Registered Nurse

Registered Nurse (Full-Time)

Provides oversight and general nursing care and services to persons with disabilities in residential homes and/or the day program. Relies on knowledge, experience, and judgment with limited direction and supervision to accomplish responsibilities.

Clinical /Nursing Duties

• Provide initial nursing assessment of individuals, make recommendations for admission, level of care, and identify nursing/clinical care needs
• Provide annual nursing assessment for individuals in ICF (Intermediate Care Facilities) per regulations, identify care needs and strengths
• Develop nursing guidelines for identified needs at assessment, after hospitalization and for changes
• Provide simple tracking tools for staff to monitor key medical indicators
• Participate as a member of the interdisciplinary team
• Re-assess and coordinate individuals' re-admission to residential homes from the hospital, rehabilitation or other care facility; coordinate follow up care for individuals
• Observe, assess, and evaluate the health needs and conditions of the individuals we serve
• Triage individuals' nursing and medical needs to determine medical treatment needed (first aide, PRNs, acute care, primary care, ED, or 9-1-1)
• Observe and report any abnormal health related findings to appropriate physicians
• Implement nursing care as indicated (injections, wound care, skilled nursing tasks)
• Coordinate preventative and routine medical care for individuals
• Determine any required follow up after medical and dental appointments, including guidelines and training
• Document nursing care provided in narrative format
• Provide quarterly nursing visit and provide written quarterly summary for individuals residing in all residential homes
• Provide 90-day orders for ICF individuals with concise summary notes provided to primary care physicians
• Prepare for and participate in quarterly psychiatric team meetings (includes writing a nursing review of medications, labs, and progress since the last review)
• Provide follow up after psychiatric team meetings and medication review, coordinate with psychiatrist for individuals needs
• Communicate with physicians, pharmacies, medical suppliers, families/guardians, and the interdisciplinary team
• Authorize crisis medications, per orders
• Prepare and review medication records for individuals in ICF homes, assist with other MAR preparations, and medication error management
• Provide clinical discharge summaries

Training/Education

• Provide guidelines and health related trainings to direct care staff
• Teach medication administration class to unlicensed personnel using standard curriculum
• Conduct in-person medication pass observations to ensure staff competency with documented skills validation
• Complete skill competency checklists on delegated healthcare tasks
• Provide training for individuals' guidelines
• Provide training based on plans of correction, CQI trends and areas of concern
• Assist with educational and training programs for new employees

Quality Assurance

• Conduct regular medication room audits to ensure medications are stored properly
• Provide medication observations to ensure staff following company procedures, including safety, security, and medication administration
• Respond to accident/injury reports, provide training, and update guidelines as needed
• Direct Covid screening and protocols for individuals and staff including treatment, quarantine and required reporting
• Manage and oversee illness protocols and prevention (including flu clinics)
• Provide clinical supervision or oversight for unlicensed personnel as deemed necessary
• Perform quality assurance checks and observations to ensure direct care staff are performing health related tasks as assigned
• Participate in regulatory and accreditation preparation, surveys and plans of correction (POC)

Job Requirements

• Graduation from an accredited School of Nursing, BSN preferred, 2 years nursing experience
• Current registered nurse license with no restrictions to practice nursing.
• Must be able to communicate effectively with Interdisciplinary Team Members, as well as the people supported and their families
• Basic word, Excel, email computer skills
• Must be able to work independently, be organized, and possess the ability to prioritize work tasks
• Must have critical thinking skills
• Current CPR Certification or eligibility to obtain certification

Physical requirements include Ability to regularly lift 20 pounds. Must be able to lift a minimum of 40 pounds. Must be able to pull a minimum of 25 pounds. Vision requirements include close vision, distance vision, and peripheral vision. Must be able to communicate.

Pre-employment screening: Complete criminal background and MVR check, Complete the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities), Drug screen and TB test, Education verification and other credentialing based on position requirements. Proof of employment history or references (if required)