Job Title: Lead Registered Nurse (RN) – Residential Youth Services
Organization: St. Augustine Youth Services
Location: St. Augustine, FL (Onsite)
Job Type: Full-Time
Schedule: Primarily weekdays; must be available for on-call support and occasional after-hours needs
Salary: $72,800
About Us
St. Augustine Youth Services (SAYS) is a mission-driven organization providing residential care and behavioral health services to youth. Our team is committed to safety, structure, and positive outcomes for every child we serve.
Position Overview
We’re looking for a Lead Registered Nurse (RN) to oversee nursing operations within our residential program. This role is ideal for a highly organized, independent RN who can supervise staff, manage medication systems, and ensure compliance—while stepping in as needed to support direct care.
This is a hands-on leadership role requiring strong clinical judgment, coordination skills, and the ability to be consistently available for nursing support.
Key Responsibilities
Leadership & Supervision
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Supervise nursing staff (LPNs) and provide ongoing guidance and support
- Be available for LPN supervision and clinical consultation at all times
- Complete annual performance evaluations
- Train and monitor medication delegation to House Parents in accordance with the Nurse Practice Act
- Address campus-wide health and safety concerns
Staffing & Administration
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Manage payroll processes including timesheets and time-off requests
- Complete and maintain the monthly on-call schedule
- Attend weekly house team meetings
- Fill in for nursing coverage when necessary
Medication & Clinical Management
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Oversee all medication management processes for residential youth
- Administer, deliver, and coordinate medications (including school delivery and urgent pharmacy pickups)
- Maintain Medication Administration Records (MAR), narcotic logs, and medication counts
- Ensure proper medication storage, documentation, and disposal
Medical Coordination & Compliance
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Coordinate bi-weekly psychiatric clinics via Zoom (single session for all youth)
- Prepare documentation, maintain records in eR, and manage updates in RXNT
- Process physician orders, informed consents, prior authorizations, and lab work (Quest Diagnostics)
- Communicate all medication changes to staff and stakeholders
- Maintain compliance with 5339 forms, court orders, and regulatory standards
Youth Health Oversight
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Conduct intake medical reviews, medication reconciliation, and AIMS assessments
- Monitor ongoing health needs and ensure proper documentation
- Coordinate with therapists, case managers, pharmacies, and providers
Trip & Home Visit Coordination
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Prepare and manage medication supplies for off-campus trips and home visits
- Ensure proper documentation, tracking, and reconciliation upon return
Qualifications
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Active Registered Nurse (RN) license in the State of Florida
- Experience in pediatrics, behavioral health, or residential care preferred
- Supervisory or leadership experience strongly preferred
- Strong knowledge of medication administration, compliance, and documentation systems
- Ability to work independently and manage multiple responsibilities
- Excellent communication and organizational skills
Compensation & Benefits
Why Join SAYS?
At St. Augustine Youth Services, you’re not just taking a job—you’re stepping into a leadership role where your work directly impacts vulnerable youth every day. You’ll have autonomy, support, and the ability to shape nursing practices within a structured residential setting.
How to Apply
Apply directly through Indeed or visit:
https://www.sayskids.org/careers
Please see the link to the new Care Provider Background Screening Clearinghouse Education and Awareness website.
This site was implemented under the directive of House Bill 531 (2025).
https://info.flclearinghouse.com
