Complex Care RN

About myPlace HealthmyPlace Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish.  Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant’s preferred place.   myPlace Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets. 
About this RoleAre you a compassionate and skilled Registered Nurse looking for a role where you can truly make a difference? At our PACE program, we’re dedicated to providing holistic, participant-centered care to older adults, empowering them to live with dignity and independence. As an RN in Complex Care, you’ll work in a collaborative, multidisciplinary team, using your clinical expertise and compassionate approach to create meaningful impacts in the lives of our participants and their families.
This is more than a job—it’s a calling to serve with purpose, grow professionally, and be part of a mission-driven community that values innovation, teamwork, and exceptional care. If you’re ready to bring your passion and expertise to a supportive and rewarding environment, we’d love to have you on board!

What does success look like in this role?

• Collaborative Spirit: Actively participate in the Interdisciplinary Team (IDT) by sharing valuable insights from assessments, contributing care plan recommendations, and ensuring seamless care coordination.
• Comprehensive Assessment Skills: Conduct face-to-face nursing assessments that encompass physical, psychosocial, and behavioral health, meeting participants where they are—whether at home, in our day center, virtually, or in a long-term care facility.
• Participant-Centered Care: Partner with medical providers to deliver personalized care for a dedicated panel of participants, ensuring their unique needs and care plans are prioritized.
• Clinical Excellence: Deliver nursing interventions with precision and care, accurately responding to physician orders, administering medications, and executing therapeutic interventions.
• Decisive Action: Use your triaging expertise in outpatient settings, initiating therapies within your scope of practice, and working with medical providers to escalate care as needed.
• Proactive Case Management: Navigate transitions of care with ease by maintaining strong communication with hospital and long-term care facility case managers to ensure continuity and collaboration.
• Effective Educator: Empower participants, their families, and team members by educating them on how to implement and sustain personalized care plans with confidence.
• Detail-Oriented Professionalism: Maintain accurate, timely documentation of all participant interactions and clinical interventions in the electronic medical record (EMR), adhering to regulatory guidelines from DHCS and CMS.
• Crisis Response Leader: Respond swiftly to medical emergencies, coordinating with external providers and family members to provide effective care in urgent situations.
• Team Player: Step in to support the team as needed, contributing your skills and expertise in ways that make a meaningful difference.

What does an ideal profile look like

• Mission-Driven Passion: A deep commitment to serving high-risk seniors and frail older adults, helping them live with dignity and independence.
• Proven Expertise: At least 2 years of experience caring for medically complex or older adult populations preferred, with strong clinical acumen in managing complex interventions.
• Exceptional Communication: Active listening and conflict management skills to foster trust and collaboration with participants, families, and team members.
• Flexibility and Adaptability: Thrives in multiple clinical settings, including homes, day centers, and long-term care facilities.
• Hands-On Clinical Skills: Demonstrated experience in wound care, IV therapy, phlebotomy, and colostomy/ileostomy care, among other clinical procedure