Note: This role is scheduled to start on 8/10/26Role Scope:
In this role, you will be responsible for the management and delivery of direct nursing care to our participants in a variety of settings including, but not limited to, the clinic, adult day center, participant's home, virtually, and SNF. You will serve as a critical member of the Interdisciplinary Team (IDT) and work collaboratively to complete assessments and drive forward participant care plans as "quarterback" for your panel.
Core Responsibilities & Expectations for the Role- Contribute to a center experience that Participants want to spend time in, a team culture that cares and creates joy, and an environment where all participants and team members belong.
- Continue to raise the bar. Constructively seek and share feedback and help us implement changes in order to improve clinical outcomes and experience for participants.
- Exhibit and honor Habitat's Values.
- Participate and facilitate in Interdisciplinary Team (IDT) meetings by contributing insights from assessments, care plan recommendations, and care coordination in a collaborative spirit.
- Conducts face-to-face nursing assessments that are inclusive of physical, psychosocial, and behavioral statuses in various settings, primarily in the Habitat center but also in-home.
- In partnership with a medical provider, delivers personalized care for a panel of participants based on care plans.
- Delivers and documents nursing interventions as agreed upon in participant's care plans, promptly and accurately responding to physician orders, and correctly administering medications and therapeutic interventions.
- Provides case management longitudinally and during transitions of care. Proactively coordinates complex patient discharges, transfers, and immediate post-discharge needs with hospital and long-term care facility case managers
- Coordinates all aspects of care delivery including medication management, medical equipment and supplies, and specialist and diagnostic referrals
- Triages in the outpatient setting, which includes independently initiating therapies within scope of practice and collaboratively working with a medical provider to escalate care as needed.
- Educates participants, caregivers including family members, and team members on how to personalize and carry out care plans.
- Aid with all wound care (including complex wounds), IV (hydration, therapies), and any additional procedures within RN scope of practice identified to meet evolving participant needs.
- Delegates tasks to MA and Licensed Vocational Nurses within their respective scopes of practice.
- Remotely takes after-hour calls that are triaged on a rotating schedule.
- Performs related duties as assigned.
Required Qualifications: - Graduate of an accredited school of nursing; Bachelor of Science (BSN) preferred.
- Unencumbered Registered Nurse (RN) license required.
- Minimum 2-4 years of experience clinically caring for medically complex or older adults' population as an RN.
- Minimum 1-2 year's experience in case management.
- Strong clinical acumen in chronic disease management and complex geriatric care.
- Demonstrates experience in management of clinical interventions: wound care, IVs, phlebotomy, colostomy/ileostomy care, etc.
- Proof of medical clearance for communicable diseases, including a TB test.
- Proof of all immunizations are up to date.
- Proof of current CPR/BLS certification required or requirement to obtain within 30 days of employment.
- Proof of valid CA driver's license, personal transportation, good driving record and auto insurance as required by State law.
Preferred Qualifications: - Alzheimer's certification is preferred.
- Case Management certification preferred
- Bilingual: Spanish preferred.
Compensation: We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $55.00 to $68.00/hour. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location.
