Level of Care Nurse Specialist

One Senior Care; Hazard (KY); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

9 Paid Holidays

PTO 3 weeks + 1 day per year

Life and AD&D Insurance

Health Savings Account

Flexible Spending Accounts

Short Term Disability Insurance

Group Term Life Insurance for Employee

Tuition Reimbursement

Job summary

One Senior Care in Hazard, Kentucky is seeking a Level of Care Nurse Specialist to assess home health needs for PACE enrollees, determining eligibility for nursing facility level of care and coordinating with state agencies and the IDT.

You will perform in-home assessments, document promptly in EMR and state systems, educate participants and families about PACE services, and contribute to care planning while adhering to HIPAA and regulatory standards.

Qualifications

• Graduate of accredited nursing program (LPN/LVN, Diploma, ADN, or BSN).
• Current unrestricted nursing license in the applicable state.
• 2 years 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 electronic medical 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

Communication skills

Independent work

Team collaboration

Education

Nursing degree (LPN/LVN/ADN/BSN)

Active state license

2 years nursing/case management experience

Job description

Do you enjoy using your clinical expertise to help seniors access the care and services they need?

Do you take pride in building relationships, conducting thorough assessments, and making a meaningful impact in the lives of older adults?

If so, you may be the perfect fit for our One Senior Care family of businesses — including LIFE-NWPA, Mountain View PACE, and Buckeye PACE.

Job Summary

As a Level of Care Nurse Specialist, you will use your clinical knowledge, assessment skills, and sound judgment to determine whether prospective participants meet the nursing home level of care requirements for enrollment in the Program of All-Inclusive Care for the Elderly (PACE). Through in-home assessments, collaboration with state agencies, and partnership with our Interdisciplinary Team (IDT), you will help ensure seniors receive the care and support they need.

This position is ideal for someone who is compassionate, organized, and confident working independently while collaborating with others. You will be part of a supportive, participant-centered team where clinical excellence, communication, and continuous improvement are valued.

Schedule

First shift, full-time hours. Specific work hours will be established in consultation with your supervisor.

• 9 Paid Holidays
• PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees)
• Free Life and AD&D Insurance Plan
• Health Savings and Flexible Spending Accounts
• Short Term Disability Insurance
• Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents
• Tuition Reimbursement and Paid Training Opportunities
• Retirement Plan with company annual match
• Mileage Reimbursement at annual IRS rate as applicable

Duties/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 electronic medical 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.

Everyone’s journey is unique. Even if you haven’t done it all, your dedication to learning and helping others is what counts. With our training, mentorship, and career development programs, we’ll help you grow and succeed.

What Makes You a Great Fit:

• Compassionate, patient, and committed to participant-centered care.
• Strong clinical assessment and critical thinking skills.
• Comfortable working independently while collaborating with an interdisciplinary team.
• Excellent communication and relationship-building skills with participants, families, and healthcare professionals.
• Highly organized with strong time management and documentation skills.
• Able to prioritize multiple responsibilities while meeting regulatory deadlines.
• Confident making sound clinical decisions and escalating concerns appropriately.

Education and Experience

• Graduate of an accredited nursing program (LPN/LVN, Diploma, ADN, or BSN)
• Current unrestricted nursing license in the applicable state.
• Two years of nursing or case management experience preferred.
• Experience working with the frail or elderly population is preferred, but we welcome nurses who are eager to learn through our training and mentorship programs.
• Knowledge of Medicare, Medicaid, or PACE regulations is a plus.

Physical Requirements

• Must be able to move intermittently throughout the workday.
• Must be able to stand, walk, bend, reach, kneel, and assist participants during assessments as needed.
• Must be able to lift, push, pull, and move equipment or materials as required.
• Must be able to travel to participant homes throughout the service area.
• Must be able to work under deadlines while providing compassionate care to frail, elderly participants.

Join Us!

At One Senior Care, you’ll be part of a compassionate team that makes a tangible difference in seniors’ lives — working together to keep participants safe, healthy, connected, and at home.

One Senior Care is an Equal Opportunity Employer. Employment is contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs.