Participant Manager RN

Bienvivir All Inclusive Health; El Paso (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical premiums paid

Dental premiums paid

Vision premium

Life insurance $10,000

403(b) retirement

Paid time off 15 days

11 company holidays

Tuition reimbursement

Mileage reimbursement

Job summary

Bienvivir All-Inclusive Senior Health in El Paso, TX is seeking a Nurse Participant Manager to coordinate comprehensive care for frail seniors. You will perform nursing assessments, develop care plans with the IDT and PCP, and ensure timely documentation in medical records.

The role includes home visits and triage for participants who are ill or unable to attend the center. Under Clinic Manager supervision, you will work with caregivers and the care team to maintain 24-hour service delivery,

Qualifications

• Registered Nurse licensed in Texas.
• One year of experience with frail or elderly populations preferred.
• Experience coordinating care with PCPs and the IDT.

Responsibilities

• Complete initial nursing assessments within ten days of enrollment.
• Perform routine reassessments and update care plans as needed.
• Develop and document nursing care plans with IDT and PCP.
• Function as triage nurse and contact participants about missed visits.
• Collaborate with PCP to manage flow in exam rooms and visits.
• Conduct home visits for Start of Care assessments and follow-ups.

Skills

Nursing

Patient care coordination

Care planning

Home visits

Triage

Interdisciplinary teamwork

Education

RN license (Texas)

Job description

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”).

PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.

BENEFITS for Full and Part-time employees who work 30 or more hours per week:

• We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.
• We pay 100% of the DENTAL monthly premiums for Employee Only coverage.
• We provide an affordable VISION monthly premium for Employee + Family coverage.
• We pay 100% of BASIC LIFE for a benefit amount of $10,000.
• We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.
• We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.
• We offer eleven (11) company-observed PAID HOLIDAYS.
• We offer education and TUITION REIMBURSEMENT.
• We offer MILEAGE REIMBURSEMENT.

Bienvivir is currently accepting applications for the following position:

GENERAL DESCRIPTION:

Under the direct supervision of the Clinic Manager, the Participant Manager provides direct participant care. Responsible for the daily coordination of participant care in the following areas: participant-nursing assessments, nursing care plans, health education, maintenance, disease prevention and management of health care both in the clinic and in the participants’ place of residence with appropriate documentation in the medical record.

RESPONSIBILITIES:

1. 1. Complete initial and routinely required nursing assessments of individual participants to include assessment of medication compliance. Initial assessments will be completed within ten days of participants’ enrollment. Routine reassessments will be completed by participants’ scheduled I/A date.
2. 2. Completes participant reassessments and care plans due to changes in participant condition or at the request of the participant/designated representative, as expeditiously as required by their condition.
3. 3. Develop the nursing care plan in conjunction with the IDT and PCP and provide documentation that meets the standards mandated by PACE, TDHS and nursing practice.
4. 4. Function in the role of triage nurse to include calling participants who do not come to center because they are ill or who miss scheduled clinic appointments and document triage findings.
5. 5. Work closely with PCP in the daily management of participant care to include maintaining a continuous flow of participants through the exam rooms, checking on sick participants in the treatment room and assisting with procedures as needed.
6. 6. Conduct home visits to include Start of Care assessments, reassessments and to provide skilled care in the participants’ place of residence when participant is not able to attend the center.
7. 7. Interact and work with caregivers to coordinate participant care and respond to participant and caregiver phone calls to include providing education and counseling.
8. 8. Coordinate hospital, nursing home and assisted living admissions, discharges and transfers.
9. 9. Interact and work closely with Interdisciplinary Team to coordinate comprehensive participant care.
10. 10. Coordinates with participant, family, caregiver and contacted providers to ensure 24- hour service delivery.
11. 11. Work closely with medical assistants to ensure all scheduled lab work and diagnostic tests are completed and on chart for the next scheduled clinic visit.
12. 12. Documents in participants’ medical record as required by departmental policies and procedures.
13. 13. Review and coordinate with consult LVNs to ensure all consults and follow up visits are ordered and, PCP orders all needed medications.
14. 14. Participate in all morning and I & A meetings, and daily team huddles to communicate participant changes.
15. 15. May assume charge duties in the absence of the clinic manager.
16. 16. Attend monthly clinic meeting and staff in-services.
17. 17. Participate in an on-call rotation to cover skilled nursing visits during weekday holidays.
18. 18. Perform other duties as assigned by the Clinic Manager.

QUALIFICATIONS:

EDUCATION/EXPERIENCE

• A. A graduate of an accredited nursing program with a license to practice in the state of Texas as a Registered Nurse.
• B. One year of experience with a frail or elderly population preferred.