Registered Nurse- Nursing- Respiratory Therapy

Job Description

Job Description Position Summary

We are seeking an experienced Registered Nurse (RN) to oversee and coordinate the Respiratory Therapy Program within our New York State–licensed Skilled Nursing Facility. This role provides clinical oversight to ensure respiratory services are delivered safely, effectively, and in compliance with CMS regulations (42 CFR Part 483) and New York State Department of Health (NYSDOH) requirements.

The RN will collaborate closely with Respiratory Therapists, medical providers, nursing leadership, and interdisciplinary team members to support residents with acute and chronic respiratory conditions while maintaining survey readiness and regulatory compliance.

Key Responsibilities

Clinical Oversight & Program Management

Oversee the daily operations of the facility’s Respiratory Therapy Program in accordance with physician orders and resident care plans

Ensure respiratory treatments (e.g., oxygen therapy, nebulizers, CPAP/BiPAP, pulse oximetry monitoring, tracheostomy care) are administered per clinical standards and facility policy

Monitor residents with respiratory diagnoses including COPD, pneumonia, asthma, post-acute respiratory illness, and chronic hypoxia

Coordinate respiratory services with attending physicians, pulmonologists, and respiratory therapy providers

Regulatory Compliance & Survey Readiness

Ensure compliance with CMS F-tags , NYSDOH regulations , and facility policies related to respiratory care

Maintain accurate and timely clinical documentation in the medical record consistent with NYSDOH and CMS standards

Participate in Quality Assurance and Performance Improvement (QAPI) activities related to respiratory services

Assist with preparation for NYSDOH surveys, audits, and complaint investigations related to respiratory care

Support compliance with Emergency Preparedness requirements related to oxygen-dependent residents

Staff Education & Interdisciplinary Collaboration

Provide education and competency oversight for nursing staff regarding respiratory treatments, equipment, and resident monitoring

Serve as a clinical resource for respiratory-related concerns and changes in resident condition

Collaborate with Pulmonologist to ensure continuity, consistency, and quality of care

Participate in interdisciplinary care plan meetings as indicated

Resident Safety & Infection Prevention

Ensure proper use, storage, cleaning, and maintenance of respiratory equipment in accordance with NYSDOH and infection control standards

Promote compliance with infection prevention and control practices related to respiratory treatments

Identify changes in resident respiratory status and initiate timely nursing interventions and provider notifications

Qualifications

Current, unencumbered New York State Registered Nurse (RN) license

Minimum 2–3 years of nursing experience , preferably in a Skilled Nursing Facility, subacute, or long-term care setting

Experience with respiratory care modalities including oxygen therapy, nebulizer treatments, and tracheostomy care.

Working knowledge of CMS regulations , NYSDOH requirements , and SNF clinical standards

Strong leadership, organizational, and communication skills

Ability to function effectively in a highly regulated healthcare environment