About the RoleAs a Clinic RN in our PACE program, you are a core member of our interdisciplinary team (IDT) and a central clinical presence in our Alhambra center. You bring the clinical expertise that ensures our participants - a frail and elderly population with complex, evolving needs - are thoroughly assessed, have care plans that reflect their current status, and receive attentive, high-quality care day to day.
This role is grounded in direct clinical practice: conducting assessments, developing and maintaining care plans, managing chronic conditions, and delivering hands-on nursing care in the clinic. You will also be a vital voice in IDT, contributing clinical insight that shapes how the team cares for each participant. The right person for this role is clinically strong, attentive to detail, and motivated by the opportunity to build something meaningful in a setting that genuinely centers the communities it serves.
ResponsibilitiesClinical assessment & care planning- Conduct comprehensive nursing assessments for new enrollees and ongoing participants, including functional, cognitive, and psychosocial evaluations.
- Develop, implement, and maintain individualized care plans in collaboration with the interdisciplinary team, ensuring they reflect participants' current health status, goals, and evolving needs.
- Monitor and manage chronic conditions - including diabetes, heart failure, COPD, and dementia - adjusting care plan interventions in coordination with PCPs as conditions change.
- Evaluate care plan effectiveness on an ongoing basis and initiate updates in response to changes in participant status, hospitalizations, or new clinical findings.
Day-to-day clinic nursing- Triage inbound communications - calls, faxes, messages from participants, families, and external partners - prioritizing clinical needs and coordinating responses accordingly.
- Conduct same-day urgent care visits and respond to acute clinical concerns presenting in the center, escalating to PCPs as appropriate.
- Administer medications, vaccinations, wound care, and other nursing interventions within RN scope of practice.
- Perform and review vitals monitoring, flagging abnormal findings and communicating with the care team in a timely manner.
- Support medication reconciliation processes, including following up on medication changes after hospitalizations or specialist visits.
- Manage post-appointment processes including diagnostic orders, lab coordination, medication management, and specialist referrals.
- Provide on-site clinical guidance and oversight to LVNs, PCAs, and CNAs as needed, under the direction of the Clinic Manager.
Interdisciplinary team participation- Participate as an active IDT member, contributing timely and accurate clinical updates on participant status and flagging concerns that require team discussion.
- Collaborate with the Care Manager, social workers, PCPs, and other IDT members to ensure care is coordinated across settings and that participants receive necessary medical, social, and supportive services.
- Provide participant and family education on care plans, chronic disease management, medication adherence, and preventive care strategies.
- Support care transitions, including post-hospitalization follow-up, in coordination with the Care Manager and PCP.
Documentation & compliance- Maintain thorough, accurate, and timely documentation in the electronic health record, including assessments, care plans, progress notes, and service records.
- Perform duties in compliance with PACE regulatory requirements, Seen Health policies and procedures, and quality improvement initiatives.
- Maintain confidentiality of participant health information in accordance with HIPAA and organizational standards.
Qualifications- Valid and active California RN license, unencumbered.
- 2+ years of RN experience; background in geriatrics, long-term care, urgent care, home health, or a similar setting strongly preferred.
- Experience conducting nursing assessments and contributing to care plan development.
- Comfort managing a complex, multi-condition patient population with a high degree of clinical autonomy.
- Strong clinical judgment and attention to detail, with the ability to synthesize information and communicate findings clearly across a multidisciplinary team.
- Proficiency in Mandarin and/or Cantonese strongly preferred, given our participant population.
- Experience with electronic health records; comfort learning new clinical technology tools.
- Reliable means of transportation; ability to support home visits as needed.
Location- Los Angeles required. Ability to commute to our Alhambra center required.
Salary & BenefitsSalary: $90,000 - $115,000 / year, depending on experience
Equity: Included as part of founding team package
Benefits include:
- Medical, Dental, and Vision benefits for you and your family
- Life Insurance and Disability Benefits
- Parental and Caregiver Leave
- Lunch, snacks, and coffee on-site
- Paid Time Off across holidays, vacation, personal days, and sick days
- 401k Plan
- Personal and professional development support, including CME support and career growth opportunities
- Subscriptions and training on AI tools
