Role:Home Care Nurse Coordinator

Organization:Edenbridge PACE at West Baltimore 

Location:West Baltimore

Start Date:April 2024

Status:Full-time

Mission:To allow frail elderly people to age in the location of their choosing and continue to lead connected, meaningful lives

The Home Care Registered Nurse role offers a unique opportunity at a new PACE (Program of All-Inclusive Care for the Elderly) program in West Baltimore within the framework of a supportive, innovative, and expert leadership team and company. Together with our coalition of strong partners within the community, the Home Care Registered Nurse will work closely with the Clinic Manager RN to carry out our clinical model of care, and have a transformative impact on a particularly under-served community West Baltimore.

Seven core principles drive our approach to care. These include:

1. Create and Sustain Meaningful Lives: Our model aims to help elders create and sustain meaningful lives — from social relationships, spirituality, cultural life, work, or service. We support elders with cognitive and physical disability to sustain meaning in their daily lives. We form close community partnerships to help elders engage outside our centers.
2. Respect the Right to Independence: Edenbridge aims always to follow our participants’ wishes. Wherever possible, participants maintain control over all decisions — from medical procedures to what to eat for dinner.
3. Pay Attention to What Is Working Well: Our goal is to multiply the days each participant is glad to be alive. We encourage participants’ positive experiences of daily life, supporting the things that matter most to them.
4. Provide the Right Amount of Medical Care:  Elders often have many diagnoses, medications and specialists, involving complex care decisions. We help our participants understand their choices. We deliver thoughtful, appropriate and personalized care, doing what our participants want — nothing more and nothing less.
5. Guide All the Care Provided: We always follow and guide our participants’ care — in their homes, at our center, in the hospital, and everywhere.
6. Live with Our Communities, Not Just in Them: We work in communities where aging in place is valued and integrated care is a shared mission. We build deep relationships with community organizations (see video) beginning long before we open our doors. We aim to reach beyond the walls of the center to bring community members in and participants out for person-to-person connection.
7. Employ Technology Thoughtfully, Not Aggressively: We use technology because it can enrich the lives of participants, improving care and connecting family members with their loved ones and their care providers. But we use technology only to complement — never replace — direct human interaction.

To help us achieve this mission, we are looking for an experienced Home Care Coordinator who will provide nursing care to our PACE participants and oversight to our home healthcare team. This position will report to the Clinic Manager RN.

Main Responsibilities:

• Provides caring, skilled nursing care to elderly participants as directed by medical providers.
• Supervises the home healthcare staff
• Scheduling home health service delivery according to a participant's service plan.
• Works directly with the Interdisciplinary Team and participant family members or caregivers to achieve the goals of the care plan
• Communicates to the family or caregivers and provides appropriate patient education
• Documents test results and examinations in the EMR; Observes, records, and reports participant’s condition and reaction to drugs and treatments to physicians
• And other duties as assigned

Qualifications:

Edenbridge Health is committed to building a diverse and inclusive organization. For our Home Care Registered Nurse role, we are looking for the following qualifications: 

• Graduate of an accredited Nursing Program and licensed to practice in Maryland
• One year(s) of health care experience in a hospital, long-term, or home health care setting preferred
• One year(s) of experience with a frail or elderly population preferred
• Must submit to and pass a pre-employment screening and criminal background check
• Must have a current Driver’s License and driving record must be in compliance with Company policy. Must maintain current automobile insurance.
• Up-to-date vaccinations, including COVID vaccine, required 

Learn more at:

edenbridgehealth.org

Interested candidates, please apply by submitting your resume at https://edenbridgehealth.applytojob.com/