Judson Link Nurse Case Manager

Job Title

Location

Department: FLSA

Reports to: Date

Judson Link Nurse Case Manager

Judson Link

Judson Home Care

Exempt

Executive Director Judson Link

November 2026

Judson Link (formerly Judson at Home) creates new ways for older adults to live well, remain connected, and flourish in the place they call home.

Recognizing that more older adults may choose not to move into senior living communities, Judson Link brings the support, relationships, resources, and sense of belonging to them—wherever they live.

The program builds a connected community around older adults, helping them maintain independence while experiencing the meaningful engagement and opportunities to thrive that come with being part of Judson.

General Purpose

The Nurse Case Manager provides comprehensive case management, care coordination, assessment, education, and resource navigation to older adults and their family caregivers in the community. This role works collaboratively with members, families, caregivers, healthcare providers, and interdisciplinary teams to develop and coordinate person-centered care plans that promote wellness, independence, and quality of life.

Essential Duties and Responsibilities

• Conducts in-home assessments, intakes, and reassessments to identify needs and determine appropriate services and level of care.
• Provides comprehensive case management, care coordination, and transition-of-care support.
• Coordinates services and communicates with healthcare providers, families, caregivers, and interdisciplinary teams.
• Develops, monitors, and updates individualized care plans based on changing member needs.
• Connects members and families with appropriate healthcare, community, and supportive resources.
• Provides education and guidance related to health, wellness, caregiving, aging, and long-term care planning.
• Monitors service delivery and participates in care conferences to ensure quality, continuity, and appropriate outcomes.
• Provides guidance, coaching, and support to direct-care staff.
• Maintains accurate and timely documentation in client records and completes required billing and quality-improvement documentation.
• Builds relationships with community organizations and supports outreach and program development.
• Responds to clinical concerns and provides on-call support as needed.
• Performs other duties as assigned.

Other Duties

• Conducts employee supervisory visits to monitor competency levels of care provided by HHAs to clients.
• Provides on-call coverage after hours
• Responds promptly to all pages regarding all clinical care situations for members.
• Participates in Quality Improvement initiatives.
• Prepares and submits monthly documentation for billing.
• Maintains a record of acceptable attendance and punctuality.
• Observes all company rules and safety procedures.
• Other duties as assigned.

Qualifications

• Minimum 5 years of experience in case management, care coordination, and community-based care, preferably serving older adults and their families.
• Strong assessment, critical-thinking, problem-solving, and organizational skills.
• Excellent communication and interpersonal skills with members, families, caregivers, providers, and interdisciplinary teams.
• Experience developing and managing individualized care plans.
• Demonstrated ability to navigate healthcare and community resources and coordinate multiple services.
• Supervisory, coaching, or team leadership experience preferred.
• Community or home-care experience preferred.
• Valid Ohio driver's license.
• Proficiency with electronic documentation systems and standard computer applications.

Physical Requirements

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job:

Requires good vision, hearing, speech and communication skills with the ability to ambulate, project voice, use the telephone, use the computer and read and write English. In addition, the employee must be able to stand on her/his feet for a period of up to eight (8) hours a day, move around the home without difficulty, transfer a 150-pound person and squat on the floor and rise to standing.

Working Conditions

The work environment characteristics described here are representative of those an associate may encounter while performing the essential functions of this job:

The office-working environment is conducive to be able to computerize essential data, communicate effectively on the telephone and communicate effectively with referrers, caregivers, supervisors, R/Cs and responsible or interested parties. When away from the office, must be within paging and (cell) telephone range to effectively communicate scheduling changes. Also, must have access to updated information (i. e. employee. Supervisor and Resident data) at all times.

The individual home-work environment characteristics described here are representative of those an associate may encounter while performing the essential functions of this job and may vary from residence to residence. Some of the variations include:

• Pets
• Smoking
• Family members
• Traveling to various locations
• Other as dictated by the individual environment

Each home or residence (working environment) has a “Home Safety Evaluation” conducted at the admission of each case by the RN Community Care manager to confirm that the home environment is safe and to make recommendations as necessary. Flexibility in work hours may be necessary.

Acknowledgement: The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified, and such responsibilities, duties and skills may be changed by Judson Services, Inc. management at any time.