PACE COMMUNITY SERVICES RN LEAD

NORTH EAST MEDICAL SERVICES•San Francisco, CA

9d•$75 - $86

About The Position

The PACE Community Services Nurse Lead works under the supervision of the PACE Social Services Manager and oversees Community Nursing teams across all PACE sites. The role supports effective, efficient, and high-quality delivery of home care services and oversees Level-of-Care (LOC) submissions for prospective participants. The Nurse Lead oversees community nursing operations, staff scheduling and development, participant safety and care quality, home health and residential care services, contracted homecare services, and LOC documentation and processes. The position also leads quality improvement efforts, supports coordination with the Interdisciplinary Team (IDT), maintains participant records, monitors service metrics and customer service, and provides home visits and home health care as needed. The role uses Epic and serves as a content and workflow resource for resolving issues and proposing solutions.

Requirements

Valid, unrestricted California RN license.
Graduate of an accredited school of Nursing.
At least two years of professional nursing experience in a health care setting.
Current BLS and First Aid.
Valid driver’s license and no violations under the Company Vehicle Usage policy to operate a company vehicle.
Fluent in speaking, reading, and writing English.
Fluency in Chinese (Cantonese) and/or Vietnamese.

Nice To Haves

Bachelor’s degree or higher in Nursing (BSN/MSN).
Certificate in Public Health Nursing (PHN).
Experience conducting home visits.
Additional training and/or certification in geriatrics.
At least one year of experience working with a frail and/or older adult population.
Fluency in other languages.

Responsibilities

Lead and oversee Community Nursing teams across all PACE sites, including timecard review and approval, scheduling, staffing coordination, coverage, onboarding, orientation, and training.
Oversee participant care quality and safety in homes and community settings, daily home care operations, and Level-of-Care processes.
Perform the duties and responsibilities of a Community RN.
Oversee Community RNs' preparation and submission of Level-of-Care documentation for PACE candidate applications, including assessments, required documentation, submission timelines, and follow-up.
Coordinate smooth transitions and effective care coordination for approved candidates.
Onboard and coordinate training for new staff, including competency and other training materials, and provide ongoing training as needed.
Support management and oversight of contracted homecare services, including contractor selection, contract performance monitoring, service-level expectations, invoice reconciliation, and vendor relationship management.
Oversee the program’s home health services and services provided at Residential Care Facilities for the Elderly (RCFEs).
Develop the community nursing team’s clinical skills, decision-making, regulatory compliance, and communication and collaboration with the Interdisciplinary Team.
Lead quality improvement initiatives for community nursing and home care services to improve care quality, operational efficiency, and participant outcomes.
Monitor input from team members, participants, and caregivers, and promptly update the Interdisciplinary Team about changes in participants’ condition or medical status.
Develop and implement home care programs that promote, restore, or maintain participants’ optimal functional status and align with the interdisciplinary plan of care.
Maintain records related to participant care and progress.
Monitor customer service delivered by the community nursing team, identify improvement opportunities, and implement training.
Monitor encounter, assessment, and care plan metrics for community nursing and home health services to support timeliness, regulatory compliance, and continuous improvement in participant experience.
Provide home visits and home health services as needed.
Use Epic appropriately and efficiently, and serve as a content and workflow expert to resolve issues and propose solutions.
Perform other job duties as required by the Manager or Supervisor.