Top 26 Vp clinical Jobs in Columbus

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Registered Nurse -Clinical Services Supervisor

Creative Foundations -
Delaware, OH

Quick Apply

Job Details

Full-time

Qualifications

Nursing policy compliance
RN License
Coaching
Clinical case management
Records management
Instructor-led training (training delivery method)
Classroom experience
Classroom Teaching
Delegation

Full Job Description

Reports to: Executive Director

Job Summary: Creative Foundations, a Help at Home Company is the nation's largest provider of home-based care, serving individuals across multiple states and service lines including unskilled home care, Intellectual and Developmental Disabilities (IDD), Structured Family Care, and Home Health. The Registered Nurse — Clinical Services Supervisor serves as the primary clinical authority for the Creative Foundations program in Ohio, operating at the intersection of DODD compliance, clinical quality, and workforce readiness.

This role is accountable for medication administration oversight, delegated nursing functions, DSP clinical competency, DODD and ODA regulatory compliance, and quality review. The RN serves as the designated Medical Director for CLIA waiver purposes and provides direct clinical governance across all Ohio IDD service sites. This is a high-accountability, high-visibility position requiring independent clinical judgment and regulatory fluency.

Key Responsibilities:

1.Medication Administration & Clinical Oversight

Conduct monthly MAR audits covering 100% sample of PRN orders for completeness, accuracy, indication, dose, frequency, route, and max dose; track and resolve discrepancies within 48 hours
Perform full quarterly MAR reviews for all residential and ADS individuals; oversee MAR off-compliance rate weekly
Serve as clinical liaison between SLCs and physician offices for PRN order corrections; provide standardized order correction letter templates; escalate unresolved orders within 48 hours
Maintain and annually review all medication policy documents including PRN Order Standards, Controlled Substance Protocol, Biohazard Waste Disposal, Standard Precautions, and Glucometer/CLIA Policy

2.Medication Certification & Delegation Training

Deliver in-house DODD Medication Certification (Cart 1, 2, and 3) classes for all new hires and annual recertification; maintain DODD-approved curriculum
Perform all running delegation for Cart 2 (GJ tube) and Cart 3 (insulin) individuals in both residential and ADS settings; maintain full re-delegation tracking for all currently delegated individuals
Conduct annual per-individual skills checklist verification at each delegation visit for all delegated individuals including Home Lifts, Gait Belt, Wheelchair/Adaptive Equipment, Glucometer Operation, GJ Tube Care, and Insulin Administration
Replace current dependence on Dynamic Pathways for all medication delegation functions; no external vendor backup

3.CLIA Waiver & Medical Director Functions

Serve as designated Medical Director for the CF CLIA waiver, overseeing glucometer/sliding scale testing across all Ohio sites
Interpret sliding scale results and ensure DSPs implement within documented parameters; maintain CLIA waiver application pending licensing and site engagement
Ensure lab test interpretation aligns with CLIA regulations under 42 CFR Part 493

4.Program Management — DODD & ODA

Act as primary Nurse Manager for DODD and Ohio Department of Aging (ODA/Passport) programs
Oversee development, implementation, and currency of Individual Service Plans (ISPs) and Person-Centered Care Plans
Ensure all home health services meet state auditing standards; maintain survey-ready documentation across all Ohio IDD counties
Coordinate with county boards, COGs, Judy Dalton, Tarrytown Pharmacy, and DODD regional staff

5.Internal Quality Reporting & Review Cycle

Produce monthly clinical quality report covering med error rate by SLC territory, PRN order completeness, EMAR compliance percentage, delegation currency status, incidents/MUI trend, and medication-related events
Present findings in monthly quality review meeting; flag chronic sites for targeted intervention and corrective action tracking
Maintain zero internal clinical quality reporting gaps; eliminate the current state of no internal med error rate data

6.Skills Checklist Development & Competency Verification

Create and maintain clinical skills checklists for DSPs covering all high-risk interventions; validate competency annually per individual
Ensure skills checklists are confirmed for new hire onboarding; document in personnel files via Advisor
Conduct or supervise competency verification for all delegated DSPs in alignment with DODD OAC 5123:2-2-02

Regulatory Accountability

This role carries direct accountability for compliance with the following regulatory authorities:

DODD OAC 5123 — Medication Administration, Delegation, and Clinical Standards
DODD OAC 5123:2-2-02 — Skills Checklist and Competency Verification
DODD OAC 5123:2-6-05 — Medication Administration Certification
DODD Citation #1 and #2 — PRN orders, medication profile availability
42 CFR Part 493 — CLIA Waiver (Glucometer/Sliding Scale)
DODD/OSHA Standards — Medication Policy and Controlled Substance Compliance
Ohio Department of Aging (ODA) — Passport/DODD Waiver program oversight

Required Qualifications

Current, unrestricted Registered Nurse (RN) license in the State of Ohio
Active DODD RN Trainer certification (required at hire)
Minimum 2 years of nursing experience; IDD or home health experience strongly preferred
Demonstrated knowledge of DODD medication administration regulations and waiver program requirements
CLIA waiver experience or willingness to complete Medical Director designation process
Proficiency with Electronic Medication Administration Records (EMAR); Advisor system experience preferred
Exceptional classroom instruction, clinical coaching, and public speaking skills
Ability to manage a complex caseload across multiple SLC sites and county geographies

Preferred Qualifications

Familiarity with ODA Passport or DODD Home and Community-Based Services waivers
Experience with DODD county board coordination and medication certification audit processes
Prior experience as a sole clinical authority in a distributed, community-based care setting
Background in quality improvement, audit, and corrective action plan management

Performance Expectations

This role will be evaluated against the following key performance indicators:

Metric

Target

MAR Audit Completion Rate

100% monthly sample across all territories

PRN Discrepancy Resolution

Within 48 hours of identification

Delegation Currency

Zero lapsed delegation at any review cycle

Med Cert Class Delivery

New hire within 30 days; annual recert on schedule

DODD Citation Rate

Zero new citations in Med Admin / Delegation categories

CLIA Waiver Status

Active and current; no audit findings

Quality Report Submission

Monthly, within 5 business days of period close

Working Conditions

In-person, multi-site work across assigned Ohio IDD counties; regular travel to SLC and ADS sites required
Exposure to medically complex individuals requiring hands-on clinical assessment and skills verification
On-call availability for medication delegation emergencies and urgent DODD compliance matters
Physical requirements include standing, bending, and performing clinical procedures during observation visits

About Help at Home

Help at Home is the nation's largest provider of high-quality, relationship-based home care. We support individuals across home care, IDD, Structured Family Care, and Home Health service lines, enabling people to live independently and with dignity. Our Ohio IDD operations serve individuals with developmental disabilities across multiple counties through DODD-regulated residential, ADS, and community-based waiver programs.

Help at Home is an equal opportunity employer. We are committed to building a diverse and inclusive workforce that reflects the communities we serve.

Requisition: CF-OH-RN-2026 | Last Revised: March 2026 | Approved By: VP, Quality, Safety & Clinical Integration

Job Type: Full-time

Work Location: Hybrid remote in Delaware, OH 43015

Quick Apply

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