Registered Nurse, Clinic

About the role

The Clinic Registered Nurse at High Desert PACE serves as a cornerstone of the Interdisciplinary Team (IDT), providing skilled nursing care and coordination for seniors who wish to remain living independently in the community. This role is far more than traditional clinical nursing; it is a holistic, patient-centered position that balances acute triage, chronic disease management, and preventative advocacy for a vulnerable geriatric population.

Responsibilities

• Provide skilled nursing care and prescribed treatments to participants both in the Adult Day Health Center and within their private residences as directed and when applicable.
• Conduct comprehensive nursing admission assessments and utilize the nursing process to identify care needs and develop specific, individualized plans of care.
• Ensure the physician’s plan of care is executed precisely, ensuring all tests, procedures, consultations, and diagnostics are completed timely.
• Communicate effectively with hospital departments to minimize lengths of stay and facilitate smooth transitions back to alternative levels of care.
• Identify and communicate barriers to the Physician’s plan of care directly to the PACE Primary Care Provider or Clinic Manager.
• Actively participate in Interdisciplinary Team Meetings, ensuring all nursing assessments and documentation are completed prior to the session.
• Maintain effective communication with clients and families regarding home care needs, coverage concerns, or health problems.
• Participate in quality management activities, including peer reviews, and advise leadership on ways to improve accountability to participants.
• Manage the technical and organizational aspects of home care, including scheduling, communication.
• Maintain continuity of service delivery while adhering to all governing regulations, agency policies, and the philosophy of High Desert PACE.

Requirements

• Minimum of one (1) year of experience working with a frail or elderly population (CMS requirement).
• This is an onsite/community-based position requiring travel to participant homes and presence at the PACE Clinic.

Position Requirements & Basics

• Availability: Must be able to participate in a mandatory on-call rotation and provide temporary coverage for other sites as assigned.
• Educational Requirements: Graduate of an accredited School of Nursing. Bachelor of Science in Nursing, required.
• Licensure: Current, unencumbered State Registered Nurse (RN) license.
• Experience: Minimum of one (1) year of experience working with a frail or elderly population (CMS requirement).
• Setting: This is an onsite/community-based position requiring travel to participant homes and presence at the PACE Clinic.

Core Competencies

• Interpersonal Skills: Ability to navigate complex family dynamics and multi-disciplinary professional environments.
• Organizational Mastery: High aptitude for managing schedules, documentation, and regulatory compliance without sacrificing care quality.
• Clinical Judgment: Deep understanding of the nursing process as it applies to geriatric health and home safety.

Education & Training

• RN with current license to practice as a professional nurse in the state of California.
• Bachelor of Science in Nursing, required.
• Minimum of total of one year of personal, clinical/leadership, and/or employment experience providing care or services for a frail or elderly population required.
• Two years of community nursing preferred.
• Proficient in computer operations acquired either through work experience or education, including word processing and spreadsheet programs.
• Able to understand and prepare moderately complex written materials.
• Excellent verbal and written communication skills.
• Able to work without close supervision and to exercise independent judgment.
• Demonstrated ability to work effectively within the interdisciplinary team setting.
• Computer proficiency.
• Able to manage changing priorities per participant needs.
• Strong organizational skills.
• Demonstrates necessary skills and knowledge as outlined in the position-specific Competency Assessment Profile.

Working Conditions

• Requires physical strength to perform essential functions of the job.
• Occasional travel between sites, nursing/group homes and to members’ homes required.
• Requires use of personal vehicle.
• Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage.
• May require use of personal cell phone for business purposes (may be eligible for stipend).