Registered Nurse - Clinic (Participant Manager)

Position Overview

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. Bienvivir is currently accepting applications for the following position: REGISTERED NURSE - CLINIC (PARTICIPANT MANAGER). Location: El Paso, Texas. Schedule: Monday - Friday from 8:00 a.m. to 5:00 p.m. Under the direct supervision of the Clinic Manager, the Participant Manager provides direct participant care by coordinating nursing assessments, care plans, health education, disease prevention, and management of care both in the clinic and in participants’ residences.

Key Responsibilities

• Complete initial and routine nursing assessments of individual participants, including assessment of medication compliance, with initial assessments completed within ten days of enrollment and routine reassessments per scheduled I/A dates.
• Complete participant reassessments and care plans in response to changes in condition or at the request of the participant/designated representative.
• Develop the nursing care plan in conjunction with the Interdisciplinary Team (IDT) and Primary Care Provider (PCP), ensuring documentation meets PACE, TDHS, and nursing practice standards.
• Function as a triage nurse by contacting participants who miss appointments or do not come to the center due to illness and document findings.
• Work closely with the PCP in managing participant care, including maintaining a continuous flow through exam rooms and assisting with procedures as needed.
• Conduct home visits for Start of Care assessments, reassessments, and to provide skilled care when participants are unable to attend the center.
• Interact with caregivers to coordinate participant care and respond to inquiries by providing education and counseling.
• Coordinate hospital, nursing home, and assisted living admissions, discharges, and transfers.
• Collaborate with the interdisciplinary team to ensure comprehensive participant care.
• Coordinate with participants, families, caregivers, and providers to ensure 24-hour service delivery.
• Work with medical assistants to ensure scheduled lab work and diagnostic tests are completed and documented for upcoming visits.
• Document all care and interactions in participants’ medical records as required by departmental policies and procedures.
• Review and coordinate with consult LVNs to ensure all consults, follow-up visits, and necessary medication orders are completed.
• Participate in morning and I & A meetings, as well as daily team huddles to communicate participant changes.
• Assume charge duties in the absence of the Clinic Manager as required.
• Attend monthly clinic meetings and staff in-services.
• Participate in an on-call rotation to cover skilled nursing visits during weekday holidays.
• Perform other duties as assigned by the Clinic Manager.

Required Qualifications

• A graduate of an accredited nursing program with a license to practice in the state of Texas as a Registered Nurse.

Preferred Qualifications

• One year of experience with a frail or elderly population preferred.
• Bilingual (English/Spanish).

Benefits & Perks

• We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.
• We pay 100% of the DENTAL monthly premiums for Employee Only coverage.
• We provide an affordable VISION monthly premium for Employee + Family coverage.
• We pay 100% of BASIC LIFE for a benefit amount of $10,000.
• We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.
• We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.
• We offer eleven (11) company-observed PAID HOLIDAYS.
• We offer education and TUITION REIMBURSEMENT.
• We offer MILEAGE REIMBURSEMENT.