Employment Type: Full Time (Exempt)  

Reports To: Director of Healthcare Services  

Supervises: RN Supervisors, RN Consultants, LPN Coordinators, LPN Nurses, LPN Consultants, TME Staff, and CMT Staff 

Performance Reviews 

• 90-Day Probationary Review 
• Annual reviews thereafter 
• Additional reviews as needed 

ESSENTIAL RESPONSIBILITIES 

Clinical Oversight & Nursing Operations 

• Assist the DON in overseeing daily nursing operations and clinical service delivery 
• Ensure services align with person-centered planning and Individual Service Plans (ISPs) 
• Ensure services support active treatment standards and are not custodial in nature 
• Monitor nursing documentation, assessments, and care plans for compliance 
• Assist nurse supervisors/case managers in care decisions 
• Coordinate educational training for the nursing department 
• Participate in hiring, evaluations, and corrective actions 
• Oversee improvements based on evaluations and DOH guidelines 
• Coordinate quality assurance activities via interviews and record reviews 
• Assist in budget development and oversee medical supply procurement 
• Communicate with residents, families, staff, and IDT to coordinate care 
• Assist DON with acuity preparation and submission 
• Assist DON with annual Medicaid recertification 
• Develop and implement policies and documentation procedures 
• Review infection control reports and implement prevention strategies 
• Develop and publish nursing schedules aligned with ratios and budgets 
• Provide supervision and mentoring schedules for nursing staff 
• Oversee TME training and follow-up competency validation 
• Assist DON with departmental meetings and documentation 
• Perform other duties as assigned 

Regulatory Compliance & Survey Readiness 

• Ensure compliance with 42 CFR Part 483 Subpart I (ICF/IDD federal regulations) 
• Ensure adherence to DC DDS Provider Standards and DOH regulations 
• Maintain continuous survey readiness for unannounced inspections 
• Participate in surveys, audits, and Plans of Correction (POCs) 
• Conduct mock surveys, record reviews, and staff interviews 

Quality Assurance & Infection Control 

• Participate in QAPI initiatives 
• Review infection control surveillance and implement corrective actions 
• Ensure compliance with DOH infection control standards 

Medication & Clinical Compliance 

• Ensure compliance with medication administration standards (TME/CMT oversight) 
• Monitor MAR documentation accuracy 
• Ensure proper delegation and oversight of nursing tasks 
• Ensure compliance with incident reporting and follow-up procedures 

Interdisciplinary Coordination 

• Collaborate with QIDPs, physicians, and therapists 
• Ensure integration of medical services into ISPs 
• Promote interdisciplinary participation in care planning 

Administrative & Operational Support 

• Assist with Medicaid recertification and acuity submissions 
• Support policy development and implementation 
• Maintain staffing ratios per regulatory requirements 

ESSENTIAL COMPETENCIES 

• Strong clinical leadership 
• Ability to manage in regulated environments 
• Strong communication skills 
• High attention to detail 

REQUIRED EDUCATION & EXPERIENCE 

• BSN required 
• Master’s preferred 
• Strong written and verbal communication skills  
• 5+ years of IDD nursing experience 
• ICF/IDD experience preferred 

REQUIRED CERTIFICATIONS & TRAINING 

• Active RN License 
• BLS (Required)  
• Crisis Prevention/Intervention 
• DDNA preferred 
• DDS, DOH required training 

MANDATORY PRE-EMPLOYMENT TRAINING 

• 5-day in-person training required 
• Statewide and National Criminal Background Investigation 
• DMV Record Review  

PHYSICAL & ENVIRONMENTAL REQUIREMENTS 

• Ability to work in regulated residential healthcare setting 
• Ability to travel within DC required 
• Ability to respond to urgent clinical needs