Lead Registered Nurse; RN

Position: Lead Registered Nurse (RN)
Job Type

Full-time

Description

Position Summary

Provides clinical supervision to all Caregiver nursing staff within their assigned area(s) or territories. Provides ongoing training and support to the nurses assigned to their area(s), to ensure routine, and emergency nursing care is being provided to maintain the optimal health status of the individuals and continuity of nursing care. Works in coordination with Regional RN Director when implementing company wide nursing systems, policies and procedures, and is accountable for ensuring these systems are being followed accurately by nursing staff.

Essential Functions:

• Monitors consumers' health conditions through medical chart reviews and audits.

• Identifying delays in service.

• Ensuring state guidelines are being followed through the delivery of nursing services.

• Ensuring compliance with Caregiver Policy and Procedure.

• Ensuring adequate and appropriate follow-up to potential citations.

• Assist the Regional RN Director and the QA team in writing POCs.

• Responsible for monitoring the compliance of the Area RNs and LVNs within the assigned area.

• Responsible for follow-up training and in-services based on clinical findings.

• Monitors the health data information of the individuals served, in coordination with the Regional RN Director by ensuring nursing staff is completing following within the Texas EHR (TMP).

• Immediately reports to supervisor any significant changes in an individual's health status including, but not limited to, acute illness, adverse reactions to medication, sudden and/or unexplained changes in vital signs, increase seizure activity, etc.

• Immediately reports to supervisor any problems related to individual safety, staff problems, and/or facility problems.

• Delegation as required for individuals on your caseload and in compliance with Board of Nurse Examiners criteria.

• Comprehensive Nursing Assessments or RNAs and Annual Review of RNAs on each individual on your caseload as required and in compliance with the Regional RN Director requests, and HHS criteria.

• Provides on call nursing services for individuals served, thus providing telephone triage minimally Monday to Friday from 8:00am - 5:00pm, or as assigned by Supervisor.

• Documents all nursing interventions at the time they are completed in SDLs or Nurses Notes and maintain assigned billing rate in Waiver Services.

• Attends work 8am-5pm, regularly and punctually, and as assigned.

• Ensures that all medical consultations and laboratory reports are documented in the consumer's records in a timely manner.

• Attends and participates in Annual Recertification surveys, and intermittent surveys, investigations as indicated, and follow up to those as indicated. Provide intervention to potential medical concerns during those and provides strategies for achieving success.

• Attends meetings with Supervisor as assigned.

• Participation in development and implementation of nursing system restructures as assigned.

• Attends industry driven conferences as assigned.

• Serves as member of agency wide committees as assigned.

• Completes specific assignments and submits written reports within designated time frames.

Supervisory Responsibilities:

• Provides ongoing and clinical supervision, training and support to nursing staff as the need arises through face-to-face meetings, email, text messages, or phone calls. Assist Nursing staff when indicated in obtaining appropriate medical services for the individuals.

• Reviews daily on call nursing reports, and follows up to critical issues, providing justifications to Area Directors and Regional RN Director. Monitor and evaluate the individuals that receive emergency medical services through resolution.

• Maintain accurate documentation of those chart reviews and audits and works in coordination with the area nurses and Area Director to ensure appropriate follow up has occurred.

• Responsible for communication with Regional RN Director for all nursing performance issues and open nursing positions within assigned areas.

• Responsible for assisting with hiring and training all needed nursing personnel within assigned areas.

• Provide initial and follow up OJT…