Caregiver / Med Tech NOC SHIFT 10 PM-6:30 AM

Fair Oaks Estates is a locally owned assisted living and memory care community in Carmichael. We’ve served families across the Sacramento Valley for over 20 years, operating as a 63-bedroom community providing assisted living and memory care for residents with dementia. Our caregivers build long-term relationships with residents, understanding their evolving needs while supporting their independence.

About the role

Fair Oaks Estates is hiring a full-time overnight Caregiver who is also trained and certified as a Medication Technician. This is primarily a caregiving role with medication administration as a secondary responsibility. The bulk of your shift involves direct resident care, including safety checks, repositioning, and assisting with overnight needs. Medication duties are limited to overnight schedules and PRNs, requiring precise documentation and adherence to protocols. Training is structured and paid: caregiver orientation first, followed by medication training and supervised med room time. Nights are quieter but demanding—you’ll handle safety checks, assist with toileting, manage nighttime disorientation, and respond to emergencies independently. This role suits someone who is observant, self-directed, and comfortable with responsibility.

Responsibilities

• Take a full handoff from the evening shift, including resident status and concerns.
• Perform safety checks and rounds throughout the night.
• Turn and reposition residents to prevent pressure sores.
• Answer call lights promptly and assist with overnight toileting and incontinence care.
• Change soiled linens and clothing discreetly.
• Redirect and reassure memory care residents who wake disoriented or anxious.
• Monitor for falls, breathing changes, pain, or other condition changes; escalate as needed.
• Report changes in resident condition (weight, mood, skin integrity, appetite).
• Monitor oxygen and call systems; complete incident reports.
• Maintain building security and safety overnight.
• Handle overnight laundry and housekeeping during quiet periods.
• Prepare supplies and documentation for the morning shift.
• Document care in Eldermark and provide a clear handoff to the AM shift.
• Administer overnight medications and PRNs per doctor’s orders.
• Document all medication passes and ensure EMAR is complete.
• Verify narcotic counts at shift change and report discrepancies.
• Audit the med cart for expired medications.
• Follow up on new physician orders received via fax.
• Maintain a seven-day supply of medications and reorder as needed.
• Ensure the med room complies with company guidelines and Title 22.
• Confirm staffing levels and arrange coverage if needed.
• Ensure coworkers take meal periods, rest breaks, and document showers/skin checks.
• Run the change-of-shift meeting to update the morning team.
• Alert management to any resident condition changes immediately.
• Ensure hall coverage before clocking out.

Schedule

Overnight shift (10:00 PM to 6:30 AM) on a "4 on, 2 off" rotation. You work four consecutive nights, followed by two days off, repeating continuously. This results in ~20 nights/month for full-time hours. The schedule is visible weeks in advance via an app, allowing shift swaps, open-shift pickup, and time-off requests. Weekends and holidays are included in the rotation, with weekends off occurring regularly but not weekly. The rotation is designed to provide consistent rest and predictability.

Pay

• Starting pay: $16.90/hour (California minimum wage).
• Top of range: $17.90/hour.
• Overtime: Paid at time-and-a-half per California law.
• Raises based on performance, experience, and attendance.

Benefits

• Predictable rotation with two days off every six days.
• Scheduling app for visibility, shift swaps, and time-off requests.
• Paid initial training (caregiver and Med Tech) delivered onsite and online.
• Paid annual medication in-service and continuing education (including dementia care).
• Health coverage eligibility after 90 days for full-time employees.
• Paid sick leave (accrued at 1 hour per 30 hours worked, available after 90 days).
• Paid vacation for full-time employees after one year.

Qualifications

Required:

• 18 years or older, authorized to work in the U.S.
• Fingerprint clearance through Community Care Licensing (completed before first day).
• Health screening and TB test from a licensed physician (completed before first day).
• Valid First Aid card (must remain current; renews every two years).
• Scrubs and slip-resistant, closed-toe shoes (provided by employee).
• Able to assist with transferring residents (100–250 lbs) and repositioning safely.
• Comfortable with hands-on personal care, including toileting and incontinence care.
• Able to stay alert and attentive through a full overnight shift.
• Sound judgment for independent decision-making.
• Reliable transportation to Carmichael for late-night/early-morning shifts.
• Available for overnight shifts on a 4-on, 2-off rotation (includes weekends/holidays).
• Willing to complete full caregiver training first, then Med Tech training (16+ hours of shadowing, supervised med room time, and competency exam—all paid).
• Careful, consistent documentation (medication records and narcotic counts must be exact).

Preferred, Not Required:

• Previous overnight or night shift experience.
• Previous caregiving experience (professional or personal).
• High school diploma or GED.
• Current Medication Technician training (will train if not held).
• Comfort with electronic documentation.

Who Does Well Here

This role suits individuals who thrive in overnight settings—those who are naturally alert, observant, and self-directed. Ideal candidates are detail-oriented, double-checking rather than assuming, and comfortable with responsibility. The ability to stay calm under pressure, especially when responding to emergencies or disoriented residents, is critical. If you’ve been the go-to person for caregiving in your family, you likely already possess the core skills for this job.