PACE Level of Care Clinic RN (Central Valley PACE - Stockton)

Available Staff Positions•Stockton, CA

18h

About The Position

Based in Stockton, with initial training at the Modesto Center, the PACE Level of Care Clinic RN works under the clinical supervision of the PACE Center Manager RN. The RN conducts level of care (LOC) assessments to determine participant eligibility and provides clinic nursing services, including patient assessment, interdisciplinary team participation and care planning, care implementation and management, evaluation of patient care and medical records, and leadership. The role serves as a liaison for California Department of Health Care Services (DHCS) LOC assessments and includes conducting full medical and environmental in-home assessments of prospective enrollees, completing LOC documentation for state review, and coordinating semi-annual on-site audits. In collaboration with the interdisciplinary team, the RN develops and supports plans of care, educates participants and their families or caregivers, makes referrals, responds to emergencies, monitors changes in participants’ functioning, and documents and evaluates care. The role requires professional, respectful interaction with geriatric participants, including those experiencing cognitive decline or physical frailty, and comfort completing assessments in participants’ residences. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Compensation is $49.92–$57.79 per hour. Physical requirements include lifting up to 30 pounds and performing a range of movements; patient transfers or lifting and pushing greater than 30 pounds should be done with assistance as appropriate. The work environment may involve exposure to biohazards, unpleasant odors, and noise or crowded conditions.

Requirements

High school diploma or equivalent.
Graduate of an accredited school of professional registered nursing.
Current, unencumbered California Registered Nurse (RN) license.
Current BLS CPR card certified by the American Heart Association.
At least one year of experience as a Registered Nurse; home or community health experience is preferred.
At least one year of experience working with frail or elderly populations.
Valid California driver’s license, acceptable driving record, and vehicle insurance.
Ability to lead and supervise effectively and work under stressful conditions.
Creative, detail-oriented, and organized, with excellent written and verbal communication skills and the ability to maintain accurate records.
Ability to facilitate effective meetings and provide excellent customer service.
Integrity, discretion, and objective problem-solving skills.
Data-collection skills and knowledge of basic statistical principles.
Ability to establish and maintain effective working relationships with participants, coworkers, medical staff, and the public.
Skill in identifying problems and recommending resolutions.
Knowledge of healthcare-facility safety and infection-control requirements.
Demonstrated experience in quality assurance and performance improvement activities and in developing and implementing staff education using adult learning concepts.
Proficiency in Microsoft Office applications; advanced Microsoft Excel experience is required.
Maintains professional affiliations and any required certifications.
Comfort completing assessments routinely in participants’ residences.
Successfully complete DHCS level of care training within three months of hire.
Ability to lift up to 30 pounds; patient movement or transfers involving greater lifting or pushing should be done with assistance as appropriate.
Ability to hear staff and clients by phone and in person, speak clearly, and see adequately to read documents and screens, with or without corrective lenses.
High manual dexterity and ability to reach above shoulder level, bend, squat, sit, stand, stoop, crouch, reach, kneel, twist or turn, finger, and feel.

Nice To Haves

At least one year of RN experience in home or community health.

Responsibilities

Serve as liaison for California Department of Health Care Services (DHCS) level of care assessments.
Conduct full medical and environmental in-home assessments of prospective enrollees.
Complete level of care documentation and submit it to DHCS for initial and required annual review.
Prepare and oversee semi-annual level of care on-site audits in coordination with interdisciplinary team members.
Present prospective enrollee cases to the interdisciplinary team as needed.
Collaborate with the interdisciplinary team to develop plans of care based on the nursing process and participants’ immediate and continuing needs, including the perspectives of participants and families.
Educate participants, family members, and caregivers about disease processes, self-care techniques, and prevention strategies.
Provide community resources and referrals as necessary before enrollment.
Identify emergency situations and take appropriate action, including coordinating emergency services from the home when appropriate.
Assess patient problems and needs, set priorities, identify needs for referral and follow-up, interpret and record diagnostic results, perform advanced nursing assessments, and complete required forms.
Participate in the interdisciplinary team and care-planning process, include participants and caregivers, make referrals to support services, participate in initial and semiannual assessments, and communicate participant changes to the team.
Provide care in accordance with accepted practice standards and prescribed treatments; provide health education; participate in 24-hour care; initiate advanced therapy in emergencies; coordinate care with other health personnel; and respect patient rights and established ethical-issue processes.
Document care delivered, variations from the plan, observations of impending or associated problems, and nursing measures taken.
Delegate nursing care appropriately, document clinic problems, participate in quality improvement, comply with safe-work practices, identify and resolve care-management issues, complete written reports, fulfill clinic call assignments, and adjust workflows for census and acuity.
Observe participants for changes in physical, mental, emotional, or social functioning and report changes to the interdisciplinary team.
Demonstrate effective communication and problem-solving skills and support the organization’s mission, vision, values, and strategy through patient-centered care and service.
Perform other projects and duties as assigned.