LEAD NURSE

Lead Nurse (LPN)

Position Number: IDD-0000-0

Department: Intermediate Care Facility (ICF)

Service Line: Intellectual & Developmental Disabilities (IDD)

Affiliate: SRVS

Location: Tennessee

Reports To: RN Area Manager

FLSA Status: Non-Exempt

EEO Classification: 3

SRVS is seeking an experienced and dedicated Lead Nurse (LPN) to provide clinical leadership and direct nursing support within our Intermediate Care Facility (ICF) programs serving individuals with intellectual and developmental disabilities.

This position plays a key role in ensuring high-quality healthcare services, coordinating nursing operations, supporting direct care staff, and promoting the health and well-being of the individuals we serve. The Lead Nurse works closely with the RN Area Manager, interdisciplinary team members, families, and support staff to ensure medical care is delivered in accordance with individualized care plans, regulatory standards, and organizational best practices.

Under the supervision of the RN Area Manager, the Lead Nurse assists with the assessment, planning, implementation, coordination, and evaluation of healthcare services for individuals receiving residential supports.

The Lead Nurse provides direct nursing care, oversees day-to-day healthcare operations within assigned homes, coordinates nursing schedules, monitors medication and treatment services, and supports staff training and development. This position serves as a key member of the interdisciplinary team and helps ensure compliance with ICF/IDD standards and healthcare regulations.

• Competitive Compensation
• Medical, Dental & Vision Insurance
• 401(k) Retirement Plan
• Paid Time Off
• Employee Assistance Program
• Company-Paid Training
• Professional Development Opportunities

• Leadership Opportunities
• Clinical Skill Development
• Ongoing Education & Training
• Interdisciplinary Team Collaboration
• Career Advancement Opportunities

• Improve quality of life for individuals with intellectual and developmental disabilities
• Build lasting relationships with individuals and families
• Support person-centered care and community inclusion
• Be part of a mission-driven organization

• Provide and coordinate day-to-day healthcare services according to accepted nursing standards and individualized care plans.
• Assist in assessing, planning, implementing, and evaluating healthcare services.
• Conduct ongoing monitoring of individuals' health status and identify changes in condition.
• Ensure service recipients receive appropriate medical care and follow-up services.
• Work collaboratively with interdisciplinary team members to address healthcare needs.

• Communicate changes in health status and physician orders to families, guardians, and interdisciplinary team members.
• Coordinate implementation of physician recommendations, treatment plans, and therapeutic interventions.
• Collaborate with therapists and clinical professionals to ensure care plans are followed appropriately.
• Maintain accurate and up-to-date transfer and discharge documentation.

• Oversee medication administration processes.
• Review medication orders, MARs, physician orders, and treatment documentation for accuracy.
• Assist in maintaining medication inventories and pharmaceutical supplies.
• Monitor medication storage and complete required monthly documentation.

• Maintain complete, accurate, and timely medical records.
• Ensure health documentation complies with organizational, state, and federal requirements.
• Organize and safeguard confidential health information.
• Monitor documentation practices to ensure regulatory compliance.

• Coordinate and schedule LPN coverage across assigned homes and shifts.
• Develop and maintain monthly nursing staffing schedules.
• Submit nursing staffing plans for approval by the RN Area Manager and ICF Director.
• Assist in addressing staffing needs and coverage concerns.

• Assist in developing and delivering health-related staff training.
• Educate staff on medical diagnoses, medication side effects, activities of daily living support, and nursing protocols.
• Support competency development and clinical best practices.
• Serve as a clinical resource for direct support and nursing staff.

• Current Licensed Practical Nurse (LPN) license in the State of Tennessee.
• License must remain active and in good standing.

• Minimum of two (2) years of clinical nursing experience required.
• Three (3) to five (5) years of nursing experience in long-term care, residential services, home health, or related settings preferred.
• Experience supporting individuals with intellectual and developmental disabilities preferred.
• Knowledge of ICF/IDD standards and regulatory requirements strongly preferred.

• Valid Tennessee, Arkansas, or…