Cms Rn Jobs in Alabama (NOW HIRING)

$5000 SIGN ON BONUS AVAILABLE!
½ Paid at 90 Day of Successful Employment – ½ Paid at 180 Days of Successful Employment
Bonus Can Only Be Received Once in a 12 Month Period
Re-Hires Subject to Additional Review amp; Requirements
Program: Intellectual Disability Services
Position: Registered Nurse
Reports to: Regional Service Director
Salary: Starting at $79,000
Job Type: Full Time
Function: The Registered Nurse (RN) serves as a key clinical support professional and an essential member of the Interdisciplinary Team (IDT). The RN is responsible for the health oversight and clinical well-being of individuals served under the Alabama Department of Mental Health (ADMH) Community Waiver Program. The role ensures compliance with CMS standards and the Alabama Board of Nursing’s Nurse Delegation Program (NDP). This includes routine health monitoring, medication oversight, staff training, and coordination of care.
Know How:
The ideal candidate holds a current Alabama RN license and has at least one year of clinical nursing experience, preferably in developmental disabilities or community-based care. They have strong knowledge of health needs common among individuals with IDD, are skilled in physical assessment, and understand pharmacology—especially psychotropic medications.
Proficiency in documentation systems like Therap and experience with the Nurse Delegation Program (NDP) are required. The candidate must demonstrate effective communication, organizational, and teamwork skills, with the ability to train and support LPNs and DSPs. Basic computer literacy is also essential.
Principal Activities:
1. Health Monitoring amp; Clinical Oversight
Conduct routine health monitoring through physical assessments, including vital signs, system reviews, and behavioral observations.
Respond promptly and appropriately to medical emergencies, illness, or changes in health status.
Integrate health needs into person-centered support plans and contribute to the development and review of health-related goals.
2. Medication Administration amp; Management
Ensure medications are administered per physician orders and documented accurately on the Electronic Medication Administration Records (EMAR).
Conduct biweekly medication audits, including MAR reviews and medication counts, to ensure compliance with ADMH and CMS standards.
Oversee proper medication storage, security, and disposal protocols.
Provide training and delegated oversight of Direct Support Professionals (DSPs) as MAC workers and LPNs per the Alabama NDP, including competency verification in medication administration and health-related tasks.
3. Documentation amp; Communication

Maintain timely, accurate, and complete nursing documentation in the agency’s electronic health record (e.g., Therap).
Document and review all health interventions, PRN administration, incidents, injuries, illnesses, and suspected abuse or neglect.
Update individual care plans and specialized protocols (e.g., diabetes, seizure management) based on physician input and observed health needs.
4. Specialized Medical Oversight
Supervise and ensure implementation of specialized medical protocols (e.g., wound care, seizure protocols, diabetic care).
Conduct and document monthly DSP trainings on protocol adherence, early symptom recognition, and individualized care procedures.
Participate in Interdisciplinary Team (IDT) meetings, especially when medical decisions or input are required.
5. Coordination with Medical Providers
Schedule and coordinate appointments with healthcare providers, including physicians, therapists, labs, and pharmacies.
Document appointment outcomes, lab results, physician recommendations, and treatment plans in the electronic health record system.
Monitor follow-up compliance and communicate outcomes with the IDT to ensure continuity of care.
6. Staff Supervision amp; Training
Supervise LPNs and ensure compliance with delegated tasks as outlined in the NDP.
Provide clinical guidance and mentorship to healthcare and support staff.
Deliver ongoing health-related training for residential staff, including topics such as infection control, emergency procedures, medication safety, and recognizing signs of medical distress.
7. Quality Assurance amp; Compliance
Conduct scheduled monthly nursing audits of group homes and service settings to ensure regulatory compliance.
Monitor dietary services and meal plans to ensure they are nutritionally balanced and appropriate to individual health needs.
Stay informed of current healthcare resources, physician networks, and community services to support timely and appropriate referrals.
Maintain compliance with all CMS, ADMH, and Alabama Board of Nursing regulations and documentation standards.
Effect on End Result:
To maintain and improve service recipients’ health.
To assure people receive medications as prescribed.
To maintain and improve medical services for service recipients
To assure people receive nutritionally balanced meals.
To promote a positive public image for the program and maintain a positive working relationship with individuals in the medical community and with other community organizations serving individuals with intellectual disability.
Supervisory Responsibilities:
Provide clinical oversight and support to LPNs and DSPs.
Supervise Nurse Delegation tasks per Alabama Board of Nursing requirements.
Language skills:
Ability to read, analyze, and interpret, common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conform to prescribe style and format. Ability to effectively present information to top management, public groups and/or boards of directors.
American with Disabilities Specifications:
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hand to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust or focus.
Work Environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with individuals to perform the essential functions.
While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. Must be able to travel to multiple program sites and work in varying environmental conditions. ​

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