Administrative Registered Nurse (RN)

Vitale Nursing•Playa del Rey, CA
•Onsite

About The Position

The Administrative RN supports daily office operations, clinical coordination, documentation compliance, staff communication, and client services in a fast-paced, 24/7 healthcare environment. The role combines administrative responsibilities with clinical support and requires strong judgment, organization, communication, and follow-through. The RN works within established workflows and escalates company-wide policy, financial, disciplinary, and executive decisions to leadership. The position is part-time and non-exempt (hourly), based primarily in person in Playa del Rey, California, with field or remote work as assigned. The schedule depends on availability provided; days and times may vary, with a stated schedule of 9:00 a.m. to 5:00 p.m. Weekend, evening, holiday, field, or remote work must be assigned or approved and is compensated as time worked. The role is not on-call unless explicitly assigned in writing. Compensation is $60.00–$65.00 per hour for administrative RN work; approved field nursing assignments are paid at the applicable field rate communicated in writing. The position is overtime eligible under applicable California law, and all time must be recorded accurately in real time. The RN coordinates clinical care, reviews care plans and physician orders, monitors patient updates, conducts assigned nursing visits, supports staffing and team communication, assists with client intake and care coordination, maintains records, supports onboarding and training, and assists with billing and payroll workflows without final approval authority. The role includes chart audits, compliance follow-up, incident reporting, approved clinical coverage, and start-of-day, throughout-the-day, and end-of-day workflow responsibilities. The employee must protect patient and company information and comply with HIPAA and company confidentiality requirements. Employment is at will.

Requirements

  • Current California Registered Nurse license in good standing.
  • At least two years of nursing, home health, private duty, case management, or healthcare administrative experience.
  • Working knowledge of HIPAA, confidentiality, clinical documentation, care planning, and physician orders.
  • Strong communication, customer service, organization, and time-management skills.
  • Proficiency with EMR systems, Google Workspace, and Microsoft Office.
  • Valid driver's license, reliable transportation, and ability to travel to assigned locations and perform field visits.
  • Ability to accurately record all work time in real time.
  • Ability to protect patient and company information and comply with HIPAA and company confidentiality requirements.

Nice To Haves

  • Home health, private duty nursing, care coordination, or administrative nursing experience.
  • Experience supporting high-profile or concierge clients.
  • Familiarity with AlayaCare and CareAcademy; training will be provided.

Responsibilities

  • Review, update, and support implementation of patient care plans and physician orders.
  • Monitor patient updates, identify changes or concerns, and promptly escalate them to leadership or the appropriate clinician.
  • Review medication lists and clinical documentation for accuracy and completeness.
  • Coordinate and follow up with physicians, pharmacies, families, and care teams as assigned.
  • Conduct assigned nursing visits, including start-of-care, assessment, or follow-up visits, within scope.
  • Provide clinical guidance and support according to established protocols and the RN scope of practice.
  • Support staffing coordination with the scheduling team.
  • Conduct staff check-ins, document communications, and follow up on open patient-care items.
  • Monitor assigned shifts for attendance, documentation, safety, and continuity-of-care concerns.
  • Follow escalation procedures and communicate timely updates to leadership and staff.
  • Support client intake, onboarding, and care coordination.
  • Communicate professionally with clients, families, physicians, and authorized representatives; provide concierge-level service and escalate complaints, changes, or unmet needs.
  • Maintain accurate records, trackers, care plans, physician orders, and supporting documentation.
  • Use approved systems, review communications and patient or staffing alerts, and support office workflow, organization, and end-of-day reporting.
  • Assist with employee onboarding, orientation, competency validation, and training.
  • Monitor attendance and documentation compliance and escalate concerns to HR or leadership.
  • Serve as a liaison between field staff and leadership while maintaining professional boundaries.
  • Verify timekeeping, shift records, and documentation accuracy; support billing and payroll workflows without final approval authority; correct or escalate system discrepancies.
  • Audit charts and follow up on missing, late, or inconsistent documentation.
  • Ensure documentation meets company, regulatory, and payer requirements; maintain HIPAA compliance and use approved communication methods.
  • Promptly report incidents, complaints, clinical concerns, or potential compliance issues.
  • Provide approved clinical coverage when needed to maintain continuity of care, performing only duties permitted by scope, competency, physician orders, and company policy.
  • Review communications, staffing updates, patient alerts, open orders, and urgent priorities at the start of the day.
  • Complete staff check-ins, document communications, update trackers, and address or escalate issues throughout the day.
  • Complete documentation review, close urgent items, and submit a concise end-of-day report covering staffing, patient updates, orders, and escalations.
  • Maintain real-time system updates and ensure urgent patient-care issues are resolved or reported.
  • Follow company policies, clinical protocols, and workflows; maintain accurate, timely, and compliant documentation and support safe care and operational efficiency.

Benefits

  • Paid sick leave in accordance with California law.
  • Company-issued laptop and business cell phone, as assigned.
  • Overtime eligibility in accordance with California law.
  • Business mileage reimbursement according to company policy and applicable law.
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