Community Living RN: Independent, Impactful Care

Description

DIVISION: Community Living

REPORTS TO: Community Living Lead Nurse

SUPERVISES: 0

EXEMPTION STATUS: Exempt

POSITION SUMMARY: The Community Registered Nurse (RN) is responsible for overseeing the medical, health, and wellness needs of individuals served within Community Living residential programs.

This role ensures the development, implementation, and ongoing monitoring of individualized health care plans, in accordance with Missouri Department of Mental Health (DMH) Division of Developmental Disabilities standards, physician orders, and best nursing practices.

The Community RN provides clinical oversight, assessment, delegation, training, and monitoring of health-related services, ensuring that all medical supports are delivered safely, accurately, and consistently across residential settings.

This role operates independently across multiple homes and is accountable for ensuring that individuals receive coordinated, person-centered, and compliant medical care that supports their overall health and quality of life.

• Active Registered Nurse (RN) license in the State of Missouri
• Bachelor’s degree in Nursing
• Current CPR/First Aid certification

• Minimum of 2 years of nursing experience
• Experience with individuals with developmental disabilities preferred
• Experience in community-based or residential settings preferred

• Strong clinical assessment and critical thinking skills
• Knowledge of DMH/DD regulations and nursing standards
• Ability to develop and monitor individualized health care plans
• Strong organizational and documentation skills
• Ability to work independently across multiple sites
• Strong communication and training skills
• High level of accountability and attention to detail
• Strong leadership presence with an ownership mentality
• Ability to train, coach, and hold staff accountable
• Innovative problem-solver who challenges outdated practice
• High accountability and follow-through
• Ability to manage multiple priorities in a fast-paced, 24/7 environment
• Ability to lead calmly and decisively in high-pressure situations
• Proficiency in Microsoft Office and operational data management systems

• Ensures all health care services are delivered with dignity, respect, and compassion
• Protects the health, safety, and rights of individuals served
• Advocates for appropriate medical care and treatment

• Develops and maintains individualized health care plans based on each person’s medical needs
• Ensures plans reflect physician orders, diagnoses, and personal needs
• Promotes autonomy and informed decision-making in health care

• Coordinates with physicians, specialists, pharmacies, and external providers
• Supports integration of medical care within daily routines and environments
• Ensures continuity of care across providers and settings

• Monitors overall health status, including physical, behavioral, and medical conditions
• Tracks trends in health indicators (weight, vitals, labs, behaviors, etc.)
• Identifies and responds to changes in condition proactively

• Ensures staff are trained to support individuals’ health needs within daily routines
• Promotes independence in health-related skills where appropriate
• Provides education to individuals and staff

• Ensures all medical documentation is accurate, complete, and compliant with DMH standards
• Reviews physician orders, MARs, and documentation regularly for accuracy
• Maintains compliance with all regulatory, licensing, and organizational requirements

• Works closely with Operations, Clinical, and Direct Support teams
• Provides guidance and training to staff on medical and health-related supports
• Participates in interdisciplinary team meetings

• Ensures consistent implementation of medical and health care plans across all homes
• Monitors staff compliance with delegated nursing tasks
• Provides follow-up and oversight to ensure quality and safety

• Conduct face-to-face nursing assessments for individuals served
• Develop, implement, and monitor individualized health care plans in accordance with DMH standards
• Review and ensure accuracy of physician orders and medical documentation
• Monitor medication administration systems (MARs) for accuracy and compliance
• Assess effectiveness of medications and monitor for side effects
• Review and interpret lab results and ensure appropriate follow-up
• Monitor key health indicators (vitals, weight, seizures, bowel, blood sugar, etc.)
• Identify trends and implement proactive interventions

• Delegate nursing tasks in accordance with Missouri Nurse Practice Act and DMH standards
• Train and supervise staff on delegated tasks (e.g., medication administration, specialized supports)
• Ensure staff competency and ongoing compliance with delegated responsibilities
• Provide ongoing monitoring and…