RN Registered Nurse OR Licensed Practical Nurse

Job Description

Job Description

Job Title: Registered Nurse (RN) / Licensed Practical Nurse (LPN) 

Organization: Courage Worldwide 

Location: Courage House Nevada 

Position Type: [Full-Time / Part-Time / PRN – specify] 

Reports to: Director of Nursing

Position Summary 

The RN/LPN provides direct nursing care, medication management, and clinical support for residents (NRS 449) at Courage Worldwide’s Psychiatric Residential Treatment Facility (PRTF), Courage House Nevada, serving survivors of child sex trafficking and severe trauma. This role ensures delivery of trauma-informed, medically appropriate nursing services in compliance with Nevada licensing (NRS/NAC), Medicaid requirements, and CMS PRTF regulations (42 CFR Part 483 Subpart G). 

The Registered Nurse (RN) practices within the full scope of professional nursing as defined by Nevada law, including assessment, care planning, clinical judgment, and supervision of nursing care. 

The Licensed Practical Nurse (LPN) practices under the direction of an RN or licensed physician, providing nursing care consistent with Nevada scope of practice laws and facility policies. 

This position integrates evidence-based nursing practice with trauma-informed, survivor-centered care, reflecting Courage Worldwide’s mission to restore dignity, safety, and long-term healing. 

Qualifications 

Registered Nurse (RN) 

● Current RN license in Nevada, in good standing 

● CPR/BLS certification (required) 

● Minimum 2+ years relevant experience 

Licensed Practical Nurse (LPN)

● Current LPN license in Nevada, in good standing 

● CPR/BLS certification (required) 

● Minimum 1+ year relevant experience 

Nevada Scope of Practice Alignment 

Registered Nurse (RN) 

In accordance with NRS Chapter 632 and NAC 632 , the RN: 

● Performs comprehensive nursing assessments and ongoing evaluation of health status ● Develops, implements, and modifies nursing care plans 

● Exercises independent clinical judgment in nursing care delivery 

● Delegates and supervises nursing tasks consistent with Nevada regulations 

● Provides patient education and care coordination 

● Administers medications and treatments as prescribed 

Licensed Practical Nurse (LPN) 

In accordance with NRS 632 and NAC 632 , the LPN: 

● Provides nursing care under the direction of an RN or licensed physician ● Performs focused assessments and contributes to data collection 

● Implements established nursing care plans 

● Administers medications and treatments within scope and facility policy ● Reports changes in patient condition to the supervising RN or provider ● Does not independently perform comprehensive assessments or develop care plans 

Core Responsibilities 

1. Nursing Care & Clinical Support 

RN Responsibilities: 

● Perform comprehensive nursing assessments and reassessments 

● Develop and oversee nursing care plans 

● Provide clinical oversight and supervision of LPNs and staff 

LPN Responsibilities: 

● Deliver direct care based on established plans 

● Monitor and report changes in condition 

● Assist in implementation of nursing interventions 

2. Medication Administration & Monitoring 

RN:

● Oversee medication administration systems 

● Evaluate effectiveness and safety of medications 

LPN: 

● Administer medications per orders and scope 

● Document and report medication effects 

3. Crisis Response & Safety 

RN: 

● Lead clinical decision-making during crises 

● Provide assessment and intervention direction 

LPN: 

● Assist in crisis response under supervision 

● Implement interventions as directed 

PRTF Staffing & Coverage Requirements (Nevada + Federal Alignment) 

To ensure compliance with CMS PRTF requirements (42 CFR §483.354) and Nevada licensing expectations: 

Nursing Coverage Expectations 

● Nursing services must be available 24 hours per day, 7 days per week ● At least one licensed nurse (RN or LPN) must be on-site or immediately available at all times 

RN Availability Requirements 

● An RN must be available for supervision of nursing services , either: ○ On-site, or 

○ On-call and able to respond within required timeframes 

● The RN is responsible for: 

○ Oversight of nursing care delivery 

○ Supervision of LPNs 

○ Clinical decision-making and escalation 

Staffing Ratios (Best Practice + Survey-Ready Language) 

While Nevada PRTF regulations may not prescribe fixed ratios, Courage House Nevada maintains staffing consistent with acuity, safety, and CMS expectations , including: 

● Sufficient nursing staff to meet:

○ Resident medical and psychiatric needs 

○ Medication administration schedules 

○ Crisis response requirements 

● Increased staffing during: 

○ High-acuity periods 

○ Admissions and discharges 

○ Medical or behavioral instability 

Clinical Oversight Requirement 

● All LPN-provided care must occur under RN or physician supervision ● The RN ensures that care delivered meets: 

○ Medical necessity 

○ Safety standards 

○ Regulatory compliance 

Regulatory Compliance (Nevada + Federal) 

Ensure compliance with: 

● Nevada Revised Statutes (NRS) Chapter 632 (Nursing Practice Act) 

● Nevada Administrative Code (NAC) Chapter 632 

● CMS PRTF regulations (42 CFR Part 483 Subpart G) 

● Medicaid documentation and billing requirements 

Summary of Critical Compliance Functions 

RN: 

● Clinical oversight of all nursing services 

● Compliance with Nevada scope of practice and supervision requirements

● Ensuring adequate staffing and safe care delivery (NRS 449)

• Other duties as assigned 

LPN: 

● Practice within directed scope under RN/physician supervision 

● Safe medication administration and monitoring 

● Accurate documentation and timely reporting 

• Other duties as assigned 

PRTF Compliance Requirement 

All duties of this position shall be performed in compliance with applicable Psychiatric Residential Treatment Facility (PRTF) regulations, federal and state laws, licensing requirements, accreditation standards, and Courage House policies and procedures. 

Employees are expected to support resident safety, resident rights, confidentiality, non-discrimination, trauma-informed care, mandated reporting, documentation standards, infection control practices, required trainings, and overall readiness for audits, inspections, and accreditation reviews.