Job description
Welcome to Pine Park Health!
About Us
Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a care model designed with everyone in mind — patients, families, community staff, providers, and payers.
Our approach brings healthcare directly to seniors’ homes, offering prevention, screening, chronic condition management, lab work, and diagnostic testing in the comfort of their apartments. With weekly community visits, our teams provide consistent care while collaborating closely with facility staff to address comprehensive health needs. We’ve eliminated unnecessary barriers to urgent care through same/next-day appointments, helping seniors avoid emergency rooms and hospitalizations where they risk exposure to additional health concerns.
Today, over 185+ communities across Arizona, California, and Nevada trust Pine Park Health, and we’re rapidly expanding our reach and impact. If you’re mission-driven and passionate about transforming senior healthcare, this is your opportunity to make a meaningful difference!
The Opportunity
The Registered Nurse is responsible for the management and coordination of patient care in collaboration with the primary care provider. The nurse acts as a triage nurse, educator, facilitator and patient advocate.
What You’ll Do
- Functions as a member of the Interdisciplinary Team (IDT) to coordinate patient care to promote positive health outcomes.
- Is responsible to clinically triage all phone calls from providers, patients, caregivers and other outside agencies.
- Coordinates services with insurance system and the community for benefits to promote the most appropriate disposition of the patient to meet the needs of the patient, family and insurance company when able.
- Daily review of lab and diagnostic test results, reviews with providers and contacts patient or the responsible party with results and reviews plan of care.
- Daily tasks: medication and lab orders, admit to SNF, DME, follow up on the status of orders/diagnostics, controlled and non-controlled refills, chart audit and preparation for Providers, patient and family phones calls, specialist referrals, document preparation, prior authorizations
- Provides daily Chronic Care Management for all eligible PPH patients and documents all CCM time.
- Develops, implements and monitors Chronic Care Management Patient Centered Care Plans.
- Provides Transitional Care for all PPH patients discharged from one level of care to another (acute care, skilled care, live discharge from hospice)
- Coordinates care with the following: acute care case management, ER’s, skilled nursing facilities, discharge planners, home health, hospice, EMS
- Participates in overall program development and adherence to policies, procedures, processes, state and federal regulations.
- Acts as a resource to internal and external customers.
- Assists with other duties as assigned.
What We’re Looking For
- Skills: Must possess excellent verbal and written communication skills. Tech savvy. Must have superb teamwork abilities, especially with communication and follow up. Demonstrates initiative toward problem solving. Must be able to interface with providers and work closely with IDT members.
- Knowledge: Prefer knowledge of chronic care and / or geriatric related diseases and treatment options. Good understanding of all state and federal regulations applicable standards. General knowledge of community resources.
- Experience: Minimum of 2 years clinical experience as a nurse (preferably in case management, home health, community nursing or skilled/long term care.)
- Licenses: Current unrestricted nursing license in the state of Nevada, California and/or Arizona.
Benefits Tailored for You and Your Family
Quarterly performance bonuses to reward your contributions
Comprehensive medical, vision, and dental insurance for you and your dependents
Flexible spending accounts for health and dependent care expenses
401(k) retirement plan to help secure your financial future
Generous paid time off:
- 10 holidays
- 15 vacation days
- Plus paid leave
8 weeks of paid parental leave for growing families
Travel support with mileage reimbursement for community visits
Company-issued iPhone for seamless communication
Monthly wellness allowance to support your physical and mental health
Professional development funding to advance your clinical expertise and career goals
Robust clinical support: dedicated RNs and Care Coordinators handle operational tasks, allowing you to focus on patient care
Team building through regular social events and offsites
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned. All job requirements are subject to possible revision to reflect changes in the position requirements or to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws). Continued employment remains on an “at-will” basis.
