HIGH DESERT PACE
HIGH DESERT PACE is hiring: Home Care Manager, RN in Victorville
HIGH DESERT PACE, Victorville, CA, US, 92392
Job Description
Job Description
Benefits:
Job Summary
The RN Home Care Manager is responsible for conducting comprehensive initial home care assessments and developing detailed care plans that will be implemented by LVNs and PCAs. This role provides clinical leadership in the assessment, planning, implementation, and evaluation of nursing care while serving as a critical member of the Interdisciplinary Team (IDT). The position includes oversight of care delivery across multiple settings, including the PACE center, participants' homes, virtual visits, and skilled nursing facilities (SNF), with direct supervision of Personal Care Assistants (PCAs) and LVNs to ensure quality care delivery.
Essential Duties & Responsibilities
Assessment and Care Planning, conduct comprehensive initial home care assessments for all new participants, including:
Detailed environmental safety evaluation
Physical, psychosocial, and behavioral status assessment
Caregiver capability and support system evaluation
Medical equipment and supply needs assessment
Fall risk and mobility assessments
Standardized PACE assessment tools implementation
Risk stratification assessment
Develop detailed, individualized care plans based on assessment findings:
Create structured care plans using standardized templates
Clearly delineate tasks appropriate for LVN versus PCA implementation
Establish specific protocols for routine and complex care situations
Define escalation pathways for changes in participant condition
Include measurable outcomes and goals
Conduct periodic reassessments to evaluate effectiveness of care plans
Make necessary adjustments to care plans based on participant response and outcomes
Maintain comprehensive documentation using approved templates and systems
Clinical Care Management
Oversee the implementation of care plans by LVNs and PCAs
Review and approve LVN care delivery protocols
Monitor participant response to interventions
Partner with medical providers to ensure care plans align with treatment goals
Manage complex care situations requiring RN level expertise
Provide direct care for complex procedures within RN scope of practice
Establish and maintain clear criteria for task delegation
Implement care plan review schedules
Leadership and Supervision
Supervise and coordinate care delivery between LVNs and PCAs
Provide clinical guidance and support to LVNs in care implementation
Directly supervise PCAs, including:
Develop and oversee schedules and assignments
Provide ongoing training and competency evaluations
Monitor documentation and care delivery
Conduct performance evaluations
Implement improvement plans as needed
Ensure all care delivery complies with state regulations and PACE requirements
Facilitate communication between care team members
Develop and maintain PCA orientation program
Conduct regular skills assessments and competency checks
Quality Assurance and Performance Improvement
Establish and monitor quality metrics for home care services
Care plan completion rates
Implementation success rates
Participant satisfaction scores
Documentation compliance rates
Incident and accident rates
Develop and maintain quality improvement initiatives:
Lead quality improvement projects
Track and analyze outcome data
Implement corrective action plans
Monitor effectiveness of interventions
Conduct regular audits of:
LVN and PCA documentation
Care plan implementation
Medication administration
Infection control practices
Create and maintain feedback mechanisms for:
Participants and families
LVNs and PCAs
IDT members
Care partners
Care Coordination and Education
Lead IDT meetings regarding home care services
Develop and provide training programs for LVNs and PCAs
Create competency checklists
Develop skill assessment tools
Implement continuing education programs
Educate participants, caregivers, and family members on care plans
Coordinate care transitions with facility case managers
Train care team members on participant specific needs
Establish clear communication channels between all care team members
Education & Training
Current California Registered Nurse (RN) license.
Current BLS certification required.
Minimum of 2 years' experience in ambulatory, home health, hospital or sub-acute setting preferred; equivalent
training or related experience considered.
A minimum of one year experience working with elderly population.
Required Qualifications
Current, unrestricted Registered Nurse (RN) license in California
Bachelor of Science in Nursing (BSN) preferred
Minimum of 3 years' experience in home health or community-based care
Demonstrated experience in comprehensive assessment and care planning
Preferred Qualifications
Previous supervisory experience required
Current BLS/CPR certification (or obtain within 30 days of employment)
Strong clinical acumen in complex care management
Proof of medical clearance and current immunizations
Valid CA driver's license, personal transportation, and required auto insurance
Excellent documentation and care planning skills
Strong organizational and leadership abilities
Proficiency in electronic health record systems
- 401(k) matching
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Job Summary
The RN Home Care Manager is responsible for conducting comprehensive initial home care assessments and developing detailed care plans that will be implemented by LVNs and PCAs. This role provides clinical leadership in the assessment, planning, implementation, and evaluation of nursing care while serving as a critical member of the Interdisciplinary Team (IDT). The position includes oversight of care delivery across multiple settings, including the PACE center, participants' homes, virtual visits, and skilled nursing facilities (SNF), with direct supervision of Personal Care Assistants (PCAs) and LVNs to ensure quality care delivery.
Essential Duties & Responsibilities
Assessment and Care Planning, conduct comprehensive initial home care assessments for all new participants, including:
Detailed environmental safety evaluation
Physical, psychosocial, and behavioral status assessment
Caregiver capability and support system evaluation
Medical equipment and supply needs assessment
Fall risk and mobility assessments
Standardized PACE assessment tools implementation
Risk stratification assessment
Develop detailed, individualized care plans based on assessment findings:
Create structured care plans using standardized templates
Clearly delineate tasks appropriate for LVN versus PCA implementation
Establish specific protocols for routine and complex care situations
Define escalation pathways for changes in participant condition
Include measurable outcomes and goals
Conduct periodic reassessments to evaluate effectiveness of care plans
Make necessary adjustments to care plans based on participant response and outcomes
Maintain comprehensive documentation using approved templates and systems
Clinical Care Management
Oversee the implementation of care plans by LVNs and PCAs
Review and approve LVN care delivery protocols
Monitor participant response to interventions
Partner with medical providers to ensure care plans align with treatment goals
Manage complex care situations requiring RN level expertise
Provide direct care for complex procedures within RN scope of practice
Establish and maintain clear criteria for task delegation
Implement care plan review schedules
Leadership and Supervision
Supervise and coordinate care delivery between LVNs and PCAs
Provide clinical guidance and support to LVNs in care implementation
Directly supervise PCAs, including:
Develop and oversee schedules and assignments
Provide ongoing training and competency evaluations
Monitor documentation and care delivery
Conduct performance evaluations
Implement improvement plans as needed
Ensure all care delivery complies with state regulations and PACE requirements
Facilitate communication between care team members
Develop and maintain PCA orientation program
Conduct regular skills assessments and competency checks
Quality Assurance and Performance Improvement
Establish and monitor quality metrics for home care services
Care plan completion rates
Implementation success rates
Participant satisfaction scores
Documentation compliance rates
Incident and accident rates
Develop and maintain quality improvement initiatives:
Lead quality improvement projects
Track and analyze outcome data
Implement corrective action plans
Monitor effectiveness of interventions
Conduct regular audits of:
LVN and PCA documentation
Care plan implementation
Medication administration
Infection control practices
Create and maintain feedback mechanisms for:
Participants and families
LVNs and PCAs
IDT members
Care partners
Care Coordination and Education
Lead IDT meetings regarding home care services
Develop and provide training programs for LVNs and PCAs
Create competency checklists
Develop skill assessment tools
Implement continuing education programs
Educate participants, caregivers, and family members on care plans
Coordinate care transitions with facility case managers
Train care team members on participant specific needs
Establish clear communication channels between all care team members
Education & Training
Current California Registered Nurse (RN) license.
Current BLS certification required.
Minimum of 2 years' experience in ambulatory, home health, hospital or sub-acute setting preferred; equivalent
training or related experience considered.
A minimum of one year experience working with elderly population.
Required Qualifications
Current, unrestricted Registered Nurse (RN) license in California
Bachelor of Science in Nursing (BSN) preferred
Minimum of 3 years' experience in home health or community-based care
Demonstrated experience in comprehensive assessment and care planning
Preferred Qualifications
Previous supervisory experience required
Current BLS/CPR certification (or obtain within 30 days of employment)
Strong clinical acumen in complex care management
Proof of medical clearance and current immunizations
Valid CA driver's license, personal transportation, and required auto insurance
Excellent documentation and care planning skills
Strong organizational and leadership abilities
Proficiency in electronic health record systems