Care Manager, RN

Care Manager (RN)

Habitat Health empowers older adults to experience more good days in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as meals, transportation, and in‑home assistance. Our fully integrated model delivers coordinated clinical and social care in our centers and directly in participants’ homes, creating a true sense of belonging.

Location: Sacramento, open to out‑of‑state candidates – relocation bonus provided

Position: Full‑time

Earn a $5,000 Bonus! $2,500 after 90‑day training completion + $2,500 at 6 months.

Role Scope: As the Care Manager (RN) you will be responsible for the management and delivery of direct nursing care to our participants in a variety of settings, including the clinic, adult day center, participants’ homes, virtual care, and SNF. You will serve as a critical member of the Interdisciplinary Team (IDT) and act as the “quarterback” for your panel, working collaboratively to complete assessments and advance participant care plans.

Core Responsibilities & Expectations for the Role

• Contribute to a center experience that participants want to spend time in, foster a joyful team culture, and create an environment where all participants and team members belong.
• Continuously raise the bar by constructively seeking and sharing feedback to improve clinical outcomes and participant experience.
• Exhibit and honor Habitat’s values.
• Participate and facilitate IDT meetings, contributing insights from assessments and care plan recommendations and coordinating care in a collaborative spirit.
• Conduct face‑to‑face nursing assessments of physical, psychosocial, and behavioral status in various settings, primarily at the Habitat center and occasionally in‑home.
• In partnership with a medical provider, deliver personalized care for a panel of participants based on care plans.
• Deliver and document nursing interventions as agreed upon in participants’ care plans, respond promptly and accurately to physician orders, and correctly administer medications and therapeutic interventions.
• Provide longitudinal case management and coordinate transitions of care, including complex patient discharges, transfers, and immediate post‑discharge needs with hospital and long‑term care facility case managers.
• Coordinate all aspects of care delivery including medication management, medical equipment and supplies, and specialist and diagnostic referrals.
• Triage in the outpatient setting, initiating therapies within scope of practice and collaborating with a medical provider to escalation care as needed.
• Educate participants, caregivers (including family members), and team members on personalizing and carrying out care plans.
• Perform wound care (including complex wounds), IV therapy, and other procedures within RN scope of practice to meet evolving participant needs.
• Delegate tasks to MA and Licensed Vocational Nurses within their respective scopes of practice.
• Remotely take after‑hour calls that are triaged on a rotating schedule.
• Perform related duties as assigned.

Required Qualifications:

• Graduate of an accredited school of nursing;
  Bachelor of Science (BSN) preferred.
• Unencumbered California Registered Nurse (RN) license required.
• Minimum 2–4 years of clinical experience caring for formally complex or older adult populations as an RN.
• Minimum 1–2 years of case‑management experience.
• Strong clinical acumen in chronic disease management and complex geriatric care.
• Experience in managing clinical interventions: wound care, IVs, phlebotomy, colostomy/ileostomy care, etc.
• Proof of medical clearance for communicable diseases, including a TB test.
• Proof that all immunizations are up to date.
• Proof of current CPR/BLS certification, or commitment to obtain within 30 days of employment.
• Proof of a valid California driver’s license, personal transportation, good driving record, and auto insurance as required by state law.

Preferred Qualifications:

• Alzheimer’s certification preferred.
• Case Management certification preferred.

Compensation:

The anticipated base salary range for this position is $55.00–$73.00 per hour. Final…