site; USD 65,000 - 90,000; Part time

Benefits offered by this job

Medical, Dental, Vision insurance

PTO and Paid Holidays

403b Retirement Plan with CompanyMatch

Flexible Spending Account (FSA)

Health Savings Account (HSA)

Life Insurance

Employee Assistance Program

Employee Discounts

Flexible Schedule

Job summary

Visiting Nurse Health System seeks a Care Manager RN for Community Care to assess, coordinate, and monitor services for elderly or disabled clients in Hall, Barrow, Forsyth, and North Gwinnett counties. The role includes home visits, developing care plans, and collaborating with physicians and social workers to ensure continuity of care.

The ideal candidate has an RN license, is CPR certified, and has 2 years of community health or geriatrics experience.

Qualifications

• Graduate of an accredited RN program.
• Hold current Georgia RN licensure and CPR certification.
• 2 years of nursing experience in community health, long-term care, or geriatrics.

Responsibilities

• Conduct in-home or facility-based assessments of clients to determine appropriate services.
• Collaborate with SW Care Managers and interdisciplinary teams on level-of-care decisions.
• Develop care paths and discharge plans based on client needs, condition, and support systems.
• Complete and document assessment tools (e.g., GDS, MMSE, fall risk).
• Schedule and perform timely assessments, reassessments, and follow-up per DCH policy.
• Coordinate transitions from hospital to home/community settings.
• Document care plans, hospitalizations, care transitions, services, and case notes per DCH and VNHS standards.
• Approve services within established funding limits and ensure clinical appropriateness.
• Participate in interdisciplinary team meetings, training sessions, and quarterly network events.
• Support infection control practices and maintain confidential client records.

Skills

RN

Care coordination

Home health

Assessment

Documentation

EMR systems

Travel to client homes

Education

Graduate of an accredited RN program

Georgia RN license

Tools

EMR systems

Job description

Visiting Nurse Health System seeks a Care Manager RN for Community Care to assess, coordinate, and monitor services for elderly or disabled clients in Hall, Barrow, Forsyth, and North Gwinnett counties. The role includes home visits, developing care plans, and collaborating with physicians and social workers to ensure continuity of care.

The ideal candidate has an RN license, is CPR certified, and has 2 years of community health or geriatrics experience.