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Salary: USD 55 - 73 / hourly
Habitat Health is a healthcare organization delivering comprehensive medical and social care to older adults through the Program of All-Inclusive Care for the Elderly (PACE). The company provides coordinated clinical and social services in centers and in participants' homes, supported by leading investors including New Enterprise Associates, Kaiser Permanente, and Town Hall Ventures.
The RN Care Manager delivers personalized, longitudinal nursing care to a panel of PACE participants. This role conducts face-to-face assessments across physical, psychosocial, and behavioral domains in both center and home settings, partnering with medical providers to implement individualized care plans. The Care Manager manages care coordination end-to-end, collaborating with the entire care team and serving as a collaborative leader in Interdisciplinary Team (IDT) meetings, where they contribute clinical insights that inform whole-person care planning.
Key responsibilities include:
- Conducting comprehensive nursing assessments in various settings (primarily center-based, with in-home visits as needed)
- Delivering and documenting nursing interventions, responding promptly to physician orders, and administering medications and therapeutic interventions
- Providing longitudinal case management and coordinating complex patient discharges, transfers, and post-discharge needs with hospital and long-term care facility case managers
- Coordinating all aspects of care delivery including medication management, medical equipment and supplies, and specialist and diagnostic referrals
- Performing triage in the outpatient setting and independently initiating appropriate clinical interventions
- Educating participants, caregivers, and team members on carrying out personalized care plans
- Contributing to a center culture grounded in Habitat's values and participant belonging
- Seeking and sharing constructive feedback to improve clinical outcomes and participant experience
The role operates Monday–Friday with an estimated start date of November 2026. The position requires lifting, carrying, pushing, or pulling supplies and equipment up to 25–50 pounds, with assistance or mechanical aids as needed.
REQUIREMENTS:
The posting does not explicitly state years of experience, education level, or specific certifications required. However, the role requires an active RN (Registered Nurse) license and the ability to conduct independent clinical assessments, manage medication administration, and lead interdisciplinary care coordination in a PACE setting.
