RN Case Manager - TRU - PACE - Clinic

Founded as Boulder Hospice in 1976, TRU Community Care is a nonprofit healthcare organization serving Boulder, Denver, and surrounding counties. With a mission to affirm life at every step of the journey with illness and loss, TRU provides a continuum of care through TRU Hospice, TRU PACE (Program of All-Inclusive Care for the Elderly), TRU Palliative Care, TRU Grief Services, and Landmark Memory Care.

Title

• RN
• Case
• Manager
• Schedule:
• Monday-Friday, 8am to 5pm
• Pay: $88,067 to $105,680 per year Clinic RN Case Manager Job Summary The Clinic RN Case Manager plays a vital role in coordinating patient care and services in collaboration with the interdisciplinary team (IDT) and contracted providers. This position delivers skilled nursing care to program participants, ensuring the highest quality outcomes in alignment with PACE policies and regulatory standards. This role includes triaging and assessing participants, implementing physician and nurse practitioner orders, developing individualized care plans, and providing education to participants and their caregivers. The RN Case Manager serves as a central communication point, keeping the care team informed of participant conditions and needs. Key Responsibilities Care Coordination & Clinical Practice Coordinate participant care proactively with the interdisciplinary team to optimize outcomes. Perform initial and annual participant assessments to identify needs and ensure appropriate services. Develop, implement, and manage individualized care plans. Provide skilled nursing care, including administering medications and treatments in accordance with standards. Implement physician and nurse practitioner orders accurately and in a timely manner. Manage and maintain accurate participant medical records in accordance with PACE standards. Assist with hospital, rehabilitation, and long-term care admissions and transitions. Interdisciplinary Team Collaboration Actively participate in all IDT meetings, communicating participant status and contributing to care planning. Collaborate with internal teams and external contracted providers (e.g., nursing homes, labs, medical equipment vendors). Maintain effective communication with leadership and escalate concerns as appropriate. Quality & Compliance Participate in the PACE Quality Assurance and Performance Improvement (QAPI) program. Identify opportunities for process and quality improvements and contribute to initiatives. Ensure compliance with PACE policies, OSHA guidelines, and infection control practices. Maintain participant confidentiality and uphold HIPAA standards. Operational Excellence Manage a participant panel and ensure timely, high-quality care delivery. Balance multiple priorities and work independently with minimal supervision. Participate in the on-call rotation and ensure appropriate follow-up on after-hours concerns. Maintain professional certifications and affiliations.