Registered Nurse - Clinic (Participant Manager)

REGISTERED NURSE - CLINIC (PARTICIPANT MANAGER)

This position is Monday - Friday from 8:00 a.m. to 5:00 p.m.

Under the direct supervision of the Clinic Manager, the Participant Manager provides direct participant care. Responsible for the daily coordination of participant care in the following areas: participant-nursing assessments, nursing care plans, health education, maintenance, disease prevention and management of health care both in the clinic and in the participants’ place of residence with appropriate documentation in the medical record.

RESPONSIBILITIES:

1. Complete initial and routinely required nursing assessments of individual participants to include assessment of medication compliance. Initial assessments will be completed within ten days of participants’ enrollment. Routine reassessments will be completed by participants’ scheduled I/A date.

2. Completes participant reassessments and care plans due to changes in participant condition or at the request of the participant/designated representative, as expeditiously as required by their condition.

3. Develop the nursing care plan in conjunction with the IDT and PCP and provide documentation that meets the standards mandated by PACE, TDHS and nursing practice.

4. Function in the role of triage nurse to include calling participants who do not come to center because they are ill or who miss scheduled clinic appointments and document triage findings.

5. Work closely with PCP in the daily management of participant care to include maintaining a continuous flow of participants through the exam rooms, checking on sick participants in the treatment room and assisting with procedures as needed.

6. Conduct home visits to include Start of Care assessments, reassessments and to provide skilled care in the participants’ place of residence when participant is not able to attend the center.

7. Interact and work with caregivers to coordinate participant care and respond to participant and caregiver phone calls to include providing education and counseling.

8. Coordinate hospital, nursing home and assisted living admissions, discharges and transfers.

9. Interact and work closely with Interdisciplinary Team to coordinate comprehensive participant care.

10. Coordinates with participant, family, caregiver and contacted providers to ensure 24- hour service delivery.

11. Work closely with medical assistants to ensure all scheduled lab work and diagnostic tests are completed and on chart for the next scheduled clinic visit.

12. Documents in participants’ medical record as required by departmental policies and procedures.

13. Review and coordinate with consult LVNs to ensure all consults and follow up visits are ordered and, PCP orders all needed medications.

14. Participate in all morning and I & A meetings, and daily team huddles to communicate participant changes.

15. May assume charge duties in the absence of the clinic manager.

16. Attend monthly clinic meeting and staff in-services.

17. Participate in an on-call rotation to cover skilled nursing visits during weekday holidays.

18. Perform other duties as assigned by the Clinic Manager.

QUALIFICATIONS:

Education/Experience

A. A graduate of an accredited nursing program with a license to practice in the state of Texas as a Registered Nurse.

B. One year of experience with a frail or elderly population preferred.

Knowledge/Skills/Abilities

A. Must possess a working knowledge of management theory and practice as well as nursing theory and practice.

B. A dependable individual with a strong knowledge base and keen understanding and appreciation of the elderly.

C. The ability to present to the community the philosophy of community-based long-term care for the elderly.

D. The skill to work collectively and communicate effectively with staff, participants and family members.

E. Adaptable individual with ability to work with the interdisciplinary team approach to care for the elderly.

F. The ability to delegate responsibility as well as accept supervision in an appropriate manner.

G. Processes good computer skills.

H. Bilingual (English/Spanish)

Our mission is to provide the frail senior the Program of All-Inclusive Care for the Elderly (PACE), a patient-centered, comprehensive healthcare delivery system in a community setting that advocates and promotes quality of life, optimum independence, dignity and choices in a nurturing environment.

Our staff are compassionate and observant professionals who strive to improve the quality of life for each of our participants. Apply online at www.bienvivir.org/employment