PACE COMMUNITY SERVICES RN LEAD

Working under the supervision of the PACE Social Services Manager, the PACE Community Services Nurse Lead will oversee Community Nursing team across all PACE sites to ensure the effective, efficient, and high-quality delivery of home care services and provides oversight of Level-of-Care (LOC) submission for prospective participants.

ESSENTIAL JOB FUNCTIONS:

• Leads and oversees community nursing teams across all PACE sites, including timecard review and approval, staff scheduling, staffing coordination, coverage, onboarding, orientation and training.
• Oversees the quality of care and safety of PACE participants in their homes and in the community, as well as the daily operations of home care services, and LOC processes.
• Performs the duties and responsibilities of a Community RN.
• Oversees Community RNs in preparing and submitting Level-of-Care (LOC) documentation for PACE candidate applications, including coordinating assessments, required documentation, submission timelines, and follow-up. Ensures the smooth transition and effective coordination of care for approved candidates to the team.
• Onboards and coordinates training of new staff to complete competency and other training materials, and provides ongoing training as needed.
• Supports the management and oversight of contracted homecare services, including contractor selection, contract performance monitoring, service-level expectations, invoice reconciliation, and vendor relationship management.
• Provides oversight of the program’s home health services and services provided at Residential Care Facilities for the Elderly (RCFEs).
• Develops the community nursing team’s clinical skills, decision-making, regulatory compliance, and communication and collaboration with the Interdisciplinary Team (IDT).
• Leads quality improvement initiatives focused on community nursing and home care services, implementing strategies to improve care quality, operational efficiency, and participant outcomes.
• Remains alert to pertinent input from other team members, participants, and caregivers and updates the IDT promptly regarding any changes in participants’ condition or medical status.
• Develops and implements home care programs that promote, restore or maintain participant’s optimal functional status and ensure alignment with the interdisciplinary plan of care.
• Maintains necessary record keeping functions pertaining to participant care and progress.
• Monitors the quality of customer service delivered by the community nursing team, identifies improvement opportunities, and implements training.
• Monitors encounter, assessment, and care plan metrics for community nursing/home health services to ensure timeliness, regulatory compliance, and continuous improvement in the participant experience.
• Provides home visits & home health as needed.
• Utilizes Epic appropriately and efficiently and serves as content and workflow expert for resolving issues and proposing solutions in Epic.
• Performs other job duties as required by Manager/Supervisor.