PACE RN Care Manager: Holistic Elder Care Navigator

BoldAge PACE; Fresno (CA); On-site; USD 80,000 - 110,000; Full time

Job summary

BoldAge PACE in Fresno, CA is seeking an RN Care Manager to coordinate comprehensive care for older adults in a PACE setting. The RN will conduct holistic assessments, develop and update individualized care plans, and coordinate services across medical, social, and community resources.

The role involves medication reconciliation support, chronic disease and fall-risk management, and patient and family education, with active participation in interdisciplinary team meetings.

Qualifications

• Holistic assessments and individualized care plans.
• Coordinate services across medical, social, and community resources.
• Monitor outcomes and participate in interdisciplinary team meetings.
• Regulatory compliance and accurate documentation in EHR.

Responsibilities

• Coordinate comprehensive care for older adults in a PACE setting.
• Conduct holistic assessments and develop/update care plans.
• Coordinate services across medical, social, and community resources.
• Monitor outcomes and participate in interdisciplinary team meetings.
• Medication reconciliation support and chronic disease management.

Job description

BoldAge PACE in Fresno, CA is seeking an RN Care Manager to coordinate comprehensive care for older adults in a PACE setting. The RN will conduct holistic assessments, develop and update individualized care plans, and coordinate services across medical, social, and community resources.

The role involves medication reconciliation support, chronic disease and fall-risk management, and patient and family education, with active participation in interdisciplinary team meetings.