Community Health Nurse

At CenterLight Health System, we are seeking a skilled Community Health Nurse to join our team. As a Community Health Nurse, you will play a vital role in providing high-quality care to our patients and their families.

The Community Health Nurse will be responsible for providing skilled care and routine clinical nursing assessment visits to PACE members and families. This includes utilizing all elements of the nursing process and complying with applicable laws, regulations, and agency policies.

• Carry out the agency's mission, philosophy, goals, and objectives within guidelines of Agency policy and position function.
• Interpret and implement the Agency's philosophy to staff and members of the community.
• Assume responsibility for assignments given, seek supervision appropriately, performing within the limits of their education and experience.
• Know and conform to the law governing the practice of professional nursing and provide professional nursing care using all elements of the nursing process.
• Assess and evaluate the health care needs of patients and families with consideration regarding physiological, psychological, social, and environmental factors.
• Identify complete, accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration with the PCP to maintain compliance with state and federal regulations.
• Participate in mandatory PACE comprehensive care planning meetings routinely as required by PACE regulations. Collaborate with all members of the IDT in developing a comprehensive care plan based on member-specific needs, physician orders, UAS-NY CAPS, other IDT assessments, members' specific parameters and identified goals that are respectful of member, family, community, and agency resources.
• Implement the nursing care plan and revise it whenever necessary by regularly assessing, observing, and evaluating the patient's condition, needs and response to care and makes appropriate nursing judgments and decisions for care plan revision.
• Initiate and apply appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques.
• Administer medications and treatments as prescribed by the PCP. Ability to independently perform skilled nursing procedures and techniques based on the changing nursing needs that the member requires.
• Teach the patient and family/caregivers self-techniques whenever appropriate and provides instruction regarding medication, diet, safety, and treatment modalities in accordance with the plan of care.
• Recognize and utilize additional opportunities for health counseling/education with patients, families and other caregivers and provides them with information that will facilitate decisions regarding the promotion, maintenance, and restoration of health.
• Delegate responsibility appropriately and supervise ancillary personnel in a manner that will assure quality care and compliance with the care plan.
• Evaluate for and promotes a safe environment for the patient and complies with National Patient Safety Goals.
• Complete, maintain, and submits all required documentation that is timely (in compliance with agency policy) accurate, and relevant.
• Meet all requirements for UAS-NY assessor function: timely completion within regulatory standards, follow-up assessments, and significant change assessments as needed.
• Reviews and confirms eligibility of member in the PACE program based on Nursing Facility Level of Care (NFLOC) score obtained from the UAS-NY assessment. Confirms eligibility of members with the members of the IDT.
• Performs care coordination as part of their nursing visits to PACE members across all settings of care. Collaborative care coordination to include internal (e.g., other IDT members) and/or external health care professional (e.g., MD specialists, SNF staff, hospital staff) in a manner that assures care plan coordination as well as continuity of care.

• Degree from an NLN accredited school of nursing required, BSN preferred.
• Minimum of one (1) year general clinical nursing experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care experience required.
• Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
• Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and Agency policy.
• Current Driver's License, required insurance and car available for work as required.
• Current New York State license to practice as a Registered Nurse.
• Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function.
• Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact.
• Computer/laptop proficiency required.
• Good organizational, observation, communication and judgment skills.
• Is self-directed with ability to work with supervision.
• Is flexible and cooperative in fulfilling role obligations.

Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to:

• Standing - Duration of up to 6 hours a day.
• Sitting/Stationary positions - Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.
• Lifting/Push/Pull - Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely and using OSHA guidelines, etc.
• Bending/Squatting - Must be able to safely bend or squat to care for patients, use medical supplies, etc.
• Stairs/Steps/Walking/Climbing - Must be able to safely maneuver stairs, climb up/down, and walk to access work areas Position requires the individual to be able to travel, and walk between sites/locations and work areas throughout the day.
• Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools (ie. typing, use of medical supplies, equipment, etc.)
• Sight/Visual Requirements - Must be able to visually assess patients, read orders type/write documentation, etc. with accuracy.
• Audio Hearing and Motor Skills (language) Requirements - Must be able to listen attentively and document information from patients, community members, providers, etc., and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills for customers to understand the individual.
• Cognitive Ability - Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job.

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max): $105, $118,061.41

Note: Position's wages are contingent upon terms and conditions outlined in the collective bargaining agreement.