The PACE RN Supervisor has the responsibility for providing direct and indirect nursing care to PACE patients as well as administration and supervision of the PACE nursing team including Clinic RNs, Home Health RNs, Day Center LVNs, MAs, and CNAs. Works under the supervision of the PACE Medical Director and day to day supervision of the Center Manager but is independent in the application of advanced nursing knowledge and skills. Manages complex clinical situations for which he/she is responsible.
Essential Functions of the Job:
1. Monitor the day to day RN activities in the PACE Clinic and Day Center.
2. Develops and implements appropriate/required PACE nursing protocols and monitors that the nursing team is following those protocols.
3. In coordination with the PACE Medical Director and the PACE QA Manager, ensures that clinical protocols are followed, reviewed and updated as needed and regular audits are conducted; demonstrates active participation in PACE QA processes; is involved in assessment and implementation of QA improvement plans.
4. Conducts regular audits to ensure the PACE clinical area is meeting PACE requirements and regulations
5. Assists with the planning and preparation of the PACE annual CMS audit.
6. Participates as a member of the Interdisciplinary Team; attends staff meetings and takes part in participant care planning.
7. Leads and coordinates Nursing Team Meetings, training of the nursing team, and on-going review of policies and procedures.
8. Responsible for assessing and implementing nursing team competencies to all newly hired nursing team members.
9. Conducts and reviews PACE participant assessments as needed. Initial and periodic assessments (minimally every 6 months) to be completed before the scheduled team meeting
10. Ensures the development of a plan of care based on the nursing process and incorporates the plans of other disciplines and continuing care needs; includes the patient/family in developing or revising the plan of care; makes referrals to multidisciplinary support services.
11. Communicates participant changes to team members; coordinates participant care with day center nursing team.
12. Conducts homes, hospitals, Skilled Nursing Facility, etc. visits and assessments as requested/needed.
13. Coordinates with Day Center lead for any medical center needs of participants attending the day center.
14. Ensures that all clinical logs are completed promptly
15. Performs advanced nursing assessment using critical thinking skills.
16. Ensures the care provided conforms to accepted practice standards; provides correct treatments/procedures and other care as prescribed and according to patient care standards;
17. Ensures participant and family education is provided by the nursing team as needed
18. Is responsible for the coordination of 24-hour care delivery including coordination of after hour/weekend/holiday on-call schedule;
19. Identifies emergencies and independently initiates advanced therapy
20. Acts as coordinator of patient care with other health care personnel and evaluates patient care measures instituted; coordination of care and discharge planning with hospitals and skilled nursing facilities; understands and demonstrates respect for patient rights and utilizes established mechanisms for the management of ethical issues in patient care.
21. Records patient care delivered as planned and any variation, with appropriate rationale; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems.
22. Acts as the PACE Clinic Lead RN and delegates nursing care to appropriate personnel; is responsible for overall performance and timesheet management for PACE Nursing Team,
23. Integrates cost-effective measures into nursing practice;
24. Recognizes unit problems and takes responsibility for documenting the same;
25. Complies with hospital expectations to meet staffing demands based on patient care needs;
26. Complies with policies addressing safe working conditions; monitors unsafe working conditions; recognizes inappropriate and/or ineffective patient care management, resolves issue/problem and completes written reports; fulfills the call for the unit as assigned and adjusts staffing for the census (volume) and acuity.
Education Required (Minimum level of education): Graduate of an accredited school of nursing bilingual (Spanish/English)
Licensure, Registry or Certification Required: Currently licensed in CA as a Registered Nurse license; must present credentials which demonstrate the ability to meet performance criteria for RN.
Experience Required (Minimum level of experience): Has practiced nursing in the last three years; 3 years RN experience with at least 12 months experience working with the frail elderly population. Bilingual (Spanish/English)