What Does A Case Manager Do For The Elderly Jobs in Usa

• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
  • Sitting- Occasionally
  • Walking- Frequently
  • Standing- Frequently
  • Bending-Occasionally
  • Squatting - Frequently
  • Climbing-Occasionally
  • Kneeling-Occasionally
  • Twisting-Occasionally

• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance.

• Assumes responsibility for preventing incidents that could lead to injury, promptly reports unsafe conditions that require actions from others, promptly report incidents and completes paperwork, and consistently utilizes equipment properly.
• Interacts with people openly, directly, tactfully, and cooperatively, accepts criticism and is not defensive. Considers the impact of the decisions on others and involves them. Shares information and resources with others, works effectively with others to achieve a desired result, is patient, and uses humor. Knows how to utilize appropriate channels of communication and chain of command, identifies patients and families physical, psychosocial, financial, discharging needs, and obtains to refer/consult HH Therapists, Social Worker and aides indicated.
• Demonstrates knowledge and judgment needed to meet the nursing needs of the patient. Demonstrates knowledge of diagnosis coding appropriate to the Plan of Care. Demonstrates knowledge of coverage criteria under Medicare, Medicaid, VA, and commercial insurance.
• Looks for ways to continually improve processes in order to positively affect outcomes such as customer satisfaction, clinical financials, etc. Demonstrates the quality work with of doing the right thing in the right way' also is flexible and responsive to change.
• Demonstrates understanding of Patient Rights and delivers care in accordance with policies and procedures regarding patient confidentiality, advance directives, informed consent, personal privacy, patient values/beliefs, and resolution to patient complaints.
• Demonstrates the knowledge, skills and abilities necessary to perform nursing procedures for patients in the following age groups: newborn, children, adolescents, adults, and geriatric). Utilizes established criteria to determine appropriateness of Home Health admission. Identifies patient needs and health status from assessment data including physician's history, physical assessment, lab data, etc. Develops a plan of care/discharge plan in collaboration with other members of the healthcare team, analyzes clinical and assessment data to report/discuss with HH staff, physicians, third parties to make adjustments as needed for continued authorization of treatment plans. Demonstrates active collaboration and leads staff as indicated to ensure that there is completion and reporting of lab testing, treatment orders, maintaining accurate medication list, scheduling of visits for the HH episode of care and development/maintenance of the problem/intervention lists. Ensures adequate patient/caregiver knowledge of disease processes, medications, skilled and non-skilled procedures, treatment and discharge planning.
• Performs other duties as assigned.

• Required
  
  • High School Diploma, GED, or equivalent
  • Completion of an accredited Nursing program

• Required
  
  • One year of experience in Nursing
  • One year of experience in Home Health

• Required
  
  • Registered Nurse (RN), with authorization to practice in the State of Texas
  • Basic Life Support (BLS) Certification
    
    • Must obtain within ninety (90) days of start date
  • Valid Texas Driver's License
  • Auto Insurance

• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
  • Sitting- Occasionally
  • Walking- Frequently
  • Standing- Frequently
  • Bending-Occasionally
  • Squatting - Frequently
  • Climbing-Occasionally
  • Kneeling-Occasionally
  • Twisting-Occasionally

• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance.

• Assumes responsibility for preventing incidents that could lead to injury, promptly reports unsafe conditions that require actions from others, promptly report incidents and completes paperwork, and consistently utilizes equipment properly.
• Interacts with people openly, directly, tactfully, and cooperatively, accepts criticism and is not defensive. Considers the impact of the decisions on others and involves them. Shares information and resources with others, works effectively with others to achieve a desired result, is patient, and uses humor. Knows how to utilize appropriate channels of communication and chain of command, identifies patients and families physical, psychosocial, financial, discharging needs, and obtains to refer/consult HH Therapists, Social Worker and aides indicated.
• Demonstrates knowledge and judgment needed to meet the nursing needs of the patient. Demonstrates knowledge of diagnosis coding appropriate to the Plan of Care. Demonstrates knowledge of coverage criteria under Medicare, Medicaid, VA, and commercial insurance.
• Looks for ways to continually improve processes in order to positively affect outcomes such as customer satisfaction, clinical financials, etc. Demonstrates the quality work with of doing the right thing in the right way' also is flexible and responsive to change.
• Demonstrates understanding of Patient Rights and delivers care in accordance with policies and procedures regarding patient confidentiality, advance directives, informed consent, personal privacy, patient values/beliefs, and resolution to patient complaints.
• Demonstrates the knowledge, skills and abilities necessary to perform nursing procedures for patients in the following age groups: newborn, children, adolescents, adults, and geriatric). Utilizes established criteria to determine appropriateness of Home Health admission. Identifies patient needs and health status from assessment data including physician's history, physical assessment, lab data, etc. Develops a plan of care/discharge plan in collaboration with other members of the healthcare team, analyzes clinical and assessment data to report/discuss with HH staff, physicians, third parties to make adjustments as needed for continued authorization of treatment plans. Demonstrates active collaboration and leads staff as indicated to ensure that there is completion and reporting of lab testing, treatment orders, maintaining accurate medication list, scheduling of visits for the HH episode of care and development/maintenance of the problem/intervention lists. Ensures adequate patient/caregiver knowledge of disease processes, medications, skilled and non-skilled procedures, treatment and discharge planning.
• Performs other duties as assigned.

• Required
  
  • High School Diploma, GED, or equivalent
  • Completion of an accredited Nursing program

• Required
  
  • One year of experience in Nursing
  • One year of experience in Home Health

• Required
  
  • Registered Nurse (RN), with authorization to practice in the State of Texas
  • Basic Life Support (BLS) Certification
    
    • Must obtain within ninety (90) days of start date
  • Valid Texas Driver's License
  • Auto Insurance

Location: Arlington, TX

Pay Range: $47.00 – $50.00 per hour

Schedule:

• Primary Shift: Monday–Friday, 1st Shift
• Flexibility: Ability to cover occasional 2nd and 3rd shift, if caseload needs require it.

Role Overview:

As the Occupational Health Case Manager, you will be the clinical lead for assigned occupational injury and illness cases. You will manage the process from initial injury through Maximum Medical Improvement (MMI) and a successful Return-to-Work (RTW) or Stay-at-Work (SAW) outcome. You will act as the vital link between employees, healthcare providers, and internal stakeholders to ensure efficient recovery and operational continuity.

Key Responsibilities:

• Clinical Assessment: Perform initial and ongoing assessments of injury history, job demands, and functional status.
• Case Planning: Manage individualized case plans with clear goals, treatment steps, and escalation criteria.
• Work Accommodations: Translate medical restrictions into specific, policy-compliant work accommodations.
• RTW Strategy: Collaborate with HR, Safety, and Leadership to design and implement practical RTW/SAW plans.
• Care Coordination: Sync care between on-site clinics, external providers, and Workers’ Comp/TPA partners.
• Employee Engagement: Ensure clear communication regarding care plans, including structured 24–48-hour follow-ups.
• Documentation: Maintain accurate, real-time records within occupational health EMR systems.
• Data Analysis: Analyze case metrics (lost time, RTW speed) to drive cost savings and process improvements.

Required Qualifications:

Education: Bachelor’s degree in Nursing (BSN).

Licensure: Active RN license (Texas license or Texas multistate eligibility).

Experience: Candidates must have experience working in either an occupational health or Workers’ Compensation nursing role to qualify for this position.

Communication: Ability to communicate effectively with employees, medical providers, and operational leaders.

Were unique. You should be, too.

Were changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

Were different than most primary care providers. Were rapidly expanding and we need great people to join our team.

The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of care across the continuum of care. The incumbent in this role will first and foremost serve as an advocate for our patients. He/She works closely with other members of the care team to develop effective plans of care and high levels of care coordination. This care planning and coordination may follow the patient from our centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients families and care givers, primary care physicians, specialists, other care providers, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. He/She adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures.

CORE JOB DUTIES/RESPONSIBILITIES:

• Manages and plans for transitions of care, discharge and post discharge follow-up for patients admitted to key, high-volume/high-priority hospitals.
• Establishes a trusting relationship with patients and their caregivers.
• Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Reports variations to PCP/Transitional Care Physicians (TCP) and implements actions as appropriate.
• Builds relationships with preferred acute care providers (hospitalists, specialists, etc.).
• Directs referrals to preferred providers.
• Coordinates the integration of social services/case management functions in the pre-acute, ER, acute and post-acute setting. Coordinates the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities.
• In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager, coordinates the patient transition to the appropriate/least constrictive level of care using a preferred provider.
• Keeps the PCP aware of patient(s) condition via e-mail, DASH, HITS or other appropriate means of communication.
• Introduces self to patient/family and explains Nurse Case Managers role and processes to contact the Nurse Case Manager for questions, guidance and education.
• Provides high intensity engagement with patient and family.
• Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family education and identifies post-hospital needs.
• Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient/familys ability to make informed decisions.
• Addresses advanced care planning including treatment goals and advance directives.
• Refers cases to social worker (Hospital and ChenMed/JenCare/Dedicated) for complex psychosocial and economic needs.
• Refers cases where patient and/or family would benefit from counseling required to complete complex discharge plan to social worker.
• Reports observed or suspected child or adult abuse pursuant to mandated requirements.
• Obtains onsite and EMR access at priority facilities.
• Maintains clinical and progress notes for each patient receiving care and provides progress report to PCP and others as appropriate.
• Submits required documentation in a timely manner and in appropriate computer system.
• Participates in surveys, studies and special projects as assigned.
• Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff. Acts as patient advocate: investigates and reports adverse occurrences, and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe.
• Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.
• Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, case and desired patient outcomes.
• Coordinates the provision of social services to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from healthcare services.
• Completes expanded assessment of patients and family needs at time of admission. Completes psychosocial assessment.
• Directs and participates in the development and implementation of patient care policies and protocols to provide advice and guidance in handling unusual cases or patient needs.
• Attends meetings as assigned
• Performs other duties as assigned and modified at managers discretion.

There are 4 Nurse Case Manager 1 Roles with additional Essential Job Functions:

Acute Case Manager (primarily hospital based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Identify appropriateness of inpatient vs. observation status.
• Identify and manage safety risk (complete a social assessment), identify functional status (ADLs and PT needs), discuss medications and self-management, identify and correct knowledge deficits.
• Implement the ACM Coaching program with the appropriate patient population.
• In markets as appropriate, when patient in SNF, in conjunction with the post-acute physician, coordinate the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed.
• Facilitate discharge to appropriate level of care and preferred providers
• Communicate discharge to all stakeholders including PCP, Center Manager and Community Case Manager.
• Document the appropriate date that the patient is medically discharged and update as appropriate.
• Contact the center manager to arrange for a follow-up PCP appointment prior to discharge and whenever possible, communicate this information to the patient/caregiver.
• As appropriate, discuss patients eligibility for CCM or DM programs and identify patient interest in participation.
• Coordinate acute UR physician meetings.

Community Case Manager (primarily clinic and community based)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Provides telephonic or outpatient visits to patients at high-risk for readmissions (as identified by CM Plan) to the ER or hospital, to patients with active care planning requirements, to disease management patients per the Disease Management Plan and to others as referred via transitional care team, acute case managers and Transitional Care team.
• Visits may include evening and weekend hours with the goal of preventing ER visits or hospital admissions.
• Performs clinical functions including disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient setting.

Coordinate the Plan of Care:

• Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
• Ensures individual plan of care reflects patient needs and services available.
• Makes recommendations to the team.
• Completes individual plan of care with patients and team members.
• Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
• Assesses the environment of care, e.g., safety and security.
• Assesses the caregiver capacity and willingness to provide care.
• Assesses patient and caregiver educational needs.
• Coordinates, reports, documents and follows-up on Super Huddles and HPP/IDT meetings.
• Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
• Coordinates the delivery of services to effectively address patient needs.
• Facilitates and coaches patients in using natural supports and mainstream community resources to address supportive needs.
• Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
• Establishes a supportive and motivational relationship with patients that support patient self-management
• Monitors the quality, frequency and appropriateness of HHA visits and other outpatient services.
• Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.

Community/Skilled Nursing Facility Case Manager (Community Case Manager Role with additional SNF duties as assigned)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Community Case Manager role as above.
• CM telephonic or onsite visits to SNFs, communication with physical therapists (PT), social workers, patient and families as appropriate.
• Validates appropriate level of care/LOS.
• Validates Discharge plan for safe transition home, utilization of preferred providers or timely transition to long term care.
• Reminds patient of need for 4-day PCP post hospital/SNF discharge visit and future visits.
• Collaborates with payor onsite SNF CMs.

Transitional Case Manager (Blended Acute and Community Case Manager Roles)

Responsibilities include all the above Core duties/responsibilities plus the following:

• Acute and Community Case Manager roles as above.

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Critical thinking skills required.
• Ability to work autonomously is required.
• Ability to monitor, assess and record patients progress and adjust and plan accordingly.
• Ability to plan, implement and evaluate individual patient care plans.
• Knowledge of nursing and case management theory and practice.
• Knowledge of patient care charts and patient histories.
• Knowledge of clinical and social services documentation procedures and standards.
• Knowledge of community health services and social services support agencies and networks.
• Organizing and coordinating skills.
• Ability to communicate technical information to non-technical personnel.
• Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
• Ability and willingness to travel locally, regionally and nationwide up to 10% of the time.
• Spoken and written fluency in English.
• Bilingual preferred.

PAY RANGE:

$36.9 - $52.70 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

Were ChenMed and were transforming healthcare for seniors and changing Americas healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. Were growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in peoples lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

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Job Industries

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POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.