Homecare RN (1270)

Institute On Aging San Francisco , CA 94118

Posted 1 week ago

You may think "old" when you think of Institute on Aging because we offer services for elders and are a 40+ year institute. but you wouldn't be more wrong. While we do have a long-standing history in the Bay Area, IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the "status-quo" and create new and more innovative ways to help aging adults maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.



PRIMARY RESPONSIBILITY: Responsible for the assessment, development, implementation, and evaluation of the homecare care plan for Lifeways participants.


  • Ability to lift up to lift, transfer, push/pull, maneuver, and reposition 35 lbs.

  • Ability to reach, bend and walk

  • Five finger manipulation


  • Ability to comprehend complex written material and verbal instructions

  • Ability to communicate and speak clearly in English

  • Computer Skills


  • Conduct home visits to assess, develop, implement and update plans of care. Visits are conducted where participants live including their home in the community, Residential Care Facilities for the Elderly (RCFE), and Skilled Nursing Facilities (SNF).

  • Monitor, evaluate, and document homecare services through regular home visits and participant contact.

  • Complete timely intake assessments, quarterly visits, 6-month, and annual reassessments, per PACE regulation.

  • Collaborate with the interdisciplinary team (IDT) to develop and implement plans of care by participating in IDT morning meetings. Oversees care coordination as it relates to home care services.

  • Participate in on-boarding, training, supervision, and evaluation of homecare staff.

  • Support on-site supervision and instruction of homecare workers in participants' homes.

  • Supervise and instruct family/caregivers in care and safety of participants in their homes.

  • Meets all the administrative requirements including required record-keeping, medical record management, use of electronic health record (EHR), attend staff meetings, department meetings, etc.

  • Participate in quality improvement activities, such as completion of required reports, quarterly utilization review, and other quality-related tasks as directed by the IOA Quality Improvement team.

  • Participate in IDT/family meetings to meet the PACE guidelines and standards in grievances, appeals and other incidents.

  • Participate in IOA committees, such as Infection Control, Utilization Review, Quality Improvement, and End of Life, as needed.

  • Provides evening or weekend administrative phone coverage on a rotational basis, as required.

  • All other reasonably related tasks as assigned.


  • Licensed RN, State of California


  • At least one-year of professional experience with the elderly.

  • At least 3 years of experience in long-term care, acute care, subacute care, and/or home health care.

  • Independent in clinical practice.

  • Geriatric nursing and palliative care experience preferred.

  • Ability to work within the interdisciplinary team with initiative, imagination, resourcefulness and flexibility.

  • Cultural competency and the interest and ability to work within a multilingual, multicultural environment.

  • PACE experience a plus.

  • Bilingual in Cantonese, Mandarin, or Spanish a plus.

Institute on Aging reserves the right to revise job descriptions or work hours as required.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
RN Case Manager Inpatient Acute Rehabilitation Per Diem Days

Sutter Health

Posted Yesterday

VIEW JOBS 3/26/2019 12:00:00 AM 2019-06-24T00:00 POSITION SUMMARY: The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the timely movement of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the care continuum with the primary focus to provide coordinated, timely and integrated care. The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. MINIMUM POSITION REQUIREMENTS: Education: * BS in one of following: Nursing or Health related field. Master in nursing, case management or other health related field preferred. * National Certification in Case Management (i.e. ACM, ANA RN-BC Case Management) preferred. * Current California RN licensure required. Experience: * Minimum of three (3) years in acute medical/surgical/ED/ or critical care nursing area required. Masters of Nursing in Case Management in lieu of three (3) years in acute medical/surgical/ED/ or critical care nursing area may be considered for employment at director's discretion. * Previous Case Management experience preferred. * Experience utilizing electronic InterQual or other standardized criteria strongly preferred. * Previous leadership abilities preferred. Knowledge: * Excellent interpersonal communication and negotiation skills. * A broad knowledge base of health care delivery and case management within a managed care environment. * Comprehensive knowledge of Utilization Review, levels of care, and observation status * Some awareness of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred * Post-acute levels of care such as Home Health, Hospice, AIM, and Palliative Care. SNF, LTAC, B&C, Sub-acute, Acute rehab * General Knowledge of coding and DRG assignment process preferred. Skills: * Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners. * Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families. * Demonstrates commitment to service excellence in all patient, family and employee interactions and in performing all job responsibilities. * Functions in a manner to promote quality patient care and assure a positive patient experience. * Excellent verbal and written communication skills. * Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. * Intermediate computer skills. * Ability to promote teamwork and to effectively function in teams. * Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience. Sutter Health San Francisco CA

Homecare RN (1270)

Institute On Aging