About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) Senior Care facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What is PACE?

At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home homes for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve.

Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of eachparticipant.

Job Title -RN Care Manager

Department -PACE

Reports to -Clinical Services Director

Benefits -

• Medical, Dental, Vision, Life Insurance (Short and Long Term Disability)
• 403(b) Retirement Plan
• 11 Paid Holidays
• CME (Continuing Medical Education)

About Position:

• Work Location:PACE Senior Care at Pittsboro Community Health Center

163 Chatham Business Drive, Pittsboro, NC 27312

• Schedule:Monday - Friday 8:00 AM - 5:00 PM

(No Remote Option)

• PATIENT POPULATION SERVED -

Adult, Geriatric

• Required Travel:None

Duties/ Responsibilities -

• Working under the direct supervision of the Clinical Services Director, the primary responsibility of the RN Care Manager is to provide direct and indirect nursing care to assigned patients by utilizing critical thinking skills to assist in the management of chronic diseases, clinical problem solving and decision-making as a member of interdisciplinary team.
• The RN Care Manager works independently in the application of advanced nursing knowledge and skills relative to NCBON scope of practice, competency and experience.
• Participates in shared rotation of some weekend home visits (rotation every 4-6 weeks).
• Identify patients on assigned panel who are complex and high risk in need of intensive care and/or services which may include but is not limited to education, transition of care, home visits, frequent phone calls or chronic disease interventions to prevent hospitalization and maintain continued independence in the community. Works with provider to ensure appropriate participant chronic disease management. Be proactive in identifying and coordinating potential needs of patients and/or their caregiver.
• Completes and documents weekly visits to facility to check in on participant, monitor medication adherence and clinical care being provided.
• Provides backup nursing care in the clinic and/or adult day center as needed per nursing protocols. Provides home visits and end of life/palliative (aka Pathways) care per nursing protocols. Participates within on-call rotation. May be assigned to float between PACE sites to assist in coverage during a critical need.
• Works independently to assess and evaluate patient or caregiver understanding of disease process, treatment plan and/or lifestyle changes to assist in the management of health care conditions, such as hi h blood pressure, diabetes, end of life, COPD and/or CHF. Serves as a resource to the entire team for the management of these patients and conditions.

Qualifications -

• Must possess strong interpersonal, organizational, group facilitation and consensus-building skills.
• Must possess skills necessary to provide care for geriatric patients.
• Must have proven clinical leadership and management skills, to include the ability to learn, teach, research, develop and implement policies and procedures and/or projects as needed independently.
• Must possess the ability to prioritize, multi-task duties within the role as well as problem solve and think analytically/critically.
• Must have the ability to effectively handle difficult and unusual interpersonal situations.
• Must possess broad knowledge base of nursing clinical practice.
• Ability to work within a team environment and foster team cohesiveness.
• Strong oral and written communication skills.
• Must meet a standardized set of competencies established by Piedmont Health SeniorCare and approved by CMS before working independently.
• Must only act within the scope of his/her authority to practice.

Education:Graduate from an accredited School of Nursing required. Masters Degree in Nursing preferred.

Required:At least 2 years supervisory experience.

Preferred:At least 5 years clinical nursing experience. Preferred experience in home care long term care setting and ideally, PACE experience. One year of experience with the frail or elderly preferred.

Current/valid License:RN currently licensed in NC; Presents credentials which demonstrate ability to meet performance criteria for the RN position; Valid NC drivers license.

Pay Range - $71,088 - $95,536

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

DEI Statement

Piedmont Health Services, Inc. (PHS) endeavors to maintain an inclusive workplace, one that is reflective of the patient population that we serve and the individuals whom we employ. We strive to incorporate inclusiveness throughout our work culture, including the way that we recruit, support, and retain employees. We believe that having employees from diverse backgrounds, cultures, and experiences is an asset. It helps us to view the world through different lenses embodying the perspectives, opinions, approaches, and values that our employees bring to work daily. In fact, inclusion is woven into the very fabric of our work life, which allows our employees to perform at their highest possible potential.

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