Universal RN

InnovAge•Lakewood, CO

7d•Onsite

About The Position

The Universal RN (Registered Nurse) provides skilled nursing care in accordance with InnovAge policies, clinical standards, and applicable regulations. This universal role supports participants in clinic and in-home settings, as assigned, and partners with the interdisciplinary team (IDT) to develop and implement individualized Plans of Care for frail and elderly participants. Physical presence at an InnovAge center and/or participant home is essential to performing the role. The position delivers clinical care and coordinates services across assigned settings, including assessments, medication and treatment administration, participant and caregiver education, documentation, and collaboration with providers and the IDT. Clinic-based duties include preparing and maintaining exam and triage rooms, assisting with examinations and treatments, and, when designated, supervising clinic staff in the absence of the Nursing Services Director/Clinic Nurse Supervisor. In-home duties include skilled nursing care at participants' residences, coordination with Home Care resources, and supervision and education of LPNs, HHAs, and CNAs at required intervals. The RN also supports safety, regulatory compliance, quality improvement, and cost stewardship; participates in on-call, after-hours, and holiday coverage as assigned; and provides end-of-life assessment, care planning, education, and psychosocial support in collaboration with Social Work. 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, required 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 with an emphasis in geriatrics, including at least 1 year in EGL/Hospice.
Experience and knowledge of supportive and bereavement counseling techniques, strategies, and available resources, with the ability to apply them and inform family members or caregivers.
Experience conducting end-of-life assessments and developing appropriate Plans of Care.
Bilingual Spanish, Russian, Punjabi, or Hmong.

Responsibilities

Perform comprehensive assessments, reassessments, and ongoing monitoring to identify needs and changes in condition, determine appropriate levels of care, and update Plans of Care.
Implement provider orders, including administering medications, treatments, wound care, and other skilled nursing interventions.
Triage calls from participants and staff, determine priority, and route or escalate appropriately.
Administer and reconcile medications; train participants in self-administration of non-scheduled medications; monitor and promote adherence.
Educate participants and caregivers or families about conditions, medications, equipment, safety, and disease management.
Schedule and coordinate specialist visits, diagnostic services, and hospital admissions as needed, and arrange transportation when applicable.
Observe, document, and promptly report participants' conditions and responses to treatments and medications to providers.
Participate in IDT meetings, family conferences, and case reviews, contributing to the development and adjustment of Plans of Care.
Complete timely and accurate medical-record documentation and meet agency and regulatory 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 participant examinations, testing, and treatments performed in the clinic.
In the absence of the Nursing Services Director/Clinic Nurse Supervisor, supervise clinic staff and support clinic workflow.
Provide skilled nursing care in participants' residences and deliver preventive, restorative, and rehabilitative nursing procedures.
Determine the type and amount of nursing care needed for each participant and coordinate with Home Care resources.
Supervise LPNs at least every 30 days and HHAs/CNAs at least every 14 days, or as required by regulations; provide teaching and reinforce competencies. 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 to support quality care.
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.
Ask about participants' and families' spiritual needs and call upon appropriate resources.
Coordinate necessary tasks related to center operations as directed by leadership.
Perform other duties as assigned.