Community Care RN

Description

Key Responsibilities

• Conduct nursing assessments and complete required documentation in accordance with PACE standards.
• Triage participant concerns by phone and determine appropriate interventions.
• Perform fall risk and other required clinical assessments.
• Identify participant needs, set priorities, and initiate referrals or follow-up as needed.
• Interpret and document diagnostic results using sound clinical judgment.
• Participate in IDT meetings and contribute to participant care planning.
• Complete in-home assessments for prospective participants as assigned.

• Complete initial, semi-annual, and annual nursing assessments prior to IDT meetings.
• Develop and update individualized care plans using the nursing process and interdisciplinary input.
• Collaborate with participants and families in care plan development.
• Communicate changes in participant condition to the IDT in a timely manner.

• Provide nursing care in accordance with professional standards and organizational policies.
• Administer prescribed treatments and procedures, including IV therapy, tube feedings, and wound care.
• Manage medications, including reconciliation, coordination with pharmacy, and participant education.
• Educate participants and families on coordination of 24-hour care services.
• Respond to emergency situations and initiate appropriate nursing interventions.
• Coordinate participant care across settings, including tracking hospital admissions and discharges.
• Ensure accurate, timely documentation and report infections per established protocols.
• Conduct home visits and participate in after-hours on-call rotation as assigned.

• Follow clinic workflows and participate in meetings and huddles as directed.
• Delegate nursing care appropriately and support team collaboration.
• Participate in Quality Improvement initiatives and promote safe, cost-effective care practices.

Skills, Knowledge & Expertise

• Graduate of an accredited School of Nursing.
• Current Registered Nurse (RN) license in the State of Michigan.
• CPR certification required (or ability to obtain upon hire).
• Valid Michigan driver’s license with reliable transportation.
• Ability to lift and move up to 35 pounds independently.

• Three (3) years of nursing experience in a healthcare setting.
• At least one (1) year of experience working with the frail or elderly population.

Job Benefits

• Career Growth & Development – Advance your career with tuition assistance and school scholarships up to $3,000 per semester.
• Wellness Program & Reimbursement – Prioritize your health and well-being, reimbursed 120 a year!
• Competitive Benefits for Full-Time Team Members – Enjoy Medical, Vision & Dental Insurance starting on the 1st of the month after 30 days of hire.
• Retirement Savings Plan – Secure your future with employer contributions.
• Generous 6 weeks of Flexible time off per year—plus paid holidays on top of that.
• Team Member Referral Bonus Program – Earn $500 when you bring great people to our team!
• Mileage Reimbursement – Offered for work-related travel.