Registered Nurse; RN; PACE

Redwood Coast PACE with Humboldt Senior Resource Center is looking for full-time Registered Nurses (RN) to provide care for our participants. Redwood Coast PACE — a Program of All-inclusive Care for the Elderly — is a comprehensive health plan for older adults who wish to remain living in their home and community. We provide medical, social, nutritional, rehabilitation, and support services for eligible adults.

At Redwood Coast PACE, the goal is to help people stay as healthy and independent as possible. Because their health is monitored on a regular basis, many PACE participants report fewer health crises and better overall health.

This position will support our Eureka region and the schedule for this position is Monday through Friday, 8:30 am to 5 pm, with occasional on-call support.

JOB SUMMARY:

The Registered Nurse (RN) provides comprehensive nursing care and care coordination for participants in a PACE (Program of All-Inclusive Care for the Elderly) setting, supporting the health, safety, and independence of frail and elderly adults. The RN conducts assessments, develops and implements individualized Plans of Care in collaboration with the Interdisciplinary Team, and delivers skilled nursing services in both the clinic and home settings.

This role monitors participant health status, manages medications and treatments, and ensures timely communication with Primary Care Providers, caregivers, and team members. The RN also provides education to participants and families, supports quality improvement initiatives, and promotes a safe, compliant, and participant-centered care environment.

ESSENTIAL DUTIES AND RESONSIBILITIES:

Conducts initial participant assessment and reassessments to identify overt problems/needs and sets nursing priorities. Records participant assessments, reassessments, and care delivered in the medical record.

Provides treatment and or interventions which address problems requiring immediate referral and/or follow-up; interprets and records latest diagnostic  coordination with the Interdisciplinary Team, develops a Plan of Care based on a nursing process that incorporates immediate and continuing care needs, including the participant and family perspective to reflect goals for the participant in the Day Center.

Provides care that conforms to accepted nursing practice standards and age-related characteristics and needs of participants. Functions within nursing scope of practice.

Provides direct care including, but is not limited to, wound care, IV therapy, blood sugar checks, IM injections, vital sign checks, and/or follow-up on an episodic problem previously identified by Primary Care Providers. Performs nursing treatments and interventions in the Clinic, as appropriate.

Performs scheduled and as-needed home visits to assess participant health status, provide skilled nursing care, and reinforce care plans.

Actively participates in daily morning and Interdisciplinary Team (IDT) meetings providing updates on changes in the condition of participants and regarding movement between home, supportive housing, nursing home, hospital, and other residential settings.

Ensures the information regarding participant health problems, daily schedules, planned tests, appointments, and Medical Specialist appointments, are communicated to the IDT to ensure coordination.

Consults with and educates participants, family members, and/or caregivers regarding the disease process, self-care techniques, prevention strategies, and medical interventions.

Provides the appropriate Primary Care Provider with a summary of health findings and any changes in a participant’s health condition.

Ensures that all tests, lab work, and diagnostic studies ordered by the Primary Care Provider have been executed.

Coordi…