RN Ambulatory - Full-time - PACE Elder Service Plan

Cambridge Health Alliance; Cambridge, Northern (MA, KY); On-site; USD 85,000 - 110,000; Full time

Job summary

Cambridge Health Alliance's CHA PACE program is hiring a Registered Nurse to deliver coordinated nursing care in participants' homes. The RN will assess, manage cases, and implement care plans in collaboration with an interdisciplinary team. Responsibilities include medication reconciliation and warm hand-offs to other IDT members.

The role emphasizes geriatric care, multidisciplinary collaboration, and ensuring high-quality patient outcomes in a home-based setting within CHA PACE.

Qualifications

• Current MA RN licensure required.
• American Heart Association BLS Provider certification required; Phlebotomy skills preferred.
• B.S. in Nursing preferred.
• Reliable transportation to make daily home visits in the CHA PACE service area.
• One to three years of home care experience preferred.
• Highly developed geriatric assessment and clinical skills.
• Experience at a PACE plan, working on an interdisciplinary team, etc. is desired.
• Fluency in Spanish, Haitian Creole, Portuguese, etc. is desired.

Responsibilities

• Provide coordinated nursing care for CHA PACE program participants in their homes.
• Perform assessments, case management, and implement plans of care with IDT collaboration.
• Conduct medication reconciliation and facilitate warm hand-offs to IDT members.
• Communicate participant status and new problems to the IDT to inform best care practices.

Skills

Home care nursing

Geriatric assessment

Care coordination

Interdisciplinary teamwork

Medication reconciliation

Spanish/Creole/Portuguese language

BLS certification

Education

Massachusetts RN licensure

BSN preferred

Tools

BLS Provider certification

Job description

Location: CHA East Cambridge Care Center
Category: Registered Nurse
Department: CHA PACE
Job Type: Full-time
Union Name: MNA Cambridge

Work Schedule: DayLength Of Shift(s) In Hours: 7-8 hours
Shift Details: Varied shifts, primarily beginning at 8:00am
Hours/Week: 36.00
Weekend Requirements: Every other weekend
Holiday Requirements: Rotating holidays as assigned
On Call Requirements: n/a

About CHA PACE

Cambridge Health Alliance'sProgram of All-Inclusive Care for the Elderly (PACE)is a nationally recognized model of care that serves adults aged 55 and older living with chronic medical and/or mental health challenges.

At CHA PACE, our mission is to support our program participants in achieving the highest level of independence within their communities and preventing nursing home placement. Our high-functioning interdisciplinary team supports this goal by providing fully integrated medical and behavioral health services, community resources, and home-based care in a collaborative and supportive environment.

Position Overview

TheRegistered Nurseis a crucial member of the PACE Interdisciplinary Team (IDT), providing PACE program participants who experience a wide range of chronic healthcare needs with coordinated nursing care in their own homes. The RN demonstrates expertise in the assessment, case management, and implementation of participants’ overall plans of care. They also utilize evidence-based nursing interventions to support these comprehensive care plans, as well as collaborate with the enrollment team in performing initial assessments of participants’ home care needs, such as medication reconciliation and warm hand-offs to other IDT members. In addition, the RN communicates the current status of participants to the IDT, including new problems and/or problems indicating a significant change in status, in order to inform best practices for continued care.

Qualifications

• Current or conditional Massachusetts RN licensure required
• American Heart Association BLS Provider certification required; Phlebotomy skills preferred
• B.S. in Nursing preferred
• Reliable transportation to make daily home visits in the CHA PACE service area
• One to three years of home care experience preferred
• Highly developed geriatric assessment and clinical skills
• Experience at a PACE plan, working on an interdisciplinary team, etc. is desired
• Fluency in Spanish, Haitian Creole, Portuguese, etc. is desired
• Clinical experience with geriatric, behavioral health and/or disabled populations is desired

Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.