RN Subacute - FT - S

PACS•San Diego, CA

3d•$93,600 - $115,000

About The Position

The RN Subacute assists the Director of Nursing Services with the daily direction and management of nursing activities in a long-term care facility, ensuring compliance with applicable rules, regulations, guidelines, policies, and procedures. The role provides administrative and clinical support, contributes to quality assurance, care planning, staff development, safety, infection control, and resource management, and helps ensure residents receive appropriate, safe, and continuous care. The RN has delegated authority, responsibility, and accountability for assigned duties and assists with supervision and management of nursing staff. The position includes coordinating admissions, transfers, discharges, resident assessments and care plans; monitoring residents’ physical and emotional status; supporting clinical care and medication administration; and communicating with residents, families, physicians, staff, committees, and facility leadership. The RN also helps maintain staffing, training, safety, sanitation, equipment, and supply needs, and participates in facility surveys and committee activities. The role requires an accredited nursing degree, an active and unencumbered RN license in the state, current CPR certification, and training in rehabilitative and restorative nursing practices. Two or more years of experience, preferably in a long-term care facility, is required. PCC knowledge and experience are preferred. The work takes place in office and nursing service areas, including resident rooms and treatment spaces, and may involve interruptions, exposure to infectious materials and hazardous chemicals, and work beyond normal hours, including weekends, holidays, or emergency call-backs when necessary. Physical requirements include intermittent movement and the ability to move or carry at least 25 pounds as described in the posting.

Requirements

Nursing degree from an accredited college or university.
Current, unencumbered, active RN license in the state.
Current CPR certification.
Training in rehabilitative and restorative nursing practices.
Two or more years of experience; experience in a long-term care facility is preferred.
Ability to read, write, speak, and understand English, including technical procedures and policy and procedure manuals.
Ability to apply mathematical concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to make independent decisions, solve practical problems, communicate effectively, and deal tactfully with residents, families, staff, visitors, and government personnel.
Leadership and supervisory ability, including the ability to plan, organize, develop, implement, and interpret nursing programs, policies, and procedures.
Knowledge of nursing and medical practices and of laws, regulations, and guidelines pertaining to nursing care facilities.
Ability to provide care appropriate to residents’ age-related needs and to work effectively with ill, disabled, elderly, emotionally upset, or hostile individuals.
Ability to cope with mental and emotional stress, work independently with flexibility and integrity, and work harmoniously with others.
Must not pose a direct threat to the health or safety of others in the workplace.
Must maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
Must meet facility general health requirements, including a medical and physical examination.
Must be able to move intermittently during the workday, communicate understandably, and see and hear adequately or use prosthetics that enable the senses to function adequately.
Must be able to push, pull, move, or lift at least 25 pounds to a minimum height of 5 feet and move or carry that weight at least 50 feet.
May need to assist with resident evacuation during emergencies.

Nice To Haves

Knowledge of and experience with PCC.
Experience in a long-term care facility.

Responsibilities

Assist the Director of Nursing Services with directing daily nursing service operations and maintaining compliance with applicable rules, regulations, guidelines, policies, and procedures.
Participate in developing, maintaining, and updating nursing policies, procedures, manuals, reference materials, quality assurance activities, and discharge plans.
Prepare written and oral reports and recommendations for the Director and provide information to facility committees as requested.
Participate in facility surveys and committee meetings, support committee reporting and care plan activities, and implement committee recommendations as instructed.
Ensure adequate licensed nurse and certified nursing assistant staffing during the shift; develop work assignments, delegate duties, make rounds, monitor attendance, review grievances, and report staffing or performance concerns.
Support employee evaluations, staffing recommendations, disciplinary processes, and a respectful, calm, and cooperative work environment.
Coordinate resident admissions, transfers, and discharges; prepare rooms, greet and escort residents, and arrange transportation as needed.
Make daily resident visits; monitor physical and emotional status; consult with residents, families, and physicians; notify physicians and next of kin about changes in condition; and keep the Director informed.
Provide direct nursing care as needed, including starting IVs, collecting specimens, taking vital signs, and assisting with care of seriously ill residents.
Review nurses’ notes and resident care plans; help develop assessments and care plans; ensure staff know and follow care plans and resident wishes; and support MDS and RAP processes.
Monitor medication passes, treatment schedules, medication records, medication and supply storage, and compliance with medication administration procedures.
Maintain clean and safe nursing work areas and resident care spaces; ensure compliance with hand hygiene, infection control, fire safety, emergency preparedness, and personal protective equipment procedures.
Report occupational exposures, suspected fraud, unauthorized system access, hazardous conditions, and other incidents according to facility policies.
Participate in staff training and continuing education; assist with in-service programs and clinical supervision of nurse aide trainees.
Recommend and monitor department equipment, medication, and supply needs; support preventive maintenance and safe equipment use.
Assist with nursing service budget and planning functions and recommend adjustments that support continued quality care.
Attend continuing education programs and maintain current licensure and required certifications.