Lead Personal Care Attendant (PCA) Day Center, Jordan Valley Senior Care (JVSC) PACE

About the role

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships.

Responsibilities

• Ensure participant-specific care needs are communicated to PCA staff at the start of each shift, including updated care plans, dietary modifications, fall precautions, behavioral considerations, and any overnight or weekend changes reported by family or field staff.
• Oversee and coordinate the daily schedule of day center activities in collaboration with the Recreational Therapist and Center Manager, including coordinating personal care tasks, meal service, and participant rest periods to ensure smooth, organized flow without gaps in supervision or care.
• Serve as the first-line operational problem-solver during the day center day — adjusting assignments, managing unexpected participant needs, and ensuring no participant is left unattended or without required support.
• Maintain an organized, clean, safe, and welcoming day center environment throughout the day; coordinate with custodial and dietary staff on spills, environmental hazards, or supply needs.
• Monitor participant engagement throughout the day; identify participants who are withdrawn, agitated, or not participating and communicate concerns to the IDT social worker, activity staff, or nurse.
• Coordinate with the activity staff to ensure care tasks (bathing, personal care, treatments) are scheduled around the participant's activity programming without disrupting either unnecessarily.
• Complete and/or review daily participant care logs, incident reports, and attendance records; ensure documentation is accurate and submitted per organizational policy.
• Communicate any day center supply needs, equipment concerns, or environmental issues to the PACE Center Manager for follow-up.
• Maintain continuous situational awareness of the day center floor — know where every participant is at all times and ensure no participant is left unsupervised in an unsafe situation.
• Ensure all PCA staff know and follow emergency response procedures, fire evacuation protocols, and missing participant procedures.
• Ensure participant fall precautions are communicated to all PCA staff and implemented consistently, including use of gait belts, appropriate footwear checks, and call device placement.
• Immediately report and document all incidents, falls, participant behavioral events, or safety concerns per PACE policy; complete incident report forms accurately and submit within required timeframes.
• Maintain required participant-to-PCA staffing ratios throughout all day center hours in compliance with CMS PACE standards, organizational policy, and any state-specific Missouri DHSS requirements applicable to adult day services.
• Monitor real-time floor coverage at all times; immediately adjust PCA assignments when a staff absence, break, or unexpected participant need creates a potential ratio gap.
• Coordinate PCA break schedules to ensure ratio compliance is maintained continuously and no participant area is left understaffed at any point.
• Communicate staffing shortages, call-outs, or coverage concerns to the PACE Center Manager and Clinical Supervisor at the start of each shift so that contingency staffing can be arranged before a ratio deficiency occurs.
• Ensure that high-acuity participants (two-assist transfers, fall risk, elopement risk, behavioral needs) are assigned to the most experienced and competent PCA staff available on any given day.
• Participate as an active IDT member in scheduled IDT care planning meetings.
• Prepare for each IDT meeting by reviewing relevant participants and compiling day center observations. Communicate day center care plan changes, new participant precautions, or updated care instructions received from IDT meetings to all day center PCA staff promptly; ensure implementation of care plan updates on the floor.
• Complete required documentation in the EMR.

Qualifications

• High school diploma or equivalent.
• At least 2 years of experience in a healthcare setting, preferably in a PACE or similar program.
• Current CPR certification.
• Valid driver’s license and reliable transportation.
• Ability to work flexible hours, including evenings and weekends.
• Strong interpersonal and communication skills.
• Ability to maintain confidentiality of participant health information.
• Ability to perform physical tasks such as lifting, bending, and standing for extended periods.

Skills

• Excellent verbal and written communication skills.
• Strong organizational and time management skills.
• Ability to work independently and as part of a team.
• Knowledge of PACE program standards and regulations.
• Experience with electronic health record systems.
• Ability to handle sensitive and confidential information.

Benefits

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.

Pay

Pay on Demand Available.

Schedule

Flexible schedule to accommodate the needs of the day center operations.