RN Care Coordinator, SOLAR

Job Description

Reports to: Director

Program: 1006- SOLAR

Department: Interim Housing

Setting: 100% Onsite

Schedule: Monday - Friday, 8am - 4:30pm

Status: Full‑time/Exempt/Management

Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan, Employee Assistance Program (EAP), etc.

Openings: 1

SOLAR is a DHS funded Recuperative Care Program serving individuals experiencing homelessness that also have acute medical issues. The RN Care Coordinator will take a leadership role in leading the team of LVNs in the Recuperative Care program and will ensure the quality and adequacy of nursing services provided to members. The RN provides on‑site medical management and health education to participants, and liaisons to community and hospital partners within the RN’s scope of practice.

• Complete medical exam and assessment at intake to SOLAR.
• Continue treatment plans from the referring entity.
• Provide medical guidance for LVNs in coordinating PCP appointments and/or other medical follow ups upon admission.
• Provide care, and treatment plans to individual members (38 Clients).
• Monitor, reevaluate and manage medical conditions on a routine basis as needed.
• Provide medication management to individuals including but not limited to medication monitoring, patient teaching, and supportive services to increase compliance with medication regimens.
• Provide wound care to members as needed and train medical team.
• Develop and revise policies and procedures for the recuperative care program.
• Document and chart all services provided in chart and electronic database with accuracy and in real time.
• Promote patients’ independence by establishing patient care goals, teaching patients to understand their medical condition, medications, and support self‑care skills.
• Work in collaboration with the rest of the SOLAR team- case managers, and mental health provider, as appropriate, of any medical and/or medication concerns.
• Maintain medication logs and medication storage in compliance with safety standards and industry standards of care.
• Provide crisis intervention assistance when needed.
• Be able to notify the appropriate community agency in an emergency (i.e., police, paramedics, fire department).
• Maintain open communication with direct supervisor, individual and group supervisor(s).
• Cooperatively and cohesively work with other parties involved in the member’s case.
• Participate in staff meetings, nursing meetings, and supervision.
• Ensure that medical services are reflective of the agency’s treatment model, which emphasizes member choice, harm reduction, trauma‑informed care, and psycho‑social rehabilitation.
• Conduct Health/Wellness and medication management groups.
• Maintain confidentiality of member files per HIPAA and all applicable guidelines.

• Experience as a RN, two years’ preferred.
• Knowledge of and practice in the methods of harm reduction.
• Experience working with individuals with mental health and substance use issues.
• Current valid California Driver’s License.
• RN Credentials.

• Experience working with those living with mental illness and/or substance addictions.
• Experience completing DHS documentation.
• Office environment with occasional field activities with SOLAR participants and staff.
• Regularly required to sit, stand, bend, and occasionally lift or carry up to 35 pounds.
• May be exposed to elements like cold, heat, dust, noise, and odor.
• May need to bend, stoop, twist, and sit throughout the day.

• Act as a role model
• Demonstrate a sense of responsibility
• Continuously learn and improve
• Acknowledge your own areas of improvement
• Hear and provide honest, specific and direct feedback
• Create an environment where everyone is welcomed, valued and respected

The People Concern is an equal opportunity employer dedicated to non‑discrimination in employment. We select the most qualified individual for the job based on job‑related qualifications regardless of race, color, age, sex, religion, national origin, disability, ancestry, marital status, credit history, sexual orientation, arrest and court record,…