Administrative Registered Nurse (RN)

Description

Part-Time, Non-Exempt (Hourly)

Work Location

Primarily in-person - Playa del Rey, CA; field or remote work as assigned

Schedule

Based on availability provided (Days and times may vary), 9:00 a.m. to 5:00 p.m.

Company Overview

Founded in 2008, Vitale Nursing, Inc. provides concierge nursing services throughout Los Angeles County and surrounding areas. We partner with leading physicians to deliver individualized, high-quality care to a diverse and high-profile client base.

Position Summary

The Administrative RN supports daily office operations, clinical coordination, documentation compliance, staff communication, and client services in a fast-paced, 24/7 healthcare environment. This role combines administrative responsibilities with clinical support and requires strong judgment, organization, communication, and follow-through. The RN works within established workflows and escalates company-wide policy, financial, disciplinary, and executive decisions to leadership.

Employment Classification and Work Hours

• Non-exempt under California wage-and-hour laws.

• Eligible for overtime according to applicable law, including hours worked over 8 in a workday or 40 in a workweek.

• All time must be recorded accurately in real time; off-the-clock work is prohibited.

• Weekend, evening, holiday, field, or remote work must be assigned or approved and is compensated as time worked.

• This position is not on-call unless explicitly assigned in writing.

Compensation and Benefits

• Administrative RN rate: $60.00-$65.00 per hour.

• Approved field nursing assignments are paid at the applicable field rate communicated in writing.

• Overtime eligible in accordance with California law.

• Paid sick leave in accordance with California law.

• Company-issued laptop and business cell phone, as assigned.

Meal and Rest Breaks

• Meal and rest breaks must be taken and recorded in accordance with California law and company policy.

• Any missed, late, shortened, or interrupted break must be reported immediately.

Travel and Reimbursement

• Travel between work locations during the workday is compensable time.

• Business mileage is reimbursed according to company policy and applicable law.

• A valid driver's license, reliable transportation, and ability to travel are required.

Essential Functions - Clinical Coordination

• Review, update, and support implementation of patient care plans and physician orders.

• Monitor patient updates, identify changes or concerns, and escalate them promptly to leadership or the appropriate clinician.

• Review medication lists and clinical documentation for accuracy and completeness.

• Coordinate and follow up with physicians, pharmacies, families, and care teams as assigned.

• Conduct nursing visits, including start-of-care visits, assessments, or follow-up visits as assigned and within scope.

• Provide clinical guidance and support in accordance with established protocols and the RN scope of practice.

Operations and Team Coordination

• Support staffing coordination in collaboration with the scheduling team.

• Conduct staff check-ins, document communication, and follow up on open patient-care items.

• Monitor assigned shifts for attendance, documentation, safety, and continuity-of-care concerns.

• Follow established escalation procedures and communicate timely updates to leadership and staff.

Client and Family Relations

• Support client intake, onboarding, and care coordination.

• Maintain professional communication with clients, families, physicians, and authorized representatives.

• Provide concierge-level service and promptly escalate complaints, changes, or unmet needs.

Administrative Support

• Maintain accurate records, trackers, care plans, physician orders, and supporting documentation.

• Use AlayaCare, CareAcademy, Google Workspace, Microsoft Office, and other approved systems.

• Review emails, messages, patient alerts, staffing updates, and assigned dashboards.

• Support office workflow, organization, and end-of-day reporting.

Employee Support

• Assist with onboarding, orientation, competency validation, and training.

• Monitor attendance and documentation compliance and escalate concerns to HR or leadership.

• Serve as a liaison between field staff and leadership while maintaining professional boundaries.

Systems, Billing, and Payroll Support

• Verify timekeeping, shift records, and documentation accuracy.

• Support billing and payroll workflows without final approval authority.

• Correct or escalate system discrepancies promptly.

Compliance and Documentation

• Audit charts and follow up on missing, late, or inconsistent documentation.

• Ensure documentation meets company, regulatory, and payer requirements.

• Maintain strict HIPAA compliance and use only approved communication methods.

• Report incidents, complaints, clinical concerns, or potential compliance issues promptly.

Clinical Shift Coverage

• Provide approved clinical coverage when needed to maintain continuity of care.

• Perform only duties permitted by RN scope of practice, competency, physician orders, and company policy.

Daily Workflow and Accountability

• Start of day: review communications, staffing updates, patient alerts, open orders, and urgent priorities.

• Throughout the day: complete staff check-ins, document communications, update trackers, and address or escalate issues.

• End of day: complete documentation review, close urgent items, and submit a concise report of staffing, patient updates, orders, and escalations.

• Maintain real-time system updates and ensure no urgent patient-care issue remains unresolved or unreported.

Performance Expectations

• Maintain accurate, timely, and compliant documentation.

• Follow company policies, clinical protocols, and established workflows.

• Communicate professionally and effectively with staff, clients, families, physicians, and leadership.

• Demonstrate sound clinical judgment, accountability, reliability, and follow-through.

• Support safe care, operational efficiency, and Vitale's concierge-level service standards.

30-60-90 Day Expectations

Month 1 - Learning

• Learn systems, workflows, and company expectations.

• Support administrative and documentation tasks.

Month 2 - Contributing

• Assist with daily operations.

• Perform responsibilities with guidance.

Month 3 - Execution

• Independently perform assigned duties.

• Maintain consistency and compliance.

Requirements

Minimum Qualifications

• Current California Registered Nurse license in good standing.

• Minimum two years of nursing, home health, private duty, case management, or healthcare administrative experience.

• Working knowledge of HIPAA, confidentiality, clinical documentation, care planning, and physician orders.

• Strong communication, customer service, organization, and time-management skills.

• Proficiency with EMR systems, Google Workspace, and Microsoft Office.

• Valid driver's license, reliable transportation, and ability to perform assigned field visits.

Preferred Qualifications

• Home health, private duty nursing, care coordination, or administrative nursing experience.

• Experience supporting high-profile or concierge clients.

• Familiarity with AlayaCare and CareAcademy; training will be provided.

Physical Requirements

• Prolonged sitting and computer use.

• Ability to assist with office supplies and lift up to 15 pounds as needed.

• Ability to drive and travel to assigned locations.

• Reasonable accommodations may be made to enable qualified individuals to perform essential functions.

Confidentiality and At-Will Employment

The employee must protect all patient and company information and comply with HIPAA and company confidentiality requirements. Employment with Vitale Nursing, Inc. is at will, meaning either the employee or the company may end employment at any time, with or without cause or advance notice, subject to applicable law.

Disclaimer

This job description describes the general nature and level of work performed. It is not an exhaustive list of duties or qualifications, and responsibilities may change based on business and patient-care needs.