PACE Registered Nurse

Valir Health•Shawnee, OK

1d•Hybrid

About The Position

Valir PACE provides integrated medical and social services to our most vulnerable seniors, helping to unlock their full potential. We are looking for team members who are energized by working in diverse teams toward our shared purpose. Those eager to drive groundbreaking innovation, and who will interact with those we serve and those who serve them in a spirit of understanding and compassion. About the Role: Job Summary: The PRN PACE Registered Nurse (RN) provides flexible clinical support to the PACE program by serving in RN Care Coordinator (RNCC) and on-call nursing roles as needed. This position delivers comprehensive nursing care, care coordination, participant assessments, field-based services, and intake evaluations for PACE participants and prospective enrollees. As a key member of the Interdisciplinary Team (IDT), the PRN RN collaborates with providers and team members to develop and implement individualized plans of care that promote participant independence, safety, and quality of life. The PRN RN provides skilled nursing services in the PACE center and participant homes while ensuring timely communication, documentation, and follow-up. Responsibilities may include participant triage, urgent clinical assessments, medication management, chronic disease monitoring, care transitions, after-hours telephone triage and on-call response, participant and caregiver education, and coordination of services to prevent avoidable hospitalizations and support successful aging in place. The RN ensures compliance with federal, state, and CMS PACE regulations while delivering participant-centered, high-quality nursing care throughout the participant lifecycle—from intake through ongoing enrollment.

Requirements

Current Registered Nurse (RN) license in good standing (state-specific).
Current CPR Certification.
Valid Driver’s License (for field-based work).
Ability to travel regularly by vehicle.
Lift up to 50 lbs (occasional).
Walk up to 0.25 miles (frequent/occasional).
Stand, sit, bend, squat, kneel, and reach as required.
Push/pull up to 75 lbs of force (occasional).
Full range of motion and balance for patient care and field work.

Nice To Haves

ACLS and UCAT certifications preferred (as applicable).
Experience in geriatric, home health, or PACE preferred.
Prior experience with in-home assessments and care coordination strongly preferred.

Responsibilities

Provide flexible clinical support to the PACE program by serving in RN Care Coordinator (RNCC) and on-call nursing roles as needed.
Deliver comprehensive nursing care, care coordination, participant assessments, field-based services, and intake evaluations for PACE participants and prospective enrollees.
Collaborate with providers and team members to develop and implement individualized plans of care that promote participant independence, safety, and quality of life.
Provide skilled nursing services in the PACE center and participant homes.
Ensure timely communication, documentation, and follow-up.
Perform participant triage, urgent clinical assessments, medication management, chronic disease monitoring, and care transitions.
Handle after-hours telephone triage and on-call response.
Provide participant and caregiver education.
Coordinate services to prevent avoidable hospitalizations and support successful aging in place.
Ensure compliance with federal, state, and CMS PACE regulations.
Deliver participant-centered, high-quality nursing care throughout the participant lifecycle.