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Home Care Coordinator Nurse

Pace of Southwest Michigan

This is a Full-time position in Saint joseph, MI posted May 3, 2021.

We are seeking experienced Home Care L.P.N.’s and R.N.’s
– Full Time Hours, Part Time Hours or PRN to join our team!

NOW OFFERING SIGN ON BONUSES up to $3,000 for L.P.N.’s and R.N.’s !

(Speak with Human Resources for bonus details)

The Registered Nurse/Licensed Practical Nurse has the responsibility for providing direct and indirect nursing care to participants in the PACE Center and in the community.

Works under the direct supervision of the Medical Director or designee but is independent in the application of advanced nursing knowledge and skills in all settings.

Manages complex clinical situations for which he/she is responsible.

May be utilized in the PACE Clinic or in the community in participant homes.

Education: Graduate of an accredited school of nursing with RN degree, or LPN

Experience: 2 years RN or LPN experience.

Experience in either home or community health preferred.

Ability to assess the home care needs during initial, periodic, routine, and acute assessments conducted every six (6) months minimally.

Participates in the development of a care plan with the IDT (Interdisciplinary Team), participants, and family/caregiver

Provides participant/caregiver education and support for 24/7 coordination of care, to ensure that quality services are provided to meet participant needs

Ensure all needed medical supplies are provided in the home setting under the guidance of PACE providers

Coordinates and authorizes all Durable Medical Equipment (DME) in the home with IDT, and with the guidance of Physical and Occupational Therapists

Ensure all durable medical equipment is in place and in good working order

Monitors participant, family and caregiver’s ongoing functional/psychological status and appropriateness of care, according to the plan of care

Coordinates all nursing care for participants in the clinic and at the participant’s place of residence (i.e., home, AFC, or SNF)

Demonstrates active participation in QIP process

Coordinates hospital discharges with contracted provider team and the IDT

Daily communication of any changes in participant condition (in any care setting) with contracted provider team, IDT, and PCP

Provides routine home and facility visits as directed to provide needed services or follow-up

Participates in hospital rounding meetings if necessary

Participates as an active member of the Interdisciplinary Team

Participates in daily IDT meetings or CarePod huddle as directed

Identifies and refers potential quality concerns to Utilization Review Committee

Assists in pharmaceutical management delivery systems, performs wound care and lab specimen collection at the participant’s place of residence (i.e., home, AFC, or SNF)

Assists participants with modality and physical therapies/exercises

Monitor participant vital signs, temperature, respiration, etc.

Conducts wellness visits

Abides by all established PACE of Southwest Michigan policies, rules, and regulations

All other duties as assigned, which may include on-call rotation

Job type: Full-Time