Description 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)