Program/Dept.: Adult Day Health Care (ADHC)

Classification: Temporary, Per Diem, Non-Exempt

Salary Range: $36.06

Reports to: Program Director

Location: 4879 E. Kings Canyon Road, Fresno, CA 93727

Date: March 7, 2024

1. AGENCY
The Fresno Center (TFC) is a non-profit organization that was established in the past 30 years, serving the community of

Fresno County. TFC offers 20 different support services that include mental health, wellness, and healing, from

immigration to education advocacy to clinical behavioral services to holistic wellness services. TFC is the one-stop shop

that promotes cross-cultural understanding and cultural preservation. Eight of our 20 programs focus on mental health

services (Horticultural Therapeutic Community Centers Program, Living Well Center, Holistic Wellness Program,

California Reducing Disparity Project, Central Valley Regional Center Latino and Southeast Asian Navigator Program,

and Kaiser Community Benefits Program). Our motto is to “Inspire, Empower, and Cultivate”. Our commitment is to

equip staff with the best training and practices to develop and maintain client loyalty and be the employer of choice in the

Central Valley.

The Fresno Center’s Mission Statement: To assist individuals in becoming self-sufficient, self-fulfilled and productive members of

the community while fostering cultural preservation and promoting cross cultural understanding.

The Fresno Center’s Vision: The Fresno Center will be a champion for positive change through empowerment, education, and

collaboration.

2. THE PROGRAM
TFC ADHC is a licensed adult facility that is approved by the state to provide a medical model of care to Medi-Cal beneficiaries

through an out-patient day program for older persons and adults with chronic medical, cognitive, or mental health conditions

and/or disabilities that are at risk of needing institutional care.

TFC ADHC provides a variety of licensed professionals, including nurses, social workers and physical, speech and occupational

therapists, focus on medical, prevention, and social care to improve health outcomes for high cost / high risk patients. Also

provided are activities, personal care, hot meals, nutritional counseling, and transportation to and from the center.

The objective is to restore or maintain optimal capacity for self-care to frail elderly persons or adults with disabilities; and delay or

prevent inappropriate or personally undesirable institutionalization. TFC ADHC emphasizes partnership with the participant, the

family and/or caregiver, the primary care physician, and the community in working toward maintaining personal independence.

3. POSITION SUMMARY
Reporting directly to the Program Director, the RN is responsible for educating participants and families/caregivers on prevention

and healthy habits. RN will give the best nursing care with little supervision and capable of following health and safety

guidelines. The goal is to promote participant’s well-being and providing high quality nursing care.

4. JOB DUTIES & RESPONSIBILITIES
4.1. Conduct initial assessments/reassessments every six months

4.2. Complete Quarterly reports, flow sheets (Monitor LVN documentation)

4.3. Prepare the plan of care in collaboration with the participant’s identified goals and/or concerns

4.4. Develop an individualize plan of care for each participant

4.5. Provide ongoing monitoring of each participant’s health status through collaboration with physicians, nurses, health

professionals and family members/caregivers

Job Description: Registered Nurse Per Diem

4.6. Attend Multi-disciplinary Team (MDT) meetings to ensure participant receives all around individualized care

4.7. Monitor and asses each participant’s need such as vital signs, administer medication, monitor blood sugar, implement

treatments to provide the best care, and assess participant ability to self-administer medication as well as provide training

and monitoring participants who administer own medications

4.8. Provide all nursing care specified in the participant’s plan of care

4.9. Supervise personal care services provided to participants by the health aides or program aides

4.10. Supervise any maintenance program(s) designated to be under the supervision of the RN

4.11. Coordinate and maintain follow-up communication with families/caregivers

4.12. Assist, monitor, and instruct participants and all program staff on matters of personal hygiene, use of special aids, accident

prevention, and ambulation and transferring skills

4.13. Complete incident reports and follow-ups where appropriate

4.14. Assist the Administrator and Program Director with additional nursing related tasks as requested

4.15. Supervise LVN/CNA or Health Assistant/Aide

4.16. Conduct Staff/Participant in-service on nursing related topics

4.17. Other duties as assigned by PD or Administrator

5. MINIMUM QUALIFICATIONS:
5.1. Must have reliable transportation and a valid California Driver’s License
5.2. Clean DMV record and valid vehicle insurance
5.3. Must pass background check/Live Scan and Drug Test
5.4. Commitment to the mission and values of the agency
5.5. Committed to community building and development
5.6. U.S. citizen or lawful permanent resident
5.7. Provide a health examination, signed by a physician
5.8. Must have TB clearance within 12 months prior to employment and maintain clearance annually thereafter
5.9. Must acquire CPR certificate within 6 months of employment
5.10. Able to speak, read and write English fluently
5.11. Physically capable both of performing the required duties and of assisting frail elderly and disabled adults, as necessary
5.12. Excellent case management, mentoring, coaching, and group management skills
5.13. Strong organizational skills with strong attention to detail
5.14. Effective time management skills
5.15. Ability to handle multiple priorities
5.16. Candidates must maintain confidentiality and demonstrate a high degree of integrity

6. COMPENTENCY:
6.1. Strong leadership skills.
6.2. Fluent in a Southeast Asian Language - Bilingual in Hmong language preferred.
6.3. Knowledgeable of healthcare programs: Covered California and Medi-Cal.
6.4. Prior knowledge and experience of governmental systems and policy changes.
6.5. Ability to inspire, empower, and cultivate self and others.
6.6. Ability to adapt to various environments.
6.7. Strong leadership skills.
6.8. Ability to inspire others.
6.9. Ability to maintain motivation to achieve goals while dealing with challenges.

7. PERSONAL QUALITIES
7.1. Accountable
7.2. Diligent and Organized
7.3. Ethical and Loyal
7.4. Punctual
7.5. Flexible

Job Description: Registered Nurse Per Diem

7.6. Problem-solver
7.7. Creative
7.8. Honest

8. WORK ENVIRONMENT:
8.1. The work environment characteristics described here are representative of those an employee encounters while performing

the essential functions of this job.

8.2. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

9. TYPICAL WORKING CONDITIONS:
9.1. The office setting is a normal environment.
9.2. Occasionally work during early morning, evening, or weekend.
9.3. May be subject to temperature variances in the office.
9.4. The noise level in the work environment is usually moderate but may become excessively loud with the increased patient

flow during a busy day.

10. TYPICAL PHYSICAL DEMANDS.
10.1. Requires sitting, standing, or walking for up to eight hours a day.
10.2. Some bending, stretching, or reaching may be necessary.
10.3. Lifting to 40 pounds may be required on occasion.
10.4. Vision must be correctable to 20/20.
10.5. Hearing must be in the normal range for telephone contact.

11. POSITION TYPE AND EXPECTED HOURS OF WORK:
11.1. Typical work hours are between 8:00 am to 5:00 pm, Monday to Friday
11.2. Evenings and weekends as needed.
11.3. RN is required during program hours, 8:30am-2:30pm

12. TRAVEL:
12.1. Travel time is expected for the position. Travel time includes travel to meetings, off-site training, or between job sites, as

needed, locally.

12.2. Individuals may also be expected to use their own vehicle to travel and with mileage reimbursement.
12.3. A company car may be used when transporting a client to and from his or her placement, or field activities.

13. REQUIRED EDUCATION AND EXPERIENCE:
13.1. Must possess, as a minimum, a nursing degree from an accredited college or university, or graduate of an approved RN

program.

13.2. Currently licensed by the California Board of Registered Nursing and provide center with copy of license.
13.3. Some experience as a registered nurse preferred but not necessary.
13.4. Knowledge of nursing care methods and procedures as well as laws, regulations, and guidelines that pertain to care.
13.5. Knowledge of emergency care.
13.6. Must possess the ability to plan, organize, develop, implement, and evaluate the program.

14. PREFERRED EDUCATION AND EXPERIENCE:
14.1. Experience working with adults 18 or older with chronic medical, cognitive, or mental health conditions and/or disabilities

that are at risk of needing institutional care.

15. BENEFITS:
This position is not eligible for benefits.

16. Affirmative action plan/Equal employment opportunity (AAP/EEO):
It is the policy of The Fresno Center to provide equal employment opportunities without regard to race, color, religion, sex,

national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected

characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting,

Job Description: Registered Nurse Per Diem

employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of

compensation, selection for training, the use of all facilities, and participation in all company-sponsored employee activities.

Provisions in applicable laws providing for bona fide occupational qualifications, business necessity or age limitations will be

adhered to by the company where appropriate.

As part of the company’s equal employment opportunity policy, The Fresno Center will also take affirmative action as called for

by applicable laws and Executive Orders to ensure that minority group individuals, females, disabled veterans, recently separated

veterans, other protected veterans, Armed Forces service medal veterans, and qualified disabled persons are introduced into our

workforce and considered for promotional opportunities.

Job Description: Registered Nurse Per Diem