Registered Nurse (PACE)

UPHAMS CORNER HEALTH CENTER•Boston, MA

1d•$36 - $65

About The Position

Provide comprehensive nursing care to PACE participants in the center setting, including assessments, medication administration, treatments, and coordination of care. Collaborate with the interdisciplinary team to ensure safe, high-quality services that promote participant independence and well-being. Provide home visits as needed.

Requirements

Registered Nurse licensed to practice in Massachusetts.
Valid driver’s license and reliable vehicle for home visits.
Ability to work effectively with multicultural staff, participants, and caregivers.
Ability to function as a collaborative member of an interdisciplinary team.
Minimum of 1-year experience working with the geriatric population.
Proficiency in Microsoft Office applications, including Excel and Word.
Strong written and verbal communication skills.
Ability to collaborate effectively within an interdisciplinary team environment.
Valid driver’s license and reliable transportation for home visits.
Knowledge of infection control practices and home safety standards.
Familiarity with electronic medical records (EMR) and accurate documentation standards.
Understanding of medication management principles and patient education techniques.
Ability to prioritize tasks and work independently in a home-based setting.
Ability to travel to participant homes and community locations; must maintain a valid driver’s license and reliable transportation.
Frequent standing, walking, bending, and reaching during home visits and nursing procedures.
Ability to lift, push, or pull up to 25 pounds (e.g., medical supplies, equipment).
Manual dexterity for performing nursing tasks and operating medical equipment.
Visual and auditory acuity sufficient for assessing participants, reading medical records, and communicating effectively.
Ability to tolerate exposure to various home environments, including potential allergens, pets, and varying temperatures.
Capacity to respond quickly in emergency situations and perform CPR if required.

Nice To Haves

Bilingual skills in Spanish, Portuguese, or Haitian Creole preferred.
Discharge planning experience desirable.

Responsibilities

Complete initial and semi-annual nursing assessments for participants.
Implement physician orders and document all interventions in the electronic medical record (EMR).
Conduct nursing assessments for pre-enrollees and complete the nursing section of the MDS; review and sign completed MDS forms.
Develop and implement individualized nursing care plans for assigned participants.
Manage medication plans, including ordering from the pharmacy, coordinating timely deliveries ensuring administration, and providing education to participants and caregivers to promote adherence.
Collaborate with Contracted nursing agencies, Assisted Living Facilities, rest homes, and nursing facilities to ensure continuity of care.
Perform monthly medication audits to ensure medications administered and dispensed at the center are not expired or compromised; document findings using audit tools.
Provide nursing assessments and interventions according to daily schedules and episodic needs at the PACE center
Administer immunization screenings and vaccinations per policy and procedure.
Document all nursing interventions accurately using designated EMR tools.
Establish and maintain collaborative relationships with participants and caregivers to enhance quality care.
Report, document, and track infections, wounds, and falls; assist with data analysis and improvement initiatives; monitor vaccination administration.
Support training, supervision, and competency evaluation of Medical Assistants and Health Aides in collaboration with the Nurse Manager and Center Manager.
Provide clinical supervision, guidance, and resources for Medical Assistants and Health Aides at the PACE Center.
Oversee and review data input by Medical Assistants and Health Aides to ensure accuracy and authorize documentation for the medical record.
Participate in all clinical meetings (morning huddles, team meetings, intake, staff meetings) and designated family meetings.
Participate in the on-call rotation as scheduled.
Perform home visits as needed
Perform other responsibilities as assigned by the Nurse Manager.
Perform initial and semi-annual nursing assessments and develop individualized care plans.
Implement physician orders and maintain accurate documentation in EMR.
Manage medications, including ordering, delivery coordination, and participant/caregiver education.
Provide scheduled and episodic skilled nursing visits in the PACE and home setting.
Collaborate with the interdisciplinary team on care planning and discharge coordination.
Participate in team meetings, on-call rotation, and quality improvement activities.
Ensure compliance with infection control and home safety standards.
Complete other duties as assigned by the Nurse Manager.