Clinical Supervisor, Jordan Valley Senior Care (JVSC) PACE

Nursing Staff Supervision

• Provide direct, daily supervisory oversight of all RN and LPN staff assigned to the PACE center and field operations, ensuring adherence to scope-of-practice requirements under Missouri Nurse Practice Act and organizational policies.
• Assign, coordinate, and monitor nursing staff scheduling to ensure adequate clinical coverage across all PACE center hours of operation and for home visit/field activities, accounting for participant acuity and census.
• Conduct regular one-on-one supervision meetings with nursing staff; provide timely, documented performance feedback and coaching.
• Lead, administer, or coordinate nursing performance evaluations (annual reviews and probationary reviews) in collaboration with the Center Manager.
• Review and approve nursing documentation in the electronic medical record (EMR) for accuracy, completeness, and timeliness; provide corrective feedback as needed.
• Maintain nursing staff compliance with mandatory training, continuing education, licensure renewal, and competency validation requirements; maintain current licensure records for all supervised staff.
• Serve as a clinical resource and escalation point for nursing staff questions, complex participant situations, and urgent clinical concerns during the workday.
• Ensure Medical Assistants (MAs) operate within their defined scope of practice and organizational policies; MAs do not administer medications unless operating under a specific state-authorized protocol with RN oversight.
• Assign MA daily tasks and workflow in coordination with the clinic schedule and IDT priorities.

PACE Center Clinic Operations

• Oversee the day-to-day operational flow of the PACE clinic, including exam room readiness, equipment functionality, supply inventory, and scheduling coordination with the primary care and specialist providers.
• Ensure the clinic environment meets all applicable regulatory, safety, and infection control standards, including CMS PACE standards under 42 CFR Part 460 and Missouri DHSS requirements.
• Manage clinic supply and medication inventory processes, including coordination of medication orders, controlled substance accountability and supply reorder workflows.
• Oversee the preparation and maintenance of examination rooms and treatment areas; ensure equipment is calibrated, functional, and documented per maintenance schedules (e.g., AED, glucometers, oxygen equipment, nebulizers, wound care supplies).
• Ensure all clinical equipment inspection and maintenance logs are current and accessible for survey or audit review.
• Coordinate with the PACE center Manager and IDT regarding clinic appointment scheduling, participant flow, and urgent/same-day clinical needs.
• Oversee triage processes within the PACE center, ensuring nursing staff follow established triage protocols and escalation pathways for participants presenting with acute changes in condition.
• Ensure proper management of medical waste, sharps disposal, and biohazardous materials per Missouri DNR and OSHA regulations.
• Maintain oversight of specimen collection, labeling, and laboratory send-out procedures; ensure chain-of-custody documentation standards are met.
• Maintain oversight of all clinic-based clinical processes, ensuring they are documented, standardized, and reflected in current policy and procedure manuals.

Field & Community Clinical Operations

• Oversee nursing staff conducting home visits, ensuring visits are completed per the IDT plan of care, documented timely in the EMR, and meet PACE standards for community-based care.
• Develop and maintain field nursing protocols, including safety procedures for home visit staff, communication expectations during field hours, and escalation procedures for urgent participant situations identified in the home.
• Monitor the quality and completeness of field nursing documentation, including home visit notes, medication reconciliation in the home, and identification of safety hazards in the participant's living environment.
• Ensure field staff conduct home safety assessments per PACE policy and document findings with follow-up actions for the IDT.
• Respond to or coordinate nursing response for urgent participant situations identified by field staff or transportation personnel during community activities.
• Ensure field staff adhere to organizational vehicle safety policies, participant transport protocols, and emergency procedures while in the community.

Clinical Processes, Protocols & Standards of Care

• Develop, implement, review, and update clinical nursing protocols and standard operating procedures (SOPs) annually or as warranted by regulatory change, quality findings, or incident review.
• Ensure clinical practice standards align with current evidence-based guidelines, CMS PACE regulations (42 CFR Part 460), Missouri Nurse Practice Act (RSMo Chapter 335), and organizational policies.
• Oversee and standardize clinical processes.
• Ensure nursing staff competency in all core clinical procedures through skills validation, return demonstration, and ongoing observation.
• Monitor clinical process metrics (e.g., medication error rates, fall rates, wound healing outcomes, missed assessment rates) and report trends to the Quality & Compliance Manager and Medical Director.
• Oversee and serve as the clinical escalation contact for urgent participant health concerns during PACE center hours and for after-hours nursing staff.

Medication Management Oversight

• Oversee all aspects of medication management within the PACE center and field, ensuring compliance with CMS PACE medication requirements (42 CFR §460.98), and organizational medication management policies.
• Ensure all medication administration that occurs is by licensed staff working within their scope of practice.
• Oversee controlled substance receipt, storage, documentation, count, waste, and disposal per Missouri state law and DEA requirements; ensure accurate controlled substance logs are maintained and reconciled each shift.
• Monitor medication error reporting, conduct or facilitate root cause analysis of medication errors, and implement corrective actions; report trends to the Quality & Compliance Manager and Quality Committee.
• Coordinate with the PACE IDT members and other disciplines on medication protocols/management, medication reconciliation, and safety concerns.
• Conduct regular MAR audits and report findings.

Interdisciplinary Team (IDT) Collaboration & Care Coordination

• Serve as a core IDT member, participating in all required IDT meetings and contributing the nursing perspective to participant care planning per 42 CFR §460.104.
• Ensure nursing assessments and updates are integrated into participant Plans of Care (POCs) and that POC goals reflect current clinical status, nursing interventions, and measurable outcomes.
• Coordinate nursing communication with IDT members regarding changes in participant clinical condition, new diagnoses, hospitalizations, and care transitions.
• Oversee nursing's role in care transitions management, including hospital discharge follow-up, SNF coordination, and post-acute monitoring protocols.
• Ensure timely nursing notification to the IDT and Medical Director of acute changes in participant condition.
• Collaborate with Social Work and the IDT on participant mental health, behavioral health, and psychosocial concerns that intersect with clinical care.
• Coordinate nursing support for participant end-of-life transitions, ensuring comfort care protocols are activated and family communication is facilitated in partnership with social work and the IDT.

Participant Safety & Infection Control

• Serve as the primary clinical lead for infection prevention and control within the PACE center and field, in coordination with the Quality & Compliance Manager.
• Ensure compliance with CDC standard precautions, transmission-based precautions, and applicable Missouri DHSS infection control regulations.
• Oversee surveillance for healthcare-associated infections (HAIs), respiratory illness outbreaks, and communicable disease events among PACE participants.
• Manage outbreak response protocols for influenza, COVID-19, norovirus, scabies, or other communicable disease events affecting PACE participants or staff.
• Ensure all nursing and clinical staff complete annual infection control training and demonstrate compliance with hand hygiene, PPE use, and isolation protocols.
• Oversee immunization program for PACE participants (influenza, pneumococcal, COVID-19, shingles, Tdap) in coordination with the pharmacy and IDT; maintain immunization tracking records.
• Oversee OSHA bloodborne pathogen compliance, including staff training, sharps management, post-exposure protocols, and documentation.

Emergency Preparedness & Response

• Serve as a key member of the PACE center emergency preparedness team; develop and maintain nursing-specific emergency response protocols for PACE center emergencies (medical emergencies, fire, severe weather, power outage, and mass casualty events).
• Ensure all clinical staff are trained in emergency response procedures, including BLS/CPR, AED use, emergency medication administration, and evacuation protocols.
• Maintain current emergency contact lists, participant emergency evacuation registries (participants requiring assistance), and emergency supply inventories.
• Coordinate with the PACE Center Manager and leadership on participation in required emergency preparedness drills and annual emergency plan review per 42 CFR §460.72.
• Develop and maintain nursing-specific continuity of operations protocols for clinical services during declared emergencies or disaster events affecting PACE operations.

Quality Improvement & Clinical Auditing

• Participate actively in the PACE Quality Improvement Committee (QIC); contribute nursing and clinical operations performance data to QI activities.
• Design and conduct ongoing clinical audits to monitor nursing and clinical staff performance.
• Report clinical audit findings to the Medical Director and QIC with trend analysis and recommended corrective actions.
• Lead or participate in root cause analysis (RCA) for sentinel events, serious incidents, or patterns of clinical concern identified through auditing.
• Implement and oversee corrective actions based on audit findings.