Under the direct supervision of the RN Supervisor, the HHC/RN is responsible for the development and implementation of homecare services for program participants, including the coordination of all Durable Medical Equipment and provide RN coverage in the PACE Clinic.
Essential Functions of the Job:
Assesses, using the nursing process, the home care needs of a frail elderly population, and identifies and develops specific plans of care. Initial and periodic assessments to be conducted minimally every 6 months and must be completed prior to the scheduled IDT team meeting. Communicates participant changes with team members.
Provides ongoing education and/or instructions to the patient, family and/or caregivers about goals and expectations, safety at home, use of equipment and other topics as indicated.
Regularly completes home visits to assigned caseload to evaluate nursing needs and facilitate clinical services such as wound care, medication administration, lab drawings and collection, and other services as indicated upon evaluation.
Coordination of 24 hour care delivery and the implementation of all home care services which include nursing, PT, OT, ST and personal care services to ensure that quality services are provided to meet participant needs. Monitors contracted personal care staff to ensure delivery of personal care services as outlined on plan of care.
Coordinates and authorizes all Durable Medical Equipment. Creates and maintains inventory of all home care and durable medical supplies.
In conjunction with Case Management, coordinates all home care and DME needs for participants according to program standards. May include interaction with other facility staff.
Resource management of in home support staff in conjunction with RN Supervisor and Center Manager. Evaluates quality of home care services provided.
Participates as a member of the Interdisciplinary Team. Attends staff meetings and takes part in participant care planning. Communicates any changes in participant condition to team members.
Communicates and interacts with patient caregivers and/or family members as needed. Takes on call rotations on an alternating basis to include weekends and evening.
Provides RN clinical coverage in the PACE clinic as needed.
Additional Duties and Responsibilities:
Follows established departmental and position specific policies and procedures and updates as needed.
Keeps abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted government/regulatory agencies.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
Attends meetings as required and participates on committees as directed. Performs other duties as assigned.
Licensure or Certification Required:
Current CA RN License. Valid CA driver license and reliable transportation.
Preferred: Bachelor of Science in Nursing
Experience Required (Minimum level of experience):
At least 1 year as an RN, preferably in either home or community health.
At least 1 year experience working with the frail or elderly population.
Supervisory experience desired.
Experience Preferred: Experience in and/or knowledge of Adult Day Health Center or PACE is desirable.
Verbal and Written Skills Required to Perform the Job:
Excellent oral, written communication and interpersonal skills.
Bilingual: Conversational Spanish
Technical Knowledge and Skills Required to Perform the Job:
Must be able to work effectively in a team environment.
Must be able to treat geriatric patients.
Only act within the scope of his or her authority to practice.
Meet a standardized set of competencies established by San Diego PACE and approved by CMS before working independently.
San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family.
The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 92,000 patients through a vast and integrated network of 34 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees.
Apply today and become a part of our mission-driven team!
San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to reace, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.
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