Community Care RN

Brio Living Services • Ypsilanti, MI

7d • $70,000 - $77,000

About The Position

The Community Care Registered Nurse (RN) provides 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 using advanced nursing knowledge, clinical judgment, and skills. The role manages complex clinical situations, coordinates care, and is accountable for participant outcomes, supporting safe, high-quality, person-centered care.

The position is with Huron Valley PACE in Ypsilanti, Michigan. The schedule is exempt, at least 40 hours per week, from 8:00 a.m. to 4:30 p.m. Home visits and participation in an after-hours on-call rotation are assigned as needed.

Requirements

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

Nice To Haves

• Three years of nursing experience in a healthcare setting.
• At least one 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 interdisciplinary team (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 before IDT meetings.
• Develop and update individualized care plans using the nursing process and interdisciplinary input.
• Collaborate with participants and families in developing care plans.
• 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, pharmacy coordination, and participant education.
• Educate participants and families about coordination of 24-hour care services.
• Respond to emergencies and initiate appropriate nursing interventions.
• Coordinate participant care across settings, including tracking hospital admissions and discharges.
• Ensure accurate, timely documentation and report infections according to established protocols.
• Conduct home visits and participate in the 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 and reimbursement of $120 per year.
• Medical, vision, and dental insurance for full-time team members, starting on the first of the month after 30 days of hire.
• Retirement savings plan with employer contributions.
• Six weeks of flexible time off per year, plus paid holidays.
• Team member referral bonus of $500.
• Mileage reimbursement for work-related travel.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree