Registered Nurse; RN

DWC seeks to bring on board a Registered Nurse who can provide our residents with the focused support they need to address chronic health challenges. The RN will work with residents to assess pain, mood, strength/balance, risk of falls, incontinence, or fatigue, among other chronic health symptoms. The RN may also assist residents with medication support (such as reviewing drug lists for contradictions or duplications), report changes to a resident’s health or medication to primary care provider or help them navigate a complicated healthcare system to obtain specialty care.

Broadly, the RN will also coordinate a resident’s overall care, while also presenting strategies to help self-manage chronic health conditions at home including diabetes, arthritis, and hypertension. The RN will also help DWC better understand the most prevalent types of chronic health conditions among our target population, and what kinds of additional support can be integrated into our Permanent Supportive Housing program to ensure that our residents are stable and able to safely age in place by addressing the chronic health and mental health challenges that pose threats to their stability.

• Assess residents for chronic health, environment, and ability challenges that may threaten their ability to safely age in place, and connect to appropriate resources
• Develop trust and rapport with residents and provide services using an empathetic and client centered approach
• Approach residents and peers with a trauma informed lens
• Collaborate with residents to complete assessments; identify resources and determine appropriate treatment goals
• Collaborate with Permanent Supportive Housing Program Case Managers and administrative staff to support a continuum of care
• Collaborate with OT to ensure each resident has the ability to safely age in place, and connect to appropriate resources
• Collaborate with physicians to ensure continuity of care for each resident and ensure resources and services are received
• Provide in-unit care to older adult residents and individualized care coordination including medication support, chronic disease management, and additional support that is tailored to individual needs
• Provide treatment via group or individual intervention with a focus on increasing social, cognitive and functional living skills to support housing retention
• Adheres to all program guidelines, policies and protocols and actively works toward achieving the goals of the program
• Maintain accurate and timely records of activities, progress notes, and other services provided to each resident and input resident data and progress notes into various tracking systems
• Participate in weekly case consultation and provide feedback on the cases reviewed
• Coordinate health trainings and workshops to program staff
• Build up an infrastructure of medical assessments and/or policies or protocols aligned with Aging In Place service model with the adaptation of CAPABLE.
• Participate in community meetings and events and serve as an ambassador for DWC in the community
• Provide monthly written reports to the Permanent Supportive Program Manager
• Additional duties as assigned

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong, culturally responsive services and team-building skills.
• Deep understanding of trauma-informed care, harm reduction, and housing-first approaches.
• Exceptional communication, active listening, documentation, and interpersonal skills.
• Strong organizational, critical thinking, crisis management, and conflict resolution abilities.
• Proficiency in Microsoft Office Suite and data management platforms.
• Shared Leadership
• Cultural Humility
• Team-building and effective support
• Flexibili…