Licensed Vocational Nurse, PACE

Impact Lives, Impact Community

Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 90 sites, over 227,000 patients, and over 1.1 million healthcare visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff.

Position Summary

As a PACE LVN in California, the LVN provides basic, hands-on nursing care to frail older adults enrolled in PACE. Operating under the supervision of an RN, nursing manager, or provider, the LVN conducts data collection, implements care plans, administers medications, performs delegated nursing tasks, and communicates changes in participant status to the interdisciplinary team (IDT). The LVN’s role is bounded by the scope of practice permitted by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT).

Job Description

Job Roles

Clinical & Nursing Care

• Conduct basic assessment/data collection, such as obtaining participant histories, vital signs, and other routine observations, within the LVN license scope. Observing and documenting participant responses to interventions, treatments, and medications, and reporting significant changes to RN or provider.
• Following and contributing to the interdisciplinary plan of care.
• Providing patient interventions per care plan under RN or provider delegation – e.g. dressing changes, skin tests (e.g. TB), phlebotomy (if certified), non-medicated treatments.
• Assist with wound care: cleaning, dressing application, monitoring for signs of infection, but not performing advanced wound care / sharp debridement.
• Provides administrative support to the RN Case Manager, including securing outside office notes, prescription documentation, follow-up appointment information, and all necessary pre-procedure and pre-operative instructions.
• Providing patient education as directed by RN or a higher licensure.
• Keeps clinic workflow moving, focusing on productivity and efficiency, including assisting during lunch times and breaks, ensuring exam rooms are set, ordering supplies and vaccines to ensure correct supply is on hand, supporting provider and RN case manager productivity, and calling in refills to pharmacy.
• Communicates effectively with interdisciplinary team and support services,
• Communicates effectively with interdisciplinary team and support services, including providers, PSRs, Medical Assistants, and others as needed and as appropriate.
• Attend all department meetings.
• Participates in regular performance reviews, in-service training, and continuing education to maintain compliance and competency.
• Performs all other duties as assigned and within scope of practice.

Medication Administration

• Administer prescribed medications per order: oral, topical, subcutaneous, intramuscular, and intradermal, as allowed in California.
• Perform blood withdrawal only if LVN holds a California board-approved certification.
• Administers skin tests and immunizations, with proper training and per supervising protocols.
• Document medication administration accurately in electronic health record, including patient consent, patient response, and escalating any adverse reactions or errors in a timely manner and per policy.
• Request for pharmacy refills of medication.

Compliance, Safety & Quality

• Practice in accordance with California vocational nursing regulations, the California Business & Professions Cole, and organizational policies.
• Consistently follows policies and procedures to ensure positive participant outcomes.
• Follow infection control, safety protocols, and PACE emergency procedures.
• Report incidents, adverse events, or scope-of-practice concerns to the nurse manager.
• Maintain required certifications (e.g. BLS) and license in good standing.

Requirements:

• Current California LVN License.

• Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training.

• Traveling between sites and other locations is required as an essential function of the job. Must have a car, a valid Calif