The Center for Elders' Independence, a PACE (Program of All-Inclusive Care for the Elderly) organization, seeks a Home Health Nurse RN to provide high-quality, compassionate, patient-centered nursing care to elderly participants at the clinic and in their homes. Working under the direction of the Manager of Care Coordination and Home Health Nursing, you will deliver safe, effective, and individualized care following participants' care plans, physician's orders, and regulatory standards. You will communicate effectively with all clinic team members and program staff to ensure participants receive appropriate care that adheres to their plan of care.
Clinical Setting
You will work with frail and elderly participants in both clinic and home settings, providing care coordination and skilled nursing services within an interdisciplinary team model.
Responsibilities
- Assess participants in clinic or at their homes for post-hospital, skilled nursing facility, and fall assessments, including medication compliance and disease management evaluation
- Monitor participants for acute physical or behavioral changes and adjust the plan of care accordingly
- Provide skilled nursing care to participants as needed in a timely manner
- Provide health education, information, and counseling to participants, family members, and caregivers regarding care needs and safety
- Implement preventative and rehabilitative nursing procedures appropriate for participant care and safety
- Conduct initial and semi-annual nursing assessments of participants in the clinic to evaluate their status and support development and maintenance of individualized care plans
- Maintain accurate and timely documentation of care provided in the electronic health record in accordance with PACE and regulatory standards
- Assure quality of care by adhering to therapeutic standards, making or recommending necessary treatment adjustments, and following standards of care set by governing agency regulations
- Participate in the quality assurance performance improvement program, measuring health outcomes against patient care goals and standards
- Participate in departmental and agency meetings as directed by supervisor and agency leaders
- Maintain confidentiality of all company procedures, results, and information about participants or families
- Comply with all agency training requirements
- Maintain a safe working environment by following CEI's safety policies and procedures
- Maintain a courteous, helpful, and professional attitude, demonstrating responsiveness to all customer groups
- Perform other assigned duties with flexibility and a proactive approach to participant care
Schedule and On-Call Requirements
- Must be available to work weekends and evenings
- Must participate in after-hours on-call rotation as scheduled
- Must be available for on-call response to emergency concerns
- In the absence of a clinic registered nurse, may be required to participate in interdisciplinary team meetings, offering clinical expertise in team planning and problem-solving
Required Qualifications
- Graduate from an accredited school of professional nursing or vocational nursing program
- Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) or equivalent
- Current California Board of Registered Nurse License or California Board of Vocational Nursing and Psychiatric Technician License
- Current CPR-BLS certification
- Minimum of one year of acute, skilled nursing facility, or ambulatory care experience working with the frail or elderly population
- Valid California driver's license, motor vehicle insurance, and reliable transportation
- Ability to lift and move participants or equipment weighing up to 50 pounds
- Frequent standing, walking, and bending during home visits; occasional kneeling
- Ability to react calmly and effectively in emergency situations
- Strong verbal and written communication skills to effectively interact with participants, families, and team members
- Proficiency in using electronic health records and basic computer applications
- Ability to work as a team player in a multicultural, multidisciplinary setting
- Knowledge of common safety hazards and precautions to establish a safe work and living environment for participants
Preferred Qualifications
- Strong clinical skills and experience in complex wound care, infusions, venipuncture, vaccinations, complex respiratory care, genitourinary care, and ostomies
- Knowledge and experience in diabetic foot care
- Advanced wound care training and/or certifications
Travel Requirements
- Travel to participant homes and PACE centers is required.
Compensation
The hourly pay range for this position is $46.02 to $69.95. Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI's annual compensation review and established compensation practices.