Home Health Aide

St. Paul's Senior Services•San Diego, CA

4d•$23 - $29•Remote

About The Position

San Diego’s St. Paul's PACE program (Program of All-Inclusive Care for the Elderly) is an innovative program for individuals 55 years or older, living with chronic illness or disabilities, who need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul’s PACE provide a hands-on approach coordinating medical, social, and home care services so individuals no longer need to manage their medical care alone. The Home Health Aide (HHA) provides personal care and supportive services to PACE participants in their homes under the supervision of a Registered Nurse (RN) and in accordance with each participant’s interdisciplinary team (IDT) plan of care. The HHA promotes safety, dignity, functional independence, and health outcomes while adhering to California Title 22 scope, CDPH HHA certification standards, and state/federal PACE program rules.

Requirements

Must have completed one of the CDPH-approved pathways to HHA certification and have an active California Home Health Aide (HHA) certification.
A minimum of one year’s experience in working with frail or elderly population required.
Proficient in ADL assistance, safe transfer techniques, body mechanics, and basic vital signs.
Understanding of therapeutic diets, hydration, and safe food handling in the home.
Ability to follow written plans of care and receive delegation from licensed clinicians, strong observational and reporting skills.
Cultural humility and communication skills suitable for diverse, frail, and cognitively impaired older adults in community settings (PACE program purpose).
Must be able to clear fingerprints through DOJ and FBI in addition to a drug screen clearance.

Responsibilities

Perform personal care/home health aide services as assigned in the plan of care, including: Personal hygiene: skin, mouth, hair care; bathing (tub, shower, bed). Mobility & transfers: assist in/out of bed/chair; ambulation with/without devices; positioning; assist with prescribed exercises taught by appropriate health personnel. Elimination: assist to bathroom; use of commodes, bedpans, urinals; non‑sterile bowel/bladder hygiene. Nutrition: prepare meals including therapeutic diets and assist with eating. Household tasks necessary to facilitate self‑care and prevent or postpone institutionalization (light housekeeping, laundry related to care). Colostomy bag changes, non‑sterile dressings, vital signs—only if taught and delegated for a specific participant by a licensed professional and the aide has demonstrated competency. Medication assistance: assist only with medications ordinarily self‑administered; do not administer medications. Observation & reporting: promptly report changes in condition and participant/family needs to supervise RN or therapist; complete required documentation accurately and timely.
Deliver services consistent with the IDT plan of care, participant rights, and required services under PACE (42 CFR Part 460).
Coordinate with the PACE Interdisciplinary Team (IDT) and participate in feedback loops for assessments and plan updates as requested.
Follow organizational orientation, training, and competency policies for personal care aides/home care aides working in PACE.
Adhere to agency infection control policies and PACE infection control standards; maintain immunizations as required for direct participant contact.
Implement home safety measures and emergency procedures appropriate to the setting and participant needs.