Adult Day Health Center RN

Position: Adult Day Health Center (RN) - Roxbury, MA

Overview: Provide primary nursing services to participants at the Adult Day Health Center. Provide initial and semi-annual nursing assessments; develop and implement nursing plan of care; provide medication management, nursing treatments, episodic assessments, and nursing interventions at the PACE center. Collaborate with Primary Care to provide complete nursing services in a safe, secure, accessible environment with skill, dignity and respect.

Essential Duties and Responsibilities:

• Complete initial and subsequent semi-annual nursing assessments.
• Implement physician orders and document in electronic medical record.
• Provide a nursing assessment for pre-enrollees (potential new participants) during visit to PACE center and report findings to interdisciplinary team during clinic meeting.
• Develop and implement a nursing plan of care for each participant on case load; update semi-annually.
• Responsible for developing and implementing a medication management plan for each participant -- Implement physician orders, ensure delivery from pharmacy, document in medical record, assure administration of medication, provide education and training to participants and/or caregivers when needed to enhance adherence to medication regimen; Collaborate with Home Care Nurse for continuity of care at participant's home, including ALF, group homes, and nursing facilities.
• Responsible for coordinating medication deliveries with transportation supervisor and/or transportation representative in a timely manner.
• Accountable for monthly review of medications that are administered and dispensed at the center; assure medications are not expired, contaminated or deteriorated. Document monthly audit on audit tool.
• Provide nursing assessments and interventions per a daily schedule and per episodic events at ADHC.
• Provide Skilled Nursing Visits as needed, in collaboration with Primary Care and Nurse Manager.
• Administer immunization screenings and vaccinations per policy and procedure. Document, review, and track administration in electronic medical record.
• Provide documentation of all nursing interventions in electronic medical record.
• Establish and maintain a collaborative relationship with participants, caregivers, and health aides to enhance provision of quality health care.
• Report, document, and track the incidence of infections and wounds. Participate in data analysis, development, and implementation of improvement initiatives. Evaluate outcomes.
• Report and document falls. Complete nursing assessment within 24-48 hours and document using documentation tool in electronic medical record.
• Participate in the training, supervision, performance, and competency evaluation of Medical Assistants and Health Aides in collaboration with Nurse Manager and Center Manager.
• Provide clinical supervision, support, training, and resource for Medical Assistants and Health Aides at ADHC.
• Identify and coordinate the implementation of clinical duties with Center Manager, Medical Assistants, and Health Aides. Provide oversight of direct care [see Medical Assistant and Health Aide job descriptions].
• Oversee and review data input by Medical Assistants and Health Aides in electronic medical record.
• Participate in all clinical meetings (morning meeting, team, updates, and staff) and designated family meetings.
• Participate in the on-call program per rotating schedule.
• Perform other responsibilities as assigned by Nurse Manager.

Qualifications and Requirements:

• Ability to work within interdisciplinary team environment
• Good verbal communication and writing skills in English
• Licensed Registered Nurse in Massachusetts
• Baccalaureate Degree
• Minimum 1 year experience working with geriatric population
• Self-directed, organized, efficient, and flexible

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.