SUMMARY OF POSITION:
Working under the supervision of the PACE Center Manager, the PACE Clinic RN is independent in the application of nursing knowledge and skills. Primary duties include direct and indirect nursing care to PACE Participants and operational support of the primary care clinic located within the PACE Center. The PACE Clinic RN works collaboratively with physicians, clinic staff, and other Interdisciplinary Team (IDT) members to manage ongoing care and complex clinical situations.
ESSENTIAL JOB FUNCTIONS:
- Conducts nursing assessments to determine PACE Participants’ care needs, preferences, and goals.
- Participates as an active member of the IDT for Participant care planning.
- Delivers and documents nursing interventions as agreed upon in the Participant’s care plan, including but not limited to maintaining a healthy and safe environment, promptly and accurately responding to primary care provider’s orders, and correctly administering medications and performing ordered tests and treatments.
- Remains alert to pertinent input from other team members, Participants, and caregivers and updates the IDT promptly regarding any changes in Participants’ condition or medical status.
- Works with the Participant’s assigned Primary Care Provider and other members of the IDT to manage smooth care transitions between settings (hospitals, skilled nursing facilities, home, etc.)
- Provides health education for the Participant, family, and/or caregivers regarding the disease process, self-care techniques, and prevention strategies.
- Supports enrollment of prospective Participants in the PACE program.
- Participates in end-of-life care coordination and support.
- Identifies medical emergencies and initiates appropriate response within scope of practice.
- Documents all nursing treatment accurately and within departmental time requirements into Participants’ electronic health record, documenting the delivery of all Participant care.
- Understands and demonstrates respect for Participants’ rights and utilizes established mechanisms for management of ethical issues in Participant care.
- Demonstrates active participation in Quality Improvement activities, staff training, and meetings.
- Provides care to Participants in-person, via telehealth, and/or via telephone, as indicated.
- May provide after-hours on-call coverage to support PACE participants when the PACE Center is closed
- Performs other job duties as required by Manager/Supervisor.
• Valid, unrestricted RN license in the State of California.
• Graduate of an accredited school of Nursing.
• Minimum of three years’ clinical nursing experience.
• Minimum one year of experience working with a frail and/or older adult population. Relevant experience must be in the last three years.
• Current documentation of Basic Life Support required.
• Bachelor’s degree or higher in nursing (BSN/MSN)
• Certification in Public Health Nursing (PHN)
• Certification or additional training in geriatrics
• Must be able to fluently speak, read and write English.
• Fluency in Chinese (Cantonese and/or Mandarin) is required.
• Fluency in other languages is an asset.