Admissions Nurse (RN)

Trinity Health•Alexandria, VA

4d•Hybrid

About The Position

Trinity Health PACE Alexandria is a Program of All-Inclusive Care for the Elderly (PACE) in Central Louisiana that provides comprehensive medical, social, and supportive services that enable older adults to remain safely in their homes and communities. Serving eligible seniors throughout Rapides and Avoyelles Parishes, PACE integrates healthcare, rehabilitation, transportation, home care, and caregiver support through an interdisciplinary team dedicated to delivering person-centered care. The Admission Nurse is responsible for completing the initial and ongoing comprehensive participant assessments utilizing the interRAI Home Care (iHC) assessment tool for prospective and enrolled PACE participants. The RN serves as a key member of the team, gathering clinical, functional, cognitive, psychosocial, and environmental data to determine participant needs, support care planning, and ensure compliance with PACE, CMS, and Louisiana Medicaid requirements. The iHC assessment is specifically required as part of the PACE eligibility and care planning process.

Requirements

Must be a graduate of an accredited Nursing Degree program and possess a current, unencumbered, active license to practice as a Registered Nurse in the state of PACE Organization.
Minimum of two (2) years of documented experience working with a frail or elderly population or if less than two (2) years of experience, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
Valid driver's license in good standing and proof of insurance required.
Must have the ability to perform standard clinical procedures according to established protocols and possess initiative, solid problem-solving skills and a high level of accuracy and thoroughness in documenting the delivery of services.

Nice To Haves

BSN preferred.
MDS experience preferred.
Experience with interRAI Home Care (iHC) assessments is preferred but not required.

Responsibilities

Complete comprehensive pre-enrollment assessments using the interRAI Home Care (iHC) assessment tool.
Conduct face-to-face assessments in the participant's home, PACE center, hospital, nursing facility, or other care setting as appropriate.
Evaluate: Medical status, Functional abilities (ADLs/IADLs), Cognitive status, Behavioral health needs, Medication management, Nutritional status, Caregiver support systems, Home safety and environmental risks.
Identify unmet needs, risk factors, and opportunities to support participants safely in the community.
Present assessment findings to the IDT to support enrollment decisions and care plan development.
Work as a liaison between Sales and Enrollment, Medical Director, outside, the Interdisciplinary Team, and outside medical professionals and/or vendors to ensure a safe transition of care onto the PACE program.
Complete scheduled reassessments and significant change assessments utilizing the interRAI Home Care instrument.
Monitor changes in condition and communicate findings to the IDT.
Recommend modifications to participant care plans based on assessment outcomes.
Ensure assessment data accurately reflects current participant status and service needs.
In the absence of initial or ongoing assessments, assist the Clinic Manager with assigned duties, as needed.

Benefits

Trinity Health PACE programs offer continuous, quality care to the elderly, allowing them the independence of living at home.
Seniors who qualify for nursing home care can receive comprehensive care from an interdisciplinary team of experts, all focused on improving participants’ health.
At our centers, seniors receive clinical and rehabilitation therapy and build relationships with doctors, nurses and fellow participants – all under one roof.
We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Our core values: Reverence, Commitment to Those Who are Poor, Safety, Justice, Stewardship, Integrity.
Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation.
Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states.
Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services.
Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.
For more information, visit http://www.trinity-health.org.
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