Come join our awesome team as Integrated Care Manager at the Senior Community Care of Colorado PACE-Montrose. We are offering great benefits and positive work environments!

Senior Community Care of Colorado PACE is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization.

Integrated Care Manager Highlights:

403(b) Retirement Plan; Career scholarships; Quality training, continuing career education and leadership programs; Medical, Dental and Vision Insurance Paid Time Off (Vacation, Holiday & Sick Days)

Pay: $83,000-$91,000/annually

About the job:

The Integrated Care Manager is to provide comprehensive medical case management of PACE participants in Montrose and Delta Counties, by partnering with the various entities (hospital, physicians, IDT) in order to manage medical care and treatments aligning with the participant's pathway and PACE philosophy, reducing need for institutionalizations. Follow all PACE Participants who are admitted to ER, hospital, or acute rehab and act as liaison between care team and facility to ensure timely and safe discharged. Act as liaison between care team and residential care facilities to ensure participant care plans are developed collaboratively to meet particip

Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required:

Registered Nursing Degree Must have a valid nursing license in the state of Five (5) years nursing experience with three years' experience in a geriatric health setting Must have experience communication and working collaboratively with physicians and medical Minimum of two years of demonstrated successful supervisory experience Have a minimum of one year of experience in working with the frail or elderly Must have a valid driver's license, proof of insurance and a means of

Essentials:

Follow participants with acute hospital admissions by daily visits, coordinating with hospital medical providers and collaborating with discharge planners for discharge service needs. Follow participants post-acute and ER discharge, coordinating care with Care Team/IDT. Follow participants in skilled/rehab setting to ensure treatment goals are being attained and to support effective discharge planning in coordination with PACE Care Team. Follow participants in long term care to act as liaison between PACE Care Team and residential care facility and to bridge collaboration in development and execution of participant care plan across all care settings. Involved with coordination of care of participants with the following:

Transplant consideration Oncology Complicated medical conditions Attends medical appointments as needed for participants with Dementia Complicated medical conditions Surgical procedures being considered

Directly involved in communicating with participants and families about Advance Directives, in particular participant change of status with medical decline, and End of Life consideration. May assist in completing RN post hospital visits, RN assessments and other RN duties as assigned.

About Senior Community Care of Colorado:

Senior Community Care of Colorado is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization.

Senior Community Care of Colorado (SCCCO) is a PACE Program (Program of All-Inclusive Care of the Elderly) serving older adults in Montrose and Delta Counties. Our team offers wrap-around care services to meet the unique needs of each of our participants and support them to remain living indep ndently in their homes and communities. Our approach to care is based on our respect for the human spirit and the belief that the right to dignity doesn't diminish with age. Compassion, empathy, personal attention are at the core of how we serve each and every program participant. Unlike other settings, getting to know our participants and building meaningful relationships are key to our success.

SCCCO has centers in Montrose and Delta Counties, surrounded by the breathtaking Colorado scenery. With the plummeting depths of the Black Canyon National Park just to the east, the towering and majestic San Juan Mountains to the south, the expansive Uncompahgre Plateau to the west, and lake-bejeweled Grand Mesa to the north, and an expansive water sports park