Description:
Employment Type: Full Time (Exempt)
Reports To: Director of Healthcare Services
Supervises: RN Supervisors, RN Consultants, LPN Coordinators, LPN Nurses, LPN Consultants, TME Staff, and CMT Staff
Performance Reviews
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90-Day Probationary Review
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Annual reviews thereafter
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Additional reviews as needed
ESSENTIAL RESPONSIBILITIES
Clinical Oversight & Nursing Operations
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Assist the DON in overseeing daily nursing operations and clinical service delivery
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Ensure services align with person-centered planning and Individual Service Plans (ISPs)
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Ensure services support active treatment standards and are not custodial in nature
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Monitor nursing documentation, assessments, and care plans for compliance
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Assist nurse supervisors/case managers in care decisions
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Coordinate educational training for the nursing department
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Participate in hiring, evaluations, and corrective actions
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Oversee improvements based on evaluations and DOH guidelines
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Coordinate quality assurance activities via interviews and record reviews
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Assist in budget development and oversee medical supply procurement
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Communicate with residents, families, staff, and IDT to coordinate care
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Assist DON with acuity preparation and submission
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Assist DON with annual Medicaid recertification
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Develop and implement policies and documentation procedures
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Review infection control reports and implement prevention strategies
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Develop and publish nursing schedules aligned with ratios and budgets
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Provide supervision and mentoring schedules for nursing staff
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Oversee TME training and follow-up competency validation
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Assist DON with departmental meetings and documentation
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Perform other duties as assigned
Regulatory Compliance & Survey Readiness
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Ensure compliance with 42 CFR Part 483 Subpart I (ICF/IDD federal regulations)
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Ensure adherence to DC DDS Provider Standards and DOH regulations
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Maintain continuous survey readiness for unannounced inspections
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Participate in surveys, audits, and Plans of Correction (POCs)
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Conduct mock surveys, record reviews, and staff interviews
Quality Assurance & Infection Control
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Participate in QAPI initiatives
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Review infection control surveillance and implement corrective actions
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Ensure compliance with DOH infection control standards
Medication & Clinical Compliance
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Ensure compliance with medication administration standards (TME/CMT oversight)
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Monitor MAR documentation accuracy
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Ensure proper delegation and oversight of nursing tasks
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Ensure compliance with incident reporting and follow-up procedures
Interdisciplinary Coordination
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Collaborate with QIDPs, physicians, and therapists
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Ensure integration of medical services into ISPs
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Promote interdisciplinary participation in care planning
Administrative & Operational Support
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Assist with Medicaid recertification and acuity submissions
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Support policy development and implementation
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Maintain staffing ratios per regulatory requirements
Requirements:
ESSENTIAL COMPETENCIES
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Strong clinical leadership
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Ability to manage in regulated environments
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Strong communication skills
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High attention to detail
REQUIRED EDUCATION & EXPERIENCE
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BSN required
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Master’s preferred
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Strong written and verbal communication skills
- 5+ years of IDD nursing experience
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ICF/IDD experience preferred
REQUIRED CERTIFICATIONS & TRAINING
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Active RN License
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BLS (Required)
- Crisis Prevention/Intervention
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DDNA preferred
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DDS, DOH required training
MANDATORY PRE-EMPLOYMENT TRAINING
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5-day in-person training required
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Statewide and National Criminal Background Investigation
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DMV Record Review
PHYSICAL & ENVIRONMENTAL REQUIREMENTS
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Ability to work in regulated residential healthcare setting
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Ability to travel within DC required
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Ability to respond to urgent clinical needs
