Job Description

Responsible for providing home care nursing assessment and interventions along with care planning and coordination of 24- hour care for to PACE participants as part of the PACE interdisciplinary team. Plans and supervises the personal care and ADL assistance tasks of Geriatric caregivers in the home. Makes visits to participant homes, inpatient facilities and other locations as required to assess participant level of care needs, coordinate with participant, family caregivers, other providers and the IDT. Works under general supervision.

Essential Functions

• Assesses participant’s physical and functional needs, along with psychosocial status and needs, home safety, family caregiver burden, etc utilizing professional knowledge, skills of observations and interviewing skills.
• Completes assessment documents including UAS, problem lists and interventions and other documentation required for appropriate data collection and analysis as part of a quality assessment and performance improvement program.
• Develops and implements the home care components and works with other team members to develop a comprehensive Interdisciplinary team plan of care based on the needs of participant and caregivers, and goals mutually acceptable to the participant/family and significant others.
• Monitors effectiveness and outcomes regularly and keeps the team informed as to participant progress and level of need. Remains alert to pertinent input from other team members, participants and family members/caregivers. Reviews and revises goals and approaches to member/ family care in coordination with interdisciplinary team members.
• Provides initial home care assessments of new members enrolled in the program, and reassesses at appropriate intervals according to PACE standards and the individualized needs of each participant in coordination with the IDT. Completes NYS required assessment tools according to the schedule planned by the IDT
• Communicates with primary care providers and center nurses as needed to coordinate medication, ancillary tests and functions such as home blood draws as needed
• Directs the provision of personal care, nursing rehabilitation tasks and other work of Home Health Aides and Geriatric Caregivers in the home.
• Coordinates the medication delivery and administration processes for participants requiring assistance at home.

Qualifications

BSN Preferred

1 year of home care experience and or geriatric experience.

Program Overview

ArchCare cares for people of all ages and faiths where they are most comfortable and best able to receive it -- at home, in the community and in nursing homes. As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job. To us, it's a privilege and our calling.

We are proud to be Certified™ by Great Place to Work®, a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture.

ArchCare Senior Life (PACE) is a long-term Medicaid/Medicare plan designed specifically for seniors who need nursing home level care but want to stay at home. With PACE, participants have a dedicated Care Team to coordinate everything, so they are able to live comfortably where they are, knowing they'll get the coordinated care they need. PACE provides and coordinates care at our Wellness Centers, in patients' homes, and in other settings.

Benefits/Perks:

• Includes accrued vacation days, sick days, and holidays.
• Participation in 403 (b)
• Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance
• Discounted membership: Plum Benefits
• Pay for work-related eligible commuter expenses with pre-tax dollars

PACE Perks:

• Opportunity to learn from other disciplines, which enhances your individual clinical practice
• Team supports your efforts, and you get to support them as well
• Your work results in most participants being able to live in their own homes and communities, instead of living in a skilled nursing facility - this provides the highest quality of life for participants, as they can continue to be active members of their community

Pay Range

$114,000-$118,000/Annually