In-Home Senior Care Nurse Specialist (PACE Enrollment)

One Senior Care; Corbin (KY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

9 Paid Holidays

PTO starting at 3 weeks + 1 day per yr

Free Life and AD&D Insurance Plan

Health Savings and Flexible Spending

Short Term Disability Insurance

Group Voluntary Term Life Insurance

Tuition Reimbursement and PaidTraining

Retirement Plan with company annual 4%

Mileage Reimbursement

Job summary

One Senior Care is seeking a Level of Care Nurse Specialist to determine nursing home level of care eligibility for enrollment in the PACE program. The role uses in-home assessments, state collaboration, and IDT input to ensure appropriate care for older adults.

Ideal candidates are compassionate, organized, and capable of working independently while engaging with a supportive team focused on clinical excellence and ongoing improvement. Training and mentorship are provided.

Qualifications

• Graduate of an accredited nursing program and an active nursing license in the applicable state.
• Two years of nursing or case management experience preferred.
• Knowledge of Medicare, Medicaid, or PACE regulations is a plus.

Responsibilities

• Conduct comprehensive in-home Level of Care assessments for prospective PACE participants.
• Determine eligibility based on federal and state nursing facility level of care requirements.
• Complete accurate, timely, and audit-ready documentation in state systems and the electronicmedical record.
• Coordinate with state agencies to complete eligibility determinations.
• Maintain all required state certifications and annual training.
• Collaborate with the Interdisciplinary Team to communicate assessment findings and support participant enrollment.
• Prepare concise clinical summaries highlighting participant needs, risks, and recommendations.
• Identify changes in condition, safety concerns, or barriers to care and promptly communicate findings to the care team.
• Assist with the development of initial care plans based on assessment findings.
• Educate participants and families about PACE services and level of care requirements.
• Monitor reassessment timelines and ensure all required deadlines are met.
• Participate in quality improvement initiatives that enhance participant outcomes and assessment consistency.
• Maintain confidentiality and comply with all HIPAA, regulatory, and organizational standards.

Skills

Clinical assessment

Critical thinking

Communication

Independent work

Documentation

Team collaboration

Time management

Education

Nursing degree (LPN/LVN, Diploma, ADN, or BSN)

Tools

Electronic Medical Records

Job description

One Senior Care is seeking a Level of Care Nurse Specialist to determine nursing home level of care eligibility for enrollment in the PACE program. The role uses in-home assessments, state collaboration, and IDT input to ensure appropriate care for older adults.

Ideal candidates are compassionate, organized, and capable of working independently while engaging with a supportive team focused on clinical excellence and ongoing improvement. Training and mentorship are provided.