Registered Nurse - PACE

TriHealth • Full-time • Cincinnati, OH, US • 1w ago

Job Description

TriHealth is actively recruiting for an RN to join PACE of Cincinnati. The PACE Center located in Norwood Ohio. Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility."

Job Overview

The PACE Registered Nurse (RN) is a member of the PACE Interdisciplinary Team (IDT) and is responsible for completing nursing assessments for new PACE participants and nursing reassessments for existing PACE participants as part of the PACE IDT care planning process. The PACE RN provides general and skilled nursing care to participants, executes nursing interventions in accordance with the plan of care, implements primary care orders, evaluates participant conditions in the PACE clinic and by telephone, and develops appropriate PACE nursing plans of care. The PACE RN provides nursing education to participants, caregivers, and PACE staff. The PACE RN provides nursing care in the PACE Clinic and as needed in the participant homes.

Job Requirements

Graduate of an accredited School of Nursing (Required)

Registered Nurse Current RN license in good standing to practice in Ohio Upon Hire Required

Job Responsibilities

Participates as a PACE Interdisciplinary Team (IDT) member and is responsible for completing comprehensive initial nursing assessments for new PACE participants and nursing reassessments on existing PACE participants as part of the PACE IDT care planning process.

In collaboration with the primary care provider and IDT, develops and implements nursing care plans for participants, identifying and considering the medical, physical, social, and emotional needs of PACE participants.

Works collaboratively with the primary care provider, and within the RN’s scope of practice, initiates nursing interventions independently, triages PACE participant nursing needs in the PACE Clinic or a community setting, and escalates any nursing concerns to the primary care provider and IDT.

Promptly responds to primary care provider orders requiring nursing interventions, promptly documents nursing interventions in participant care plans and in the PACE Electronic Health Record (EHR), and administers participant medications in the PACE Clinic as needed.

Reviews, signs off, and disseminates orders and instructions to appropriate PACE staff and PACE contracted personnel. Maintains and reviews participant records, charts, and other pertinent information as needed. Completes nursing documentation in the PACE EHR in accordance with the federal PACE regulation and organizational policy.

Provides case management and care coordination during care transitions and proactively communicates with hospital and long-term care facility case managers regarding participant discharge care plans.

Monitors PACE participants for changes in their health or psychosocial status requiring a nursing reassessment. Promptly communicates pertinent changes in participant status to the IDT. Attends IDT and morning meetings and reports on participants’ clinical status. Participates in the nursing on-call rotation to provide after-hours and weekend call coverage to PACE participants. Supports the PACE QI program and participates in PACE QI activities as assigned.

Working Conditions

Bending - Frequently

Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Consistently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Frequently

Interpersonal Communication - Consistently

Kneeling - Occasionally

Lifting 50+ Lbs. - Frequently

Pulling - Consistently

Pushing - Consistently

Reaching - Consistently

Reading - Consistently

Sitting - Occasionally

Standing - Consistently

Stooping - Frequently

Talking - Consistently

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Consistently

Visual Acuity: Far - Consistently

Visual Acuity: Near - Consistently

Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, We Believe There Is No Responsibility More Important Than To SERVE Our Patients, Our Communities, And Our Fellow Team Members. To Achieve Our Vision And Mission, ALL TriHealth Team Members Are Expected To Demonstrate And Live The Following

Serve: ALWAYS...

Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
Offer patients and guests priority when waiting (lines, elevators)
Work on improving quality, safety, and service

Respect: ALWAYS...

Respect cultural and spiritual differences and honor individual preferences.
Respect everyone's opinion and contribution, regardless of title/role.
Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

Value the time of others by striving to be on time, prepared and actively participating.
Pick up trash, ensuring the physical environment is clean and safe.
Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

Acknowledge wins and frequently thank team members and others for contributions.
Show courtesy and compassion with customers, team members and the community

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