RN Care Manager - Hourly
Company: BoldAge PACE
Location: Fresno
Posted on: January 1, 2026
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Job Description:
Join BoldAge PACE and Make a Difference! Why work with us? A
People First Environment: We make what is important to those we
serve important to us. Make an Impact: Enhance the quality of life
for seniors. Professional Growth : Access to training and career
development. Competitive Compensation: Medical/Dental Generous Paid
Time Off 401K with Match* Life Insurance Tuition Reimbursement
Flexible Spending Account Employee Assistance Program BE PART OF
OUR MISSION! Are you passionate about helping older adults live
meaningful, independent lives at home with grace and dignity?
BoldAge PACE is an all-inclusive program of care, personalized to
meet the individual health and well-being needs of our
participants. Our approach is simple: We listen to our participants
and their caregivers to truly understand their needs and desires.
Registered Nurse Care Manager SUMMARY: The RN Care Manager is
responsible for assessing the care needs of participants, provides
nursing and healthcare interventions, and evaluates outcomes of
care of participants on an ongoing basis. In collaboration with the
interdisciplinary team (IDT), develops plans of care to meet
participants’ needs. Delegates tasks to clinic, center, and
homecare aides according to participant needs and care plans.
Collaborates and communicates with the primary care provider,
clinic staff, and other members of the IDT. Provides care to
participants in the clinic, center, and participant homes as
needed. ESSESNTIAL DUTIES AND RESPONSIBILITIES: Provide high
quality clinical care and serves as a member of the PACE
interdisciplinary team (IDT). Provide nursing care in the center,
clinic, contracted facilities, and participants’ homes according to
each participant’s plan of care. (NJ: in accordance with the State
of New Jersey Nursing Practice Act, N.J.S.A. 45:11-23 et seq., as
interpreted by the New Jersey State Board of Nursing, and written
job descriptions. Services provided shall be documented in the
participant's medical record). Participate in 24/7 “on-call”
process for triage of participants and their needs. Assess, plan,
and coordinate participants’ home care services. Provide input to
the IDT in developing home care plan interventions. The nursing
care needs of the participant shall be assessed only by a
registered professional nurse. Monitor participants’ acute and
chronic care needs in all settings. Provide coordination and direct
care as indicated to promote continued care in the community or
promote optimal institutional care (Assisted Living, Nursing Home,
Hospital, etc.) as needed. Ensure timely follow-up by providers on
specialist visits and will assist with obtaining specialist
reports, facility documentation, and labs if needed. Reconcile
facility MARs for your assigned panel of participants monthly to
ensure accuracy and medication adherence, notify provider of any
discrepancies. Notify participants of normal test results. Complete
timely and accurate nursing assessments in accordance with policies
and regulatory requirements. Implement nursing-related care plan
interventions. Teach participants, caregivers and families about
self-care, medications, healthy lifestyles, infection control and
safety to promote optimal health and safety. Review and revises
goals and approaches to participants’ care in coordination with
participant, family, caregiver and interdisciplinary team. Works
collaboratively with the interdisciplinary team (IDT) to develop
and implement comprehensive plans of care for participants. Develop
and maintain positive relationships and communication with
co-workers, participants and their families/significant others, and
members of the community. Participate in all interdisciplinary team
meetings. Assist the interdisciplinary team members in
understanding the significant nursing, self-care and functional
needs related to the participant’s health problems. Performs the
duties of Home Care Coordinator on the IDT as needed / assigned.
May perform the duties of other IDT members based on professional
licensing, competencies, and experience as needed. Actively
participates in utilization review meetings and quality improvement
projects / meetings. Evaluates the competence of CNAs and Home Care
Aides and delegates tasks and duties to them as indicated.
Participates in family meetings, staff meetings, in-service and
training and orientation programs as required. Follows all PACE
Program Policies and Procedures and Occupational Safety and Health
Administration (OSHA) safety guidelines. Protects privacy and
maintains confidentiality of all company procedures and information
about employees, participants and families. Practices standard
precautions and follows PACE Program Infection Control protocols.
Performs other duties as required or requested. EXPERIENCE,
EDUCATION AND CERTIFICATIONS: Bachelor of Science in Nursing Degree
preferred. State RN License required NJ: Licensed by the New Jersey
State Board of Nursing. BLS required (must have within 90 days of
employment). 1 year of experience working with a frail or elderly
population preferred. If this is not present, training will be
provided upon hiring (If applicable for the role). Experience in
home care, long-term care and / or managed care preferred. 1 year
experience providing care as an RN required. Bilingual with Fluency
in Hmong required. PRE-EMPLOYMENT REQUIREMENTS: Must have reliable
transportation, a valid driver's license, and the minimum state
required liability auto insurance. Be medically cleared for
communicable diseases and have all immunizations up to date before
engaging in direct participant contact. BoldAge PACE provides equal
employment opportunities to all employees and applicants for
employment and prohibits discrimination and harassment of any type
without regard to race, color, religion, age, sex, national origin,
disability status, genetics, protected veteran status, sexual
orientation, gender identity or expression, or any other
characteristic protected by federal, state or local laws. * Match
begins after one year of employment Monday- Friday 8am-4:30pm
Full-Time
Keywords: BoldAge PACE, Fresno , RN Care Manager - Hourly, Healthcare , Fresno, California
