PACE Level of Care Clinic RN; Valley PACE - Merced). Merced LilyLifestyle

Under the clinical supervision of the PACE Center Manager RN, conducts level of care (LOC) assessments to determinate participant eligibility, provides clinic nursing services including assessing patients, participating in the interdisciplinary team and care planning, implementing care and care management, evaluating patient care and medical records, and demonstrating leadership abilities.

Will work at our Central Valley PACE Center in Merced.

Schedule is Monday - Friday, 8:00am - 5:00pm.

Compensation: $49.92 - $57.79 an hour

• Demonstrates effective communication and problem solving skills.
• Supports the mission, vision, values and strategy of Golden Valley Health Centers by providing excellent patient-centered treatment, care, and services.
• Serve as the liaison for California Department of Health Care Services (DHCS) LOC assessments.
• Conduct full medical and environmental in-home assessments on prospective enrollees.
• Complete level of care documentation and submits for the state (DHCS) review initially and as required annually.
• Prepare and oversee the semi-annual level of care on-site audit in coordination with other interdisciplinary team members.
• Present prospective enrollee cases to the Interdisciplinary team as needed.
• In coordination with the interdisciplinary team, develop a plan of care based on nursing process that incorporates immediate and continuing care needs and includes the participant and family perspective.
• Prepares and oversees the semi-annual level of care on-site audit in coordination with other interdisciplinary team members.
• Educate the participant, family members and/or caregiver regarding the disease process, self-care techniques, and prevention strategies.
• Provide community resources and referrals as necessary prior to enrollment.
• Identifies emergency situations and takes appropriate action, including coordinating emergency services from home as appropriate.
• Assist Interdisciplinary team with forming a plan of care based on nursing evaluation.
• Assessment:
  Identifies patient's overt problems/needs and sets priorities; identifies problems requiring further referral and follow-up; interprets and records latest diagnostic results; performs advanced nursing assessments using critical thinking skills; collects data and completes required forms with appropriate responses according to clinic standards.
• Interdisciplinary care team (IDT) & Care Planning:
  Participates as a member of the IDT; assists with the care planning process in ordination with the IDT; includes the participant/family/care giver in process; makes referrals to interdisciplinary support services; participates in IDT initial and semiannual assessments; communicates participant changes to IDT.
• Implementing & Managing Care:
  Provide care conforming to accepted practice standards; provides correct treatments/procedures as prescribed; demonstrates age related characteristics and needs of Participants; provides participant health education; participates in twenty four (24) hour care; identifies emergency situations and independently initiates advanced therapy; acts as coordinator of patient care with other health care personnel and evaluates patient care measures; understands and respects patient rights and utilizes established mechanisms for management of ethical issues in patient care.
• Evaluation:
  Records patient care delivered as planned and any variation; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems.
• Leadership:
  Delegates nursing care to appropriate personnel; recognizes clinic problems and documents same; demonstrates participation in QI processes; complies with policies regarding safe working practices; recognizes inappropriate or inefficient patient care management; resolves issues/problems and completes written reports; fulfills call for clinic as assigned and adjusts work flows for census and acuity.
• Ability to interact professionally and respectfully with geriatric individuals including those with cognitive decline and/or physical frailties.
• Observes each participant for any change in physical,…