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.

Job Responsibilities:

Clinical /Nursing Duties: 

Provide holistic nursing care to individuals with intellectual and developmental disabilities as evidenced by: 

• 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)