PACE Admissions RN

Job Responsibilities

Under the direct supervision of the Admissions RN Supervisor, this role is responsible for the development and timely submission of the Level of Care (LOC) tool to the organizational shared drive and conducting initial In-Home Assessments (IHA) as part of the IHA Team. When needed, the role involves implementing homecare services for program participants, including the coordination of all Durable Medical Equipment.

Essential Functions

• Assess the home care needs of a frail elderly population using the nursing process and develop an initial plan of care.
• Based on nursing assessment, complete and submit LOC determination form for supervisor review.
• Review medical records as needed to complete LOC. If records are inaccessible, complete LOC with other relevant information such as hospital discharge information and medications.
• Conduct initial Home/RN assessments at participant's home during the team IHA.
• Maintain an up-to-date active list of all LOCs submitted, including date submitted, decision, follow-up, etc.
• Follow up on all deferred Prospective Enrollees as needed and resubmit required information to request approval.
• Participate in weekly enrollment team meetings as well as interdisciplinary team meetings as needed.
• Assist in transitioning care and monitoring hospitalizations and skilled nursing facility patients to ensure appropriate transition.
• Communicate and interact with patient caregivers and/or family members as needed.

Additional Duties and Responsibilities

• Follow established departmental and position-specific policies and procedures, updating as needed.
• Stay informed of all regulations and standards to ensure compliance with orders or directives issued by government/regulatory agencies.
• Enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Attend meetings as required and participate on committees as directed.
• Perform other duties as assigned or requested.