Clinic RN Supervisor - PACE

The Brandman Centers for Senior Care (BCSC), a Program of All-inclusive Care for the Elderly (PACE), provides high-quality, comprehensive healthcare services. We are a program of Los Angeles Jewish Health, renowned for providing quality care to vulnerable seniors.

We value our employees! We offer long term employment opportunities with job stability, including supporting and encouraging career growth advancement. We offer Health, Dental and Vision insurance, Paid Time Off, 9 Paid Holidays, 403(b) with Matching Retirement Plan, Life insurance (paid by the company) and a team spirit workplace culture!

Under the supervision of the Center Manager, the Brandman Centers for Senior Care (BCSC) RN Clinic Supervisor will supervise, coordinate, evaluate and assist in the delivery of clinic nursing services in accordance with BCSC, state and federal standards for providing direct and indirect nursing care to BCSC participants. Works in close coordination with the Primary Care Physician to manage ongoing care and complex clinical situations and support the operation of the clinic.

Administrative Functions

• Assumes the administrative responsibility and accountability for the assigned duties of the Clinic Nurse Supervisor. Coordinates nursing staff to assure that the BCSC standard of nursing care is provided at all times.
• Oversees the hiring and training of all positions in the clinic.
• Completes all of the regulation-required auditing and reporting.
• Provides assistance to all positions in the Clinic, including taking administrative calls.
• Participates in conducting the initial and quarterly assessment of each participant’s health and social status; identifies overt problems/needs and sets priorities; treats problems requiring immediate referral and/or follow-up; and interprets and records latest diagnostic results.
• In coordination with the BCSC nursing staff and the Interdisciplinary Team, develops a Plan of Care based on nursing process that incorporates immediate and continuing care needs and includes the participant and family perspective.
• Participates in providing care that conforms to accepted practice standards and age-related characteristics and needs of participants.
• Assists nursing staff in providing direct care that includes, but is not limited to wound care, IV therapy, blood sugar checks, IM injections, vital sign checks and/or follow-up on an episodic problem previously identified by the Primary Care Physician, such as congestive heart failure, chest pain, dehydration, edema, urinary tract infection or other health problems.
• Actively participates in daily morning and Intake and Assessment meetings to update other Interdisciplinary Team members on changes in participants’ condition and movement between home, supportive housing, nursing home, hospital and other settings. Provides a briefing to Interdisciplinary Team members on participant health problems, daily schedules, planned tests, appointments, and medical specialty appointments scheduled.
• Supervises and assists nursing staff as required in recording participant assessments, reassessments and care delivered in the electronic medical record.
• Consults with and educates the participant, family members and/or caregiver regarding the disease process, self-care techniques, prevention strategies and medical interventions.
• Provides the Primary Care Physician with a summary of health findings and any changes in a participant’s health condition.
• Ensures that all tests, lab work and diagnostic studies ordered by the Primary Care Physician have been carried out.
• Coordinates all medication for BCSC, including the stocking of non-prescription medications, the ordering of prescription medications, the administering of medication in the PACE Center, and the monitoring of participant compliance. Arranges for delivery of needed medications and supplies to the participant’s home.
• Collaborates with the Primary Care Physician to assure that protocols are in place and standing orders are carried out with regard to bowel care; foot care; skin care; urinary tract infection; vital signs and weight; and wound care. Provides continence training to participants as needed.
• Keeps abreast of current federal and state regulations, as well as professional standards and suggest recommendations on changes in policies and procedures for the clinic to the Interdisciplinary Team.
• Observe and evaluate nursing staff in the prompt and effective performance of their duties and to assure established safety procedures are followed in the use of equipment and supplies.
• Assists the Center Manager in creating an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the facility.
• Prior to the use of physical or chemical restraints, conducts an assessment and documents in the medical record that participant restraint alternatives have been attempted and obtains a physician order for restraints. Monitors and documents that the participant has a specific medical symptom that cannot be addressed by another less restrictive intervention and a restraint is required to treat the medical symptom and protect the participant’s safety.
• Supports the Infection and Exposure Control function in coordination with the Quality Assurance Coordinator.
• Actively participants in the Quality Assessment and Performance Improvement (QAPI) process. Consistently meets or exceeds BCSC quality assessment and performance improvement targets.
• Recognizes inappropriate participant care management or service delivery by other Interdisciplinary Team members and addresses directly and/or refers to the Center Manager immediately.
• Identifies emergency situations and takes appropriate action, including coordinating direct hospital admissions from clinic to hospital as necessary.
• Understands and demonstrates respect for participant rights and refers ethical issues to the BCSC Ethics Committee.
• Coordinates with the Pharmacist and Dentist to support participant care and with the Home Care Coordinator to support participant care at home.
• Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to the Center Manager. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors and others.
• Consistently meets or exceeds BCSC targets for productivity and customer service targets.
• Continually seeks better ways for delivering services and communicating with participants while demonstrating proficiency in delivering age-specific care.
• Demonstrates respect for and promotes participant rights, including dignity, self-determination, access to care, confidentiality and independence.
• Understands the importance of community involvement and participates as appropriate in activities that link BCSC to its communities.
• Provides necessary documentation for ER and urgent care visits, hospitalizations, transfers to skilled nursing facilities, and discharges from the hospital.

Education and Experience

• Degree and Diplomas: Graduate of a school of professional nursing, BS in Nursing preferred.
• Certificates, Licenses: RN currently licensed by the California Board of Registered Nursing. Valid California driver’s license. Verification of completion of CPR (BLS) and first aid training. TB screening and successful completion of a health examination by a health care provider is required for employment.
• Experience: Three years nursing experience with at least one year caring for the frail or elderly. A Public Health Nursing background and/or experience with PACE (Program of All-inclusive Care for the Elderly) is preferred. At least one year supervisory experience in health care.
• Skills/Aptitudes: Nursing knowledge and skills necessary to treat participants and manage complex clinical situations. Ability to provide care for the frail elderly. Ability to work independently and within an Interdisciplinary Team. Good organizational and supervisory skills. Ability to handle complex interpersonal and clinical situations.