Geriatric Care Coordination RN – Community-Based

Talent-Connect-Now; Los Angeles (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Talent Connect Executive Search & HR Solutions is recruiting a Registered Nurse (RN) to support a PACE program. The RN will deliver comprehensive nursing care and coordinate services for older adults with complex medical needs in the community.

As an integral member of the interdisciplinary team, you will assess needs, implement individualized care plans, educate participants and caregivers, and ensure safe medication administration across care transitions.

Qualifications

• Current California Registered Nurse license in good standing.
• Graduation from an accredited nursing program.
• Current Basic Life Support (BLS) certification.
• Strong nursing assessment, clinical judgment, and care coordination skills.
• Ability to recognize changes in condition, prioritize care needs, and respond appropriately.
• Strong communication, participant education, and documentation skills.
• Ability to collaborate effectively with a multidisciplinary healthcare team.
• Commitment to respectful, culturally responsive care for older adults.

Responsibilities

• Complete initial, periodic, and change-in-condition nursing assessments to identify participant needs, clinical risks, and changes in health status.
• Develop, implement, and evaluate individualized nursing interventions in collaboration with participants, caregivers, providers, and the IDT.
• Triage clinical concerns, communicate findings to providers, and elevate urgent changes according to established protocols.
• Administer and monitor medications and treatments, perform ordered nursing procedures, and evaluate participant responses.
• Provide participant and caregiver education on medications, chronic disease management, symptom monitoring, and care instructions.
• Coordinate follow-up after emergency department visits, hospitalizations, and other care transitions, including medication reconciliation and communication with treating providers.
• Participate in IDT meetings and contribute nursing recommendations to comprehensive participant care plans.
• Collaborate with clinical staff, rehabilitation professionals, social services, and other team members to address barriers to care.
• Provide nursing direction to assigned staff consistent with licensure, role responsibilities, and organizational policies.
• Maintain accurate, timely documentation of assessments, interventions, care coordination, and participant outcomes.
• Follow infection prevention and participant safety procedures and contribute to quality improvement activities.

Skills

CA RN license

BLS certification

Care coordination

Clinical assessment

Multidisciplinary teamwork

Documentation

Communication

Education

BSN preferred

Accredited nursing program graduate

Job description

Talent Connect Executive Search & HR Solutions is recruiting a Registered Nurse (RN) to support a PACE program. The RN will deliver comprehensive nursing care and coordinate services for older adults with complex medical needs in the community.

As an integral member of the interdisciplinary team, you will assess needs, implement individualized care plans, educate participants and caregivers, and ensure safe medication administration across care transitions.