Job Description
Job DescriptionJOB DESCRIPTIONHome Health Registered NurseThe Center for Elders’ Independence is a PACE (Program of All-Inclusive Care for the elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, and promoting autonomy, quality of life and the ability of individuals to live in their communities. The Position: Under the direction of Manager of Care Coordination, the Registered Nurse (RN) provides high-quality, compassionate, and patient-centered nursing care to participants in any setting including in the participants' home and/or a CEI clinic. This role ensures the delivery of safe, effective, and individualized care, following the participant’s care plan, physician’s orders, and regulatory standards. The RN communicates effectively with all members of the clinic team and other program staff to ensure that participants are receiving care that is appropriate and adheres to the participants’ plan of care. The Home Health RN position is eligible for a $5,000 Signing Bonus. The pay range for the Home Health RN position at Center for Elders Independence is $45.12 to $67.68 per hour. Hourly rate based on the market for the Home Health RN position, as well as experience, skills, abilities and work history. Duties and Responsibilities:· Assesses participants in clinic, or in participant’s home, for post hospital, SNF, and fall assessments for medication, compliance and disease management or as indicated.· Monitors participants for any acute physical or behavioral changes and adjusts plan of care accordingly.· Provides skilled nursing care to participants as needed in a timely manner.· Provides health education, information and counseling to participants, family members and caregivers regarding participant’s disease management, medication adherence, care needs and home safety.· Implements preventative and rehabilitative nursing procedures as appropriate for the participant’s care and safety and all other reasonably related jobs as assigned. · Participates in the after-hours on-call rotation and must be available evenings and weekends as scheduled.· Provides emergency response and triage guidance during on-call coverage, coordinating with clinical leadership as needed.· Attends and contributes to IDT meetings in the absence of clinic-based RNs, offering clinical expertise to support care coordination, planning and problem solving.· Conducts initial, semi-annual, and significant change of condition nursing assessments of participants in the clinic to evaluate their status and support development and maintenance of individualized care plans.· Maintains accurate and timely documentation of care provided in the electronic health record (EHR) in accordance with PACE and regulatory standards.· Possesses strong clinical skills and experience in complex wound care, infusions, venipuncture, vaccinations, complex respiratory care, genitourinary care and ostomies highly preferred.· Knowledge and experience in diabetic foot care and advance wound care training and/or certifications preferred.· Assures quality of care by adhering to therapeutic standards, making or recommending necessary treatment adjustments, following standards of care set by Board of Registered Nursing, Nurse Practice Act, and governing agency regulations.· Actively participates in CEI’s quality assurance performance improvement program (QAPI) as assigned, measuring health outcomes against patient care goals and standards.· Maintains the confidentiality of participant records, family information, company procedures, results, and other sensitive data.· Maintains a safe working environment by following all CEI safety policies, procedures, and infection control standards.· Participates in departmental meetings, trainings, and agency-required sessions.· Performs other assigned duties, contributing positively to the care team and participant experience.Qualifications:· Graduate from an accredited school of professional nursing· Bachelor of Science in Nursing (BSN) preferred· Minimum of one (1) year of experience in an acute care, skilled nursing facility, or ambulatory care setting, preferably working with a frail or elderly population· Proficiency in using electronic health records and basic computer applications· Must have a valid California driver’s license, motor vehicle insurance, and reliable transportationLicenses and Certifications:· Current California Registered Nurse (RN) license in good standing· Maintains eligibility for licensure by completing required continuing education units· Current CPR/BLS certification (Basic Life Support)Physical, Functional, and Environmental RequirementsThe physical and mental demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job.Physical:· Standing/Walking: Must be able to stand and walk for up to 5–7 hours per day while providing in-home care, transitioning between homes, and occasionally supporting care activities in the clinic.· Lifting: Must be able to lift, move, and reposition participants or equipment weighing up to 50 pounds occasionally to frequently.· Mobility: Requires frequent physical activity, including bending, squatting, climbing stairs, and entering/exiting vehicles; occasional kneeling may be required during home visits.· Sitting: Must be able to sit for extended periods while driving between participant homes, documenting care, and attending occasional meetings.· Fine Motor Skills: Requires manual dexterity and hand-eye coordination to perform clinical procedures (e.g., wound care, injections, catheterizations, IVs).· Visual and Auditory Requirements: Must have adequate visual and auditory acuity to assess participant conditions, monitor devices, and respond to alarms or verbal cues.· Driving: Must be able to safely operate a motor vehicle to travel between participant homes, CEI centers, and other care settings throughout the workday.Functional:· Ability to assess, plan, implement, and evaluate participant care using sound clinical judgment.· Strong critical thinking, problem-solving, and decision-making skills in a fast-paced, team-oriented environment.· Ability to manage multiple priorities, remain organized, and adapt to changing participant needs and clinical demands.· Clear, effective, and professional verbal and written communication skills for interdisciplinary collaboration and documentation.· Emotional resilience to work with frail, elderly, or medically complex populations.· Maintains professionalism, empathy, and a courteous demeanor in all interactions.· Demonstrates responsiveness to the needs of participants, families, and team members.Environmental:· Regular exposure to variable home environments, which may include uneven surfaces, pets, smoke, clutter, and limited climate control· Exposure to bloodborne pathogens, bodily fluids, infectious diseases, and cleaning chemicals; use of PPE is required· Work is performed in both indoor and outdoor settings; must be able to tolerate varying weather conditions while traveling between homes· Regular travel between participants’ residences is required, with occasional travel to CEI clinics as needed.The above job description is designed to provide an overview of the general function intended to communicate the general function of the above-mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, site assignments, and or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and/or as requested by management.