Weekend Integrated Support Coordinator (LPN/RN)

Weekend Integrated Support Nurse (Baylor) RN/LPN

Location: Worcester/Franklin Area (Travel Required) Schedule: Saturday & Sunday, 7:00am11:00pm Hours: Baylor Schedule (32 hours worked; paid equivalent of 40 hours in accordance with BAMSI Baylor Program requirements) Pay Rate: $42/ Hour

Who We Are:

BAMSI has been "bringing people and services together" since 1975. We are dedicated to providing high-quality, person-centered services to individuals with developmental disabilities, behavioral health needs, and complex medical conditions. Our nursing team plays a critical role in promoting health, safety, dignity, and quality of life across residential and community-based programs throughout Massachusetts.

What You'll Do:

The Weekend Integrated Support Nurse provides direct clinical support, healthcare oversight, quality assurance, and operational assistance across BAMSI residential programs during weekend hours.

Weekend Clinical Support & Response

Serve as a visible nursing presence across assigned residential programs throughout the weekend Respond to clinical concerns and provide nursing assessments and interventions within scope of practice Provide consultation and guidance to residential staff regarding illness, injury, medication concerns, and changes in condition Triage healthcare concerns and coordinate with healthcare providers, pharmacies, hospitals, and leadership as needed Respond to urgent clinical calls and support staff with time-sensitive healthcare issues Escalate significant clinical concerns to the Director of Integrated Health Services and operational leadership Provide support during unexpected nursing needs or staffing shortages Travel between residential programs based on clinical priorities and organizational needs

Admissions & Transitions of Care

Support weekend admissions, hospital discharges, emergency department returns, and other transitions of care Review physician orders, medications, treatment plans, and discharge documentation Coordinate with pharmacies, healthcare providers, nursing leadership, and residential teams to ensure continuity of care Identify and address medication discrepancies, missing orders, or other concerns affecting safe transitions

Program Rounds & Quality Monitoring

Conduct clinical rounds and program spot checks throughout residential locations Assess healthcare practices, medication systems, infection control measures, and compliance with clinical protocols Observe implementation of healthcare plans and physician orders Provide immediate coaching and corrective guidance when concerns are identified Communicate trends and significant findings to nursing and operational leadership

Medication Administration & MAP Compliance

Support compliance with Massachusetts Medication Administration Program (MAP) requirements Conduct medication audits and medication administration observations Review Medication Administration Records (MARs), physician orders, controlled medication documentation, and related records Assist staff with medication-related clinical problem-solving Review medication occurrences and ensure appropriate reporting and follow-up Provide coaching and education to MAP-certified staff Escalate significant medication errors or safety concerns immediately

Documentation & Chart Audits

Conduct healthcare record reviews for completeness, accuracy, and compliance Review nursing notes, treatment records, laboratory results, healthcare appointments, and follow-up documentation Identify documentation gaps and support staff with corrections and improvements Ensure significant weekend clinical activity is documented and communicated appropriately

Residential Operations Support

Partner with residential leadership to resolve healthcare-related operational challenges Serve as a clinical resource for Program Managers, Directors, on-call leadership, and direct support staff Assist with clinical decisions that impact staffing, transportation, programming, and support needs Support continuity of care during emergent operational situations

Communication & Collaboration

Communicate with individuals served, families, guardians, healthcare providers, and interdisciplinary team members as appropriate Maintain ongoing communication with nursing and operational leadership throughout the weekend Provide detailed weekend handoff reports to weekday nursing and operational teams Communicate significant incidents, hospitalizations, medication events, and safety concerns through established protocols

Quality Assurance & Risk Management

Promote compliance with regulatory, licensing, accreditation, and BAMSI healthcare standards Identify medication, documentation, infection control, safety, and clinical risks Support corrective actions and continuous quality improvement efforts Maintain infection prevention standards, safety practices, and universal precautions

Staff Support & Education

Serve as a mentor and clinical resource for nurses and residential staff Provide real-time coaching related to medication administration, healthcare protocols, chronic conditions, documentation, and infection control Support orientation and development of newer nursing staff Help ensure consistent clinical practices across multiple programs

What You Bring:

Licensure

Current Massachusetts Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing required Current CPR certification required

Experience

Two to three years of nursing experience preferred Experience in residential, community-based, developmental disability, behavioral health, or human service settings strongly preferred Experience supporting individuals with complex medical, developmental, or behavioral health needs preferred Experience with medication administration systems and MAP requirements preferred

Skills & Qualifications

Strong clinical assessment and nursing judgment skills Ability to respond effectively in urgent and changing situations Strong medication management and clinical documentation abilities Knowledge of MAP regulations, DPH requirements, and community healthcare practices Ability to conduct audits, identify compliance concerns, and implement corrective actions Excellent communication and interpersonal skills Strong organizational and follow-through abilities Ability to balance clinical intervention, quality assurance, and operational support responsibilities Comfortable working independently across multiple program locations

Additional Requirements

Valid driver's license required Reliable transportation and ability to travel between program sites throughout the shift Ability to meet all credentialing, background check, and regulatory requirements Ability to work the Baylor weekend schedule consistently

Physical Requirements

Ability to lift, push, pull, and maneuver up to 25 pounds Frequent standing, walking, bending, and stair climbing Ability to travel between multiple residential locations throughout a shift Visual and auditory acuity sufficient to perform clinical assessments and nursing responsibilities Ability to respond directly to situations requiring immediate clinical intervention

Why This Role Matters:

As a Weekend Integrated Support Nurse, you provide critical clinical leadership and support during a time when nursing resources are often limited. Your expertise helps ensure continuity of care, strengthens medication and healthcare compliance, supports residential teams, and improves health and safety outcomes for the individuals we serve. Through your work, BAMSI programs remain responsive, person-centered, and clinically strong every weekend.