Community Care RN

Brio Living Services • Ypsilanti, MI

3d • $70,000 - $77,000 • Onsite

About The Position

The Community Care Registered Nurse (RN) is responsible for providing both direct and indirect nursing care to PACE participants across the continuum of care. Working under the direct and indirect supervision of the Director of Clinical Services or designee, the RN practices independently while applying advanced nursing knowledge, clinical judgment, and skills. This role manages complex clinical situations, coordinates care, and assumes accountability for participant outcomes to support safe, high-quality, and person-centered care.

Requirements

• Graduate of an accredited School of Nursing.
• Current Registered Nurse (RN) license in the State of Michigan.
• CPR certification required (or ability to obtain upon hire).
• Valid Michigan driver’s license with reliable transportation.
• Ability to lift and move up to 35 pounds independently.

Nice To Haves

• Three (3) years of nursing experience in a healthcare setting.
• At least one (1) year of experience working with the frail or elderly population.

Responsibilities

• Conduct nursing assessments and complete required documentation in accordance with PACE standards.
• Triage participant concerns by phone and determine appropriate interventions.
• Perform fall risk and other required clinical assessments.
• Identify participant needs, set priorities, and initiate referrals or follow-up as needed.
• Interpret and document diagnostic results using sound clinical judgment.
• Participate in IDT meetings and contribute to participant care planning.
• Complete in-home assessments for prospective participants as assigned.
• Complete initial, semi-annual, and annual nursing assessments prior to IDT meetings.
• Develop and update individualized care plans using the nursing process and interdisciplinary input.
• Collaborate with participants and families in care plan development.
• Communicate changes in participant condition to the IDT in a timely manner.
• Provide nursing care in accordance with professional standards and organizational policies.
• Administer prescribed treatments and procedures, including IV therapy, tube feedings, and wound care.
• Manage medications, including reconciliation, coordination with pharmacy, and participant education.
• Educate participants and families on coordination of 24-hour care services.
• Respond to emergency situations and initiate appropriate nursing interventions.
• Coordinate participant care across settings, including tracking hospital admissions and discharges.
• Ensure accurate, timely documentation and report infections per established protocols.
• Conduct home visits and participate in after-hours on-call rotation as assigned.
• Follow clinic workflows and participate in meetings and huddles as directed.
• Delegate nursing care appropriately and support team collaboration.
• Participate in Quality Improvement initiatives and promote safe, cost-effective care practices.

Benefits

• Tuition assistance and school scholarships up to $3,000 per semester.
• Wellness Program & Reimbursement – reimbursed 120 a year!
• Medical, Vision & Dental Insurance starting on the 1st of the month after 30 days of hire.
• Retirement Savings Plan – employer contributions.
• 6 weeks of Flexible time off per year.
• Paid holidays.
• Team Member Referral Bonus Program – Earn $500.
• Mileage Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level