Lead Registered Nurse (RN)
Lead. Mentor. Make a Difference.
St. Augustine Youth Services (SAYS) | St. Augustine, FL
Full-Time | Onsite
Salary: $72,800 + Comprehensive Benefits
Looking for more than another nursing job?
If you're an experienced RN who thrives on leadership, enjoys mentoring other nurses, and wants your work to truly matter, this opportunity is for you.
At St. Augustine Youth Services (SAYS), we don't just care for youth—we change lives. Every day, our team provides hope, healing, and stability for children and adolescents facing significant behavioral health challenges.
We're searching for a Lead Registered Nurse who is ready to take ownership of nursing operations across our Residential and Community Action Team (CAT) programs. This is a high-impact leadership position where you'll guide clinical practice, support nursing staff, improve systems, and ensure every young person in our care receives exceptional medical oversight.
This isn't a desk job.
This isn't a hospital floor.
This is an opportunity to build something meaningful.
What You'll Do
As our Lead RN, you'll serve as the clinical leader for nursing services while working closely with program leadership, therapists, psychiatrists, case managers, and direct care staff.
You'll be responsible for:
Clinical Leadership
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Lead and supervise our team of Licensed Practical Nurses (LPNs)
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Provide ongoing coaching, mentorship, and clinical guidance
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Complete annual performance evaluations
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Ensure quality nursing practices across Residential and CAT programs
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Serve as the clinical resource for staff and leadership
Medication Management
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Oversee every aspect of medication administration and compliance
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Maintain Medication Administration Records (MARs)
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Monitor narcotic logs and medication counts
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Coordinate pharmacy services and urgent medication needs
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Ensure medication storage, documentation, and disposal meet all regulatory requirements
Medical Coordination
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Coordinate psychiatric clinics and provider appointments
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Process physician orders, prior authorizations, lab work, and informed consents
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Maintain accurate documentation within electronic medical records and RXNT
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Communicate medication and treatment changes to appropriate staff
Youth Health Oversight
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Complete medical intake reviews and medication reconciliation
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Conduct AIMS assessments
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Monitor ongoing medical concerns
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Coordinate care with physicians, therapists, pharmacies, specialists, and families
Leadership & Operations
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Develop monthly on-call schedules
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Approve payroll and manage time-off requests
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Attend interdisciplinary treatment and house team meetings
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Train House Parents in medication delegation in accordance with the Florida Nurse Practice Act
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Help ensure a safe, healthy environment across campus
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Provide nursing coverage when needed
Trip & Home Visit Support
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Prepare medications for home visits and off-campus activities
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Ensure proper tracking, documentation, and reconciliation upon return
We're Looking For Someone Who...
✔ Leads by example
✔ Enjoys mentoring and developing others
✔ Is calm under pressure
✔ Loves creating organized systems
✔ Can balance clinical excellence with compassionate care
✔ Wants to be part of a mission larger than themselves
Qualifications
Required
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Active Florida Registered Nurse (RN) license
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Excellent assessment, communication, and organizational skills
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Ability to work independently while collaborating with a multidisciplinary team
Preferred
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Leadership or supervisory experience
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Experience in behavioral health, pediatrics, residential treatment, or child welfare
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Experience with medication management systems and electronic medical records
Why Nurses Love Working at SAYS
At SAYS, you'll have the opportunity to build relationships with the youth you serve instead of simply treating them and moving on.
You'll be empowered to lead.
You'll have a voice.
You'll help shape nursing practices across the organization.
Most importantly, you'll know that every medication reviewed, every crisis prevented, every staff member coached, and every child cared for contributes to changing a young person's future.
Compensation & Benefits
Salary: $72,800 annually
We also offer:
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Medical, Dental & Vision Insurance
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Paid Time Off
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Paid Holidays
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401(k) Retirement Plan
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Employer-paid Life Insurance
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Employee Assistance Program (EAP)
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Professional Development Opportunities
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Supportive, mission-driven leadership team
Join Our Mission
Some nursing positions change patients.
This one changes lives.
If you're ready to lead with compassion, build strong clinical teams, and make a lasting impact on the lives of youth, we'd love to meet you.
Apply today and become part of the SAYS family.
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).
As part of these requirements: “Each specified agency must include a clear and conspicuous link to the webpage on its website and provide the link in all job vacancy advertisements and posts by the qualified entity.”
What this means for you: Any job announcement that requires a screening through the Clearinghouse must include a link to this website as of 1/1/2026.
https://info.flclearinghouse.com
