Registered Nurse (RN) - PACE

Position Title:                     Registered Nurse - PACE Program
Department:                        PACE 
Supervisor:                         Nurse Manager
Status / Hours per week:   Non-Exempt / 40 hours

Pay Range:  The expected base pay for the position is $36-$65.02 per hour and may be increased based on other factors, such as language, certifications, etc.

Note: The PACE RN position is based within UCC's PACE Centers, with visits to participants' homes as needed. The regular schedule is Monday - Friday (8am - 4pm). 

Primary Function:

Provide comprehensive nursing care to PACE participants in the center setting, including assessments, medication administration, treatments, and coordination of care. Collaborate with the interdisciplinary team to ensure safe, high-quality services that promote participant independence and well-being. Provide home visits as needed.

Duties & Responsibilities:

• Complete initial and semi-annual nursing assessments for participants.

• Implement physician orders and document all interventions in the electronic medical record (EMR).

• Conduct nursing assessments for pre-enrollees and complete the nursing section of the MDS; review and sign completed MDS forms.

• Develop and implement individualized nursing care plans for assigned participants.

• Manage medication plans, including ordering from the pharmacy, coordinating timely deliveries, ensuring administration, and providing education to participants and caregivers to promote adherence.

• Collaborate with Contracted nursing agencies, Assisted Living Facilities, rest homes, and nursing facilities to ensure continuity of care.

• Perform monthly medication audits to ensure medications administered and dispensed at the center are not expired or compromised; document findings using audit tools.

• Provide nursing assessments and interventions according to daily schedules and episodic needs at the PACE center.

• Administer immunization screenings and vaccinations per policy and procedure.

• Document all nursing interventions accurately using designated EMR tools.

• Establish and maintain collaborative relationships with participants and caregivers to enhance quality care.

• Report, document, and track infections, wounds, and falls; assist with data analysis and improvement initiatives; monitor vaccination administration.

• Support training, supervision, and competency evaluation of Medical Assistants and Health Aides in collaboration with the Nurse Manager and Center Manager.

• Provide clinical supervision, guidance, and resources for Medical Assistants and Health Aides at the PACE Center.

• Oversee and review data input by Medical Assistants and Health Aides to ensure accuracy and authorize documentation for the medical record.

• Participate in all clinical meetings (morning huddles, team meetings, intake, staff meetings) and designated family meetings.

• Participate in the on-call rotation as scheduled.

• Perform home visits as needed.

• Perform other responsibilities as assigned by the Nurse Manager.

Minimum Basic Knowledge:    

• Proficiency in Microsoft Office applications, including Excel and Word.

• Strong written and verbal communication skills.

• Ability to collaborate effectively within an interdisciplinary team environment.

• Valid driver’s license and reliable transportation for home visits.

• Knowledge of infection control practices and home safety standards.

• Familiarity with electronic medical records (EMR) and accurate documentation standards.

• Understanding of medication management principles and patient education techniques.

• Ability to prioritize tasks and work independently in a home-based setting.

Experience & Qualifications:  

• Registered Nurse licensed to practice in Massachusetts.

• Have 1 year of experience working with a frail or elderly population

• Valid driver’s license and reliable vehicle for home visits.

• Ability to work effectively with multicultural staff, participants, and caregivers.

• Ability to function as a collaborative member of an interdisciplinary team.

• Bilingual skills in Spanish, Portuguese, or Haitian Creole preferred.

• Discharge planning experience desirable.

• Proficiency in electronic medical records (EMR) systems and accurate documentation practices.

• Strong organizational and time-management skills for independent work in home settings.

Essential Functions:

• Perform initial and semi-annual nursing assessments and develop individualized care plans.

• Implement physician orders and maintain accurate documentation in EMR.

• Manage medications, including ordering, delivery coordination, and participant/caregiver education.

• Provide scheduled and episodic skilled nursing visits in the PACE and home setting.

• Collaborate with the interdisciplinary team on care planning and discharge coordination.

• Participate in team meetings, on-call rotation, and quality improvement activities.

• Ensure compliance with infection control and home safety standards.

• Complete other duties as assigned by the Nurse Manager.

 Physical Requirements:

•  Ability to travel to participant homes and community locations; must maintain a valid driver’s license and reliable transportation.

• Frequent standing, walking, bending, and reaching during home visits and nursing procedures.

• Ability to lift, push, or pull up to 25 pounds (e.g., medical supplies, equipment).

• Manual dexterity for performing nursing tasks and operating medical equipment.

• Visual and auditory acuity sufficient for assessing participants, reading medical records, and communicating effectively.

• Ability to tolerate exposure to various home environments, including potential allergens, pets, and varying temperatures.

• Capacity to respond quickly in emergency situations and perform CPR if required.

            
Independent Action:
    •    Ability to work independently and manage priorities

Supervisory Responsibility:

• Provide clinical oversight and guidance to Medical assistants, health aides, and nursing students during home visits as assigned.

• Collaborate with the Nurse Manager on performance improvement initiatives and quality assurance activities.

• Serve as a resource for Health Aides and caregivers regarding clinical questions and best practices.

Define Access Level to PHI:  

Level 4: Authorized to access full health information. UCC position and job responsibilities involve the provision of patient care and working as a clinical team member. Staff in this category level, although allowed full access, should only access the necessary information for each respective treatment encounter/circumstance. 
 

Salary : $36 - $65