Nursing RN / LPN

Registered Nurse

Essential Nursing Functions:

• Uphold principles of dignity, respect, and person-centered care in all interactions with individuals
• Provide clinical oversight to LPN/LVNs and other non-nursing staff as directed
• Develop and implement individualized care plans in collaboration with interdisciplinary team members
• Conduct initial and ongoing nursing assessments
• Administer medications and treatments per physician/Advanced Practice Provider (APP) orders and applicable regulations
• Monitor and evaluate individuals for changes in health status and intervene accordingly
• Delegate and oversee nursing tasks to unlicensed staff and other approved caregivers only when appropriate to scope, and only to those who have been properly trained with demonstrated competency
• Ensure proper storage, handling, preparation, and labeling of medications
• Maintain accurate medication inventory and immediately report any discrepancies
• Provide health-related training to direct support staff, individuals, and caregivers
• Participate in interdisciplinary team meetings, care reviews, and service planning
• Coordinate with healthcare providers, pharmacies, and other service agencies to ensure continuity of care
• Respond immediately to emergencies and provide nursing assistance
• Ensure a safe environment for individuals, staff, and others and immediately report safety concerns
• Maintain accurate, timely, and confidential clinical documentation in compliance with Caregiver policies and HIPAA requirements
• Submit accurate and timely billing documentation, when applicable
• Support compliance with licensing and regulatory requirements (e.g., CMS, HHS IDD, etc.)
• Participate in quality assurance and improvement activities
• Provide telephone triage nursing support for assigned on-call shifts, including after-hours as needed

Requirements:

• Education and/or Experience: associate's degree in nursing (ASN) or bachelor's degree in nursing (BSN) from an accredited nursing program. Minimum of 1 year of clinical nursing experience required Experience with IDD/DD populations preferred.
• Licensure and Certification: Active RN license from state of residence. If work location is in a different state, must hold a multistate RN license in accordance with the rules for Nurse Licensure Compact (NLC). Valid driver's license, with proof of auto insurance coverage Basic Life Support (BLS) certification
• Knowledge, Skills, and Abilities: Understanding of developmental and intellectual disabilities, health disparities, and person-centered care models Strong clinical assessment, critical thinking, and documentation skills Excellent interpersonal communication and team collaboration abilities Ability to communicate effectively with clients, families, interdisciplinary team members, and supervisors, verbally and in writing. Ability to manage competing priorities and respond to emergencies effectively. Proficiency in electronic health record (EHR) programs and Microsoft 365 programs including Outlook, Teams, and Word. Familiarity with of state and federal regulations governing IDD services (e.g., CMS ICF/IID, HCBS Waivers) is preferred

Work may take place in various settings, including residential homes, day programs, and administrative offices. The physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Standing/Walking Frequent mobility is required for client assessments, medication administration, and supervision of direct support personnel in various settings. 60%
• Sitting Office work, including documentation, care planning, in person, and virtual meetings, and while driving. 30%
• Lifting/Carrying May be required to lift, reposition, or assist individuals with mobility challenges. Includes moving medical equipment or supplies. Must be able to lift up to 50 lbs. 10%
• Bending/Reaching/Twisting Needed during direct care activities, assessments, dressing changes, and assisting with activities of daily living (ADLs). 10%
• Driving/Travel Required when providing services across multiple residential or community-based sites.

Use of Technology Daily use of computer, EHR, and communication platforms. Must be proficient with screen-based work. 30% Exposure to Hazards Includes potential exposure to bloodborne pathogens, communicable diseases, aggressive behaviors, or environmental hazards in client homes or group settings. Appropriate PPE is provided and required. 5%

Other Considerations: Visual acuity and hearing must be sufficient for assessments, medication verification, and responding to alarms or client needs. The RN must be able to respond quickly to emergencies, including physical intervention if needed for safety.