Agency 21 Jobs (NOW HIRING)

The Northeast Residential Services Agency Nurse oversees the medical care of service recipients and provides training and guidance to ensure employees meet health and safety standards along with meeting state requirements. The Agency Nurse is a member of the NRS leadership team and will be responsible for guiding strategic plans and outcomes related to the medical care of its members. The Agency Nurse plays an integral role in providing state mandated medical trainings and education to NRS employees and beyond. The Agency Nurse reports to the COO and works in conjunction with the Director of Residential Services.

Primary Responsibilities
Oversee the day-to-day medical care of NRS service recipients and provide training and education to NRS employees
Collaborate with medical providers, pharmacies, support teams, hospitals and other medical care settings to ensure thorough and enacted treatment plans. Communicates action plans to all involved parties
Develop and refine agency medical policies, procedures, and standards of practice
Utilize the online software system (Therap) for MAR implementation and oversight to confirm accurate transcriptions, orders, and medication passes
Act as an infection preventionist for NRS employees by assisting with strategies to meet mandated vaccination requirements and monitor new health threats. The nurse will educate the NRS team on prevention strategies, PPE use, quarantine protocols, and general outbreak strategic planning in the event of elevated concerns
Serve as an advocate for NRS' service recipients for the highest possible care

Training
Train Certified Residential Medication Administration (40 hours, recert, bridge, and shared living), DEBB (Diabetes, EpiPen, Bloodborne Pathogens, and Breathing apparatus), safe lifts and transfers, essentials of personal care, and provide education to new employees during the onboarding process.
Train First Aid/CPR courses
Attend new employee orientation for training as directed
Perform in program trainings of new staff as needed
Train managers, teams leads, and DSPs as needed as part of corrective actions and skills deficiencies

Site Visits
All NRS residences will be visited a minimum of bi-monthly to ensure CRMA compliance and nursing standards for each resident served. A report of any health and safety concerns and plans of action will be reviewed promptly with the residential team. The nurse will prioritize home visits based on the urgency of needs for each program and resident

State Licensing/Audits
The nurse will complete an in-person med cart audit 60 days prior to an expiring home license and as directed. The nurse will develop a plan of action for needed corrections and provide confirmation that corrections are completed prior to a licensing survey and following
Conduct other internal audits including month to month new MAR transitions and med cart audits

Admissions
Review historical and clinical documentation for all prospective admissions into NRS's services to assess their ability to be served
Collaborate with the admissions team to approve or deny an admission, and strategize a medical support plan to serve the person
Assist the residential team in transitioning medical providers, medications, orders, and treatment plans for the person being served from the previous facility or residence to NRS

Meeting Structure
Attend the weekly clinical meeting for each region
Attend the weekly leadership meeting
Attend bi-monthly managers meetings
Attend team meetings as requested for medically related support
Attend MACSP and other provider meetings as directed by the COO

Urgent/On Call Support
The NRS nurse is considered part of the third tier after hours on call system for urgent and emergency care situations. In these instances, the nurse will be called upon to provide guidance and communicate with hospitals, EMS, medical providers, and NRS employees as needed. The nurse will assist the residential team with admissions and discharges between a medical facility and NRS as needed

Nurse Licensure
Bachelors Degree
CRMA Trainer
Knowledge of Safety Care, College of Direct Support, Section 21/29 waivers, HCBS regulations
5+ years of relevant experience in the field.
Reliable/legal transportation and proof of adequate insurance.
Strong written and verbal communication skills
Microsoft Office applications; Word, Excel, Outlook
Current DSP/CRMA certification and ability to complete all other required training within 6 months
Must pass criminal, APS, and CPS background checks

Physical Requirements:
Must be able to alternate between sitting and standing (transporting/assisting/supervising individuals) for extended periods.
Must be able to walk (assisting/accompanying individuals) for extended periods.
Must be able to climb, stoop, or kneel during individual transfers and performance of personal care.
Must be able to occasionally lift, push, or pull up to 50 pounds, or 25% of body weight (whichever is less), without assistance.
Must be able to work independently at various agency and community sites.