Assistant Director of Nursing (RN)

Assistant Director of Nursing - Healthcare Services (RN)

The Arc of Bristol County provides innovative services and programs that empower individuals with intellectual and developmental disabilities to live their best lives. Through advocacy, community partnerships, and exceptional support, we promote growth, inclusion, and innovation for people of all abilities.

The Assistant Director of Nursing supports the delivery of high-quality nursing and healthcare services for individuals receiving residential services including specialized residential for Acquired Brain Injury (ABI). Working collaboratively with the Director of Nursing and Residential leadership, the Assistant Director of Nursing assists in overseeing nursing services, regulatory compliance, quality assurance initiatives, medication administration systems, and healthcare coordination across residential programs. This position promotes person-centered, trauma-informed care and ensures compliance with DDS, MAP, ABI Waiver, and other applicable regulatory requirements while supporting the health, safety, and well-being of individuals served.

Minimum Qualifications:

• Active RN licensure in the state of MA, BSN preferred
• Minimum of five (5) years of progressive nursing experience required, including experience supporting individuals with IDD, ABI, complex medical needs, behavioral health needs, aging populations, or other individuals receiving community-based services.
• Minimum of two (2) years of supervisory, management, clinical leadership, or nurse educator experience required.
• Demonstrated knowledge of DDS regulations, ABI Waiver requirements, MAP regulations, HCSIS reporting requirements, person-centered planning practices, and applicable Massachusetts healthcare regulations preferred.
• Experience with residential services, day services, quality assurance activities, regulatory compliance, incident management, and interdisciplinary care coordination strongly preferred.
• Current CPR and First Aid certification, or ability to obtain within agency-required timeframes.
• Valid driver's license, reliable transportation, current vehicle registration, and proof of insurance.
• Ability to successfully complete all required background checks and maintain eligibility for employment in DDS-funded programs.

Job Responsibilities:

• Provide clinical oversight and consultation across assigned IDD and ABI residential programs, ensuring nursing services are person-centered, timely, coordinated, and responsive to each individual's health, communication, behavioral, and support needs.
• Partner with the Director of Nursing, residential operations, program leadership, direct support professionals, families, guardians, primary care providers, specialists, pharmacies, hospitals, DDS representatives, and other community partners to coordinate care, resolve clinical concerns, and ensure continuity of services.
• Assist in the oversight and supervision of Healthcare Managers, LPNs, and other nursing personnel, including coaching, performance monitoring, training, and support related to clinical practices and regulatory compliance.
• Review and monitor health assessments, nursing plans, physician orders, medication administration records, treatment protocols, hospital discharge instructions, and other clinical documentation to ensure accuracy, implementation, and follow-through.
• Ensure compliance with DDS regulations, ABI Waiver requirements, MAP regulations, HCSIS reporting requirements, licensing standards, accreditation standards, and agency policies and procedures.
• Support safe medication administration and Medication Administration Program (MAP) compliance through consultation, observation, record review, competency support, audits, corrective action, and collaboration with approved trainers, consultants, pharmacists, and healthcare providers.
• Conduct routine audits of medication systems, treatment documentation, health records, physician orders, nursing notes, protocols, and healthcare practices to ensure quality services and regulatory compliance.
• Monitor and trend medication variances, adverse events, falls, infections, emergency department visits, hospitalizations, incidents, and other quality indicators; ensure appropriate assessment, reporting, corrective action, follow-up, and prevention planning.
• Support the completion and review of HCSIS reports, investigations, incident reviews, corrective action plans, and follow-up activities to ensure compliance with required reporting timelines and regulatory expectations.
• Participate in ISP meetings, clinical reviews, licensing visits, DDS audits, survey activities, quality assurance initiatives, risk management processes, human rights reviews, and interdisciplinary team meetings as needed.
• Monitor implementation of healthcare plans, nursing assessments, physician recommendations, treatment protocols, and individualized health supports to ensure quality outcomes and continuity of care.
• Provide initial and ongoing education, training, and clinical consultation to nursing staff, direct support professionals, and program leadership regarding medication administration, nursing protocols, infection prevention, signs and symptoms requiring escalation, emergency procedures, documentation standards, and individualized healthcare supports.
• Conduct scheduled and unannounced residential site visits to evaluate clinical practices, medication management systems, health record maintenance, infection prevention practices, medical equipment management, emergency preparedness, and overall healthcare compliance.
• Support transitions of care, including admissions, discharges, transfers, hospitalizations, changes in residence, aging-related needs, hospice and palliative care services, and other significant changes in an individual's health status or service needs.
• Develop, implement, and evaluate nursing policies, procedures, protocols, audit tools, quality improvement initiatives, and performance improvement plans consistent with professional standards and applicable regulatory requirements.
• Maintain required records and reports, safeguard confidential information, analyze clinical data to identify trends and priorities, and communicate findings, risks, corrective actions, and outcomes to appropriate stakeholders.
• Participate in an on-call and/or urgent clinical consultation rotation and respond to residential program needs outside of regular business hours as assigned.

If you are passionate about making a difference in the lives of individuals with disabilities, we invite you to apply today and join our dedicated team at The Arc of Bristol County!