Universal RN

InnovAge • Sacramento, CA

22h • 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, partners with the interdisciplinary team (IDT) to develop and execute individualized Plans of Care, and supports safe, efficient care delivery for frail and elderly participants. Physical presence at an InnovAge center and/or participant home is essential to performing the duties of the role.

The position includes clinical care and care coordination, with setting-specific duties for clinic-based and in-home services. The RN may also support comfort care and end-of-life planning, including assessments, care coordination, family education, psychosocial support, and connection to spiritual resources. The role may require travel based on assigned home-care assignments, as well as on-call, after-hours, and holiday coverage as assigned.

InnovAge provides the Program of All-inclusive Care for the Elderly (PACE), offering customized healthcare and social support to enrolled seniors at PACE Adult Day Health Centers. The organization describes its care model as patient-centered and focused on helping seniors age safely in their homes and communities.

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 healthcare experience with an emphasis in geriatrics, including at least 1 year in EGL/Hospice.
• Experience and knowledge of supportive or bereavement counseling techniques, strategies, and available resources, and the ability to apply or explain them to family members and caregivers.
• Experience conducting end-of-life assessments and developing appropriate Plans of Care.
• Spanish, Russian, Punjabi, or Hmong bilingual skills.

Responsibilities

• Perform comprehensive assessments, reassessments, and ongoing monitoring to identify participant needs, changes in condition, and appropriate levels of care; update Plans of Care accordingly.
• Implement provider orders, including administering medications and treatments, providing wound care, and performing other skilled nursing interventions.
• Triage participant and staff calls, determine priority, and route or escalate calls appropriately.
• Administer and reconcile medications, train participants in self-administration of non-scheduled medications, and monitor and promote adherence.
• Educate participants and caregivers or families about conditions, medications, equipment, safety, and disease management.
• Schedule and coordinate outside specialist visits, diagnostics, and hospital admissions as needed; arrange transportation when applicable.
• Observe, record, and promptly report participant condition and responses to treatments and medications to providers.
• Participate in IDT meetings, family conferences, and case reviews, and contribute to developing and adjusting Plans of Care.
• Complete timely, accurate medical-record documentation and meet agency and regulatory charting, reporting, certification and recertification, and discharge-summary requirements.
• Support utilization review, peer review, and quality-management activities as assigned.
• For clinic-based assignments, prepare, stock, and maintain examination and triage rooms; ensure required supplies and materials are available.
• For clinic-based assignments, assist with participant examinations, testing, and treatments performed in the clinic.
• In the absence of the Nursing Services Director or Clinic Nurse Supervisor, supervise clinic staff and support overall clinic workflow.
• For in-home assignments, provide skilled nursing care in participants' residences and deliver preventive, restorative, and rehabilitative nursing procedures.
• For in-home assignments, determine the type and amount of nursing care needed for each participant and coordinate with Home Care resources.
• For in-home assignments, supervise LPNs at least every 30 days and HHAs/CNAs at least every 14 days, or as required by regulation; 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 to ensure quality care delivery.
• 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 plans of care based on participants' individual needs.
• 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 the Social Work department.
• Ask about participants' and families' spiritual needs and connect them with appropriate resources.
• Perform other duties as assigned.
• Coordinate necessary tasks related to center operations as required and directed by leadership.

Benefits

• Medical, dental, and vision insurance.
• Short- and long-term disability insurance.
• Life insurance and AD&D.
• Supplemental life insurance.
• Flexible spending accounts.
• 401(k) savings plan, with company match referenced in the compensation disclaimer.
• Paid time off.
• Company-paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed