Employment Opportunities

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Site Nurse RN

 
Northland PACE – Minot

Full Time -   : 02/28/2019

Apply on line at www.northlandhealth.com or email cover letter and resume to Amanda Erickson at Aerickson@northlandheath.com

Job Summary: Responsible for all nursing services provided to participants at PACE

 

Primary Responsibilities: The Site Nurse’s duties shall include, but not be limited to:

 

Responsibilities:

  1. Assumes major responsibility for nursing care to participants enrolled in the Northland PACE Program
    1. Evaluation Criteria:
  1. Assesses participants’ needs and plans appropriate nursing care during initial in-take, semi-annual and annual evaluations, as needed.
  2. Performs initial evaluation of episodic complaints related to health or care concerns. Refers to other providers as appropriate.
  3. Implements, directs, supervises, and evaluates nursing care for participants enrolled in the program.
  4. Provides input to the Home Care Nurse about teaching needs of participants and families regarding nursing issues at the Day Center that affect the home setting.
  5. Initiates preventative nursing care procedures as appropriate for the participants’ care and safety.
  6. Reviews charts to coordinate participant care and ensures the plan of care is carried out.
  7. Works with providers, coordinates and supervises appropriate health screening programs for participants.
  8. Collaborates with the MD/midlevel provider regarding plans and follow-up for specialty appointments and medical orders.
  9. Is prepared for and participates in weekly interdisciplinary team meetings.
  10. Is flexible and able to adjust schedule to meet complex needs of participants.
  11. Communicates regularly with pharmacy regarding prescription changes.
  12. Provides care to participants in a positive, nurturing, professional manner.

 

  1. Assumes major responsibility for safety and quality of care provided to participants enrolled in the Northland PACE Program.
    1. Evaluation Criteria:
      1. Is an advocate for participants enrolled in the Northland PACE Program.
      2. Consults with Site Manager and Certified Nursing Assistants regarding problems that require increased nursing input.
      3. Provides health teaching to participants with complex nursing needs.
      4. Provides teaching and instruction to Certified Nursing Assistants regarding changing needs of participants.
  2. Assumes responsibility for professional activities and growth
    1. Evaluation Criteria:
      1. Keeps abreast of current nursing knowledge, especially in the field of geriatrics, by attending professional conferences and in-services.
      2. Acts as a nursing consultant to other staff and to the physicians.
      3. Participates in interdisciplinary team meetings and staff meetings.
      4. Understands and follows Northland PACE Program and/or St. Benedict Health Center policies and procedures.
      5. Demonstrates service excellence to all participants and co-workers in job performance and customer service skills.
  3. Assumes responsibility of tasks as assigned to function as a team and provide quality safe care of participants.
    1. Evaluation Criteria:
      1. Participates in the following tasks with other nursing team members:
        1. Rotates through call schedule.
        2. Set up and medication administration to participants.
        3. Laboratory specimen collection as ordered.
        4. Care plan updating.
        5. Progress note charting.
        6. Assessment of pertinent patient condition and documentation.
        7. Assists with ordering, setting up, and delivering medications to participants’ home.
        8. Maintaining adequate medication inventory for participants and day center.
        9. Ensuring proper medication equipment including adaptable equipment is available for participants in efforts to maintain independence.
        10. Any other assigned duties as needed.
        11. Has adequate schedule flexibility to meet complex needs of participants.
        12. Understands the designated nurses’ roles required to encompass the PACE team (see roles below) in efforts to cover in times of need.
  4. Designated PACE Nurse Roles:
    1. Home Care Coordinator: The Home Care Coordinator’s duties shall include, but not be limited
      1. Assesses participants’ home care needs and plans appropriate nursing care during intake, semi-annual and annual re-evaluations, as needed.
      2. Coordinates the implementation of all homecare services, which include nursing, physical therapy, occupational therapy, speech therapy, personal care and housekeeping services. Ensures that quality service is provided to meet participants’ needs and all accepted program standards.
      3. Implements, directs, supervises and evaluates nursing care and care provided by certified nursing assistants.
      4. Provides input to the physician/non-physician practitioner about medical and nursing needs at home.
      5. Initiates preventative nursing care procedures as appropriate for the participant and family.
      6. Works with social worker regarding family and caregiver stress in caring for homebound participants.
      7. Triages participants who are not able to attend Day Center due to sudden illness, perception of illness at home, or inability to travel.
      8. Is prepared for and participates in weekly interdisciplinary team meeting by giving an accurate picture of participant home environment.
      9. Is flexible and able to adjust schedule to meet complex needs of participants.
      10. Acts as a participant advocate for all participants. Arranges for all home care services to participants including but not limited to: Meals on Wheels, certified nursing assistant visits, laundry services, housekeeping services, shopping and lifeline.
      11. Coordinates pacemaker checks, monitors CPAP compliance and medication management in the home.
      12. Evaluates home care provided to Northland PACE Program participants.
      13. Maintains accurate records of all services provided to participants at home.
      14. Updates weekend On-Call Nurse of any expected changes in service over weekends and holidays.
      15. Assists with teaching and training caregivers regarding home care needs of participants.
      16. Provides teaching and training to certified nursing assistants regarding needs of participants.
      17. Completes PASSR screening initially, annually, and every six months.
      18. Assists at intake and assessment. Enrollment Assistance: prepares enrollment documentation; provides information regarding the Care Plan and Care Conference to enrollees and family members regarding the PACE program. Presents care conference information, including format, time, date and location. Provides participant with completed home binder.

 

    1. Patient Care Coordinator: The Participant Care Coordinator’s duties shall include, but not be limited to:
      1. Prepares IDT agenda, leads/guides meetings, follows-up with staff on periodic set tasks.
      2. Prepare agenda and care plan for care conferences, notifying participants, family and staff of scheduled meeting time, date and place.
      3. Implements, directs, supervises, and evaluates nursing care for participants at the Day Center.
      4. Facilitates implementation of homecare services with Home Care coordinator and clinic coordinator, which include but not limited to the following nursing, physical therapy, occupational therapy, speech therapy, personal care and housekeeping services. Ensures that quality service is provided to meet participants’ needs and all accepted program standards.
      5. Provides input to the physician about medical and nursing needs at home.
      6. Initiates preventative nursing care procedures as appropriate for the participant and family.
      7. Works with social worker regarding family and caregiver in caring for homebound participants.
      8. Assesses participants’ care needs and plans appropriate nursing care during intake, semi-annual and annual re-evaluations, as needed. Responsible to complete physical assessments on a monthly, six month, annual or PRN basis on participants and refer them to the nurse practitioner or physician if necessary. Chart findings in software. Consults with other staff members regarding any concerns about appointments, complaints or other anticipated/discovered needs identified during assessments.
      9. Monitors software documentations to ensure complete charting.
      10. Complete PASRR Screenings upon intake, annually, and every 6 months.
      11. Monitors documentation and ensures care plan charting, (outcomes and progress notes). Assesses documentation for completeness and accuracy.

 

    1. Clinic Coordinator: The Clinic Coordinator duties shall include, but not be limited to:
      1. Provides input and assists with teaching needs of participants and families regarding nursing issues at the Day Center that affect the home setting.
      2. Attends participants’ medical appointments as needed to ensure continuity of care.
      3. Coordinates medical appointments, laboratory, radiology and medication orders to ensure continuity of care.
      4. Coordinates participant transportation to and from scheduled medical appointments.
      5. Provides input to the physician about medical and nursing needs.
      6. Tracks and coordinates immunizations of participants in EHR and THOR.
      7. Will communicate any information regarding infections, new CDC findings or other health information services to PACE staff.
      8. Assists with teaching and training to caregivers regarding home care needs of participants.
      9. Ensures that the Advanced Directives or Code Level forms are up to date annually.
      10. Requires working understanding of PACE medical software. Ensures accuracy of participant information. Reviews charts and adds diagnosis codes or pertinent information requiring scanning such as labs or physician notes.

 

Employment Specifications:

Education:

Degree in nursing from an accredited college or university.

Experience:

At least two years’ as staff nurse, preferred.

One year’s experience with frail or elderly population.

Number and type of employees supervised:

1-6 Certified Nursing Assistants

Licensure, registry or certification required:

Current unencumbered North Dakota Nursing License.

Special Training:

Must be able to work effectively with an interdisciplinary team. Must be able to communicate effectively. Must possess strong interpersonal and organizational skills. Ability to adapt to change in a positive/professional manner. Must meet standardized competencies for standards of medical care and established for position. Must be medically cleared for communicable diseases. Must have all immunizations up to date before engaging in direct participant contact.

Physical Demands:

Must be able to see, hear, and verbally communicate. Must be able to move about freely and possess manual dexterity and visual acuity. Must able to lift, turn, and roll over participants.

 

Working Conditions:

Primarily inside, well-lit, climate controlled environment. Will require travel in various weather elements (rain, snow, cold, heat etc.) Will require frequent home visits. Potential exposure to infectious disease and environmental hazards. Frequent home visits. Reliable transportation required.