Universal RN

InnovAge•Aurora, CO

About The Position

The Universal RN (Registered Nurse) provides skilled nursing care in accordance with InnovAge policies, clinical standards, and applicable regulations. This role supports participants in clinic and in-home settings as assigned, partnering with the interdisciplinary team (IDT) to develop and execute individualized Plans of Care and promote safe, efficient care for frail and elderly participants. Physical presence at an InnovAge center and/or participant home is essential to performing the role. The RN provides assessment, monitoring, medication administration, treatments, education, triage, care coordination, documentation, and support for clinical quality activities. Clinic duties include maintaining exam and triage rooms, assisting with examinations and treatments, and supporting clinic workflow when designated nursing leadership is absent. In-home duties include skilled nursing in participants’ residences, coordinating nursing resources, supervising LPNs and aides at specified intervals, and conducting supervisory visits and check-ins. The position also supports end-of-life care through assessments, planning, education, psychosocial and spiritual support, and coordination with Social Work. The RN follows applicable safety and compliance requirements, may participate in on-call, after-hours, and holiday coverage as assigned, and performs other duties as assigned. Travel depends on assigned home care responsibilities.

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of practice.
Current First Aid and BLS certifications from the American Heart Association and/or American Red Cross before hire.
At least 1 year of experience working with frail or elderly populations.
For assignments that include in-home care: personal transportation, a valid state driver’s license, an acceptable driving record, and auto insurance as required by law.

Nice To Haves

Bachelor’s degree in nursing.
Certification as a Gerontological Nurse.
At least 2 years of health care experience emphasizing geriatrics, including at least 1 year in EGL/Hospice.
Experience and knowledge of supportive and bereavement counseling techniques, strategies, and resources, and ability to apply these or inform family members and caregivers.
Experience conducting end-of-life assessments and developing appropriate Plans of Care.
Spanish, Russian, Punjabi, or Hmong bilingual ability.

Responsibilities

Perform comprehensive assessments, reassessments, and ongoing monitoring; identify participant needs and changes in condition and update Plans of Care.
Implement provider orders, including administering medications, treatments, wound care, and other skilled nursing interventions.
Triage participant and staff calls, determine priority, and route or escalate appropriately.
Administer and reconcile medications; train participants in self-administration of non-scheduled medications and promote adherence.
Educate participants and caregivers or families about conditions, medications, equipment, safety, and disease management.
Schedule and coordinate specialist visits, diagnostics, hospital admissions, and transportation when applicable.
Observe, document, and promptly report participant condition and responses to treatments and medications to providers.
Participate in IDT meetings, family conferences, and case reviews; contribute to developing and adjusting Plans of Care.
Complete timely, accurate medical-record documentation and meet charting, reporting, certification, recertification, and discharge-summary requirements.
Support utilization review, peer review, and quality management activities as assigned.
Prepare, stock, and maintain clinic exam and triage rooms and ensure required supplies and materials are available.
Assist with clinic examinations, testing, and treatments.
In the absence of the Nursing Services Director or Clinic Nurse Supervisor, supervise clinic staff and support clinic workflow.
Provide skilled nursing in participants’ residences and deliver preventive, restorative, and rehabilitative nursing procedures.
Determine the type and amount of nursing care needed and coordinate with Home Care resources.
Supervise LPNs at least every 30 days and HHAs/CNAs at least every 14 days, or as regulations require; provide teaching and competency reinforcement. Supervise unskilled care every 90 days.
Conduct supervisory visits, care conferences, and periodic participant and caregiver check-ins; trend data and collaborate with the Home Care Manager and Nursing Services Director on care quality.
Follow InnovAge policies and applicable federal, state, and local regulations, including HIPAA, OSHA, infection prevention, medication safety, and scope-of-practice requirements.
Use PPE and follow standard, transmission-based, and universal precautions.
Participate in on-call, after-hours, and holiday coverage as assigned.
Support continuous improvement, patient safety initiatives, and cost stewardship.
Develop end-of-life documentation, forms, standards, and protocols.
Conduct initial end-of-life assessments and coordinate individualized plans of care.
Provide decision-makers with care options and resources to support decisions in the participant’s best interest.
Educate family members about the end-of-life process and provide the “Caregiving at Life’s End” manual.
Provide psychosocial support to participants and families, including coping and bereavement resources in collaboration with Social Work.
Inquire about spiritual needs and connect participants and families with appropriate resources.
Coordinate necessary tasks related to center operations as directed by leadership and perform other duties as assigned.