Licensed Practical Nurse (LPN)

About the Role

Implementation, coordination, and supervision of all aspects of a comprehensive Health, Wellness, and Clinical Program for Assisted Living Residents in accordance with Victory Housing, Inc. Policies and Procedures, COMAR 10.07.14, and Board of Nursing Regulations and Standards.

Responsibilities

• Provide nursing assessments, care planning, care oversight, and quality assurance for all residents.
• Maintain all resident charts, including progress notes, nursing interventions, treatments, and assessments.
• Implement a Wellness Program with weekly scheduled resident Health and Wellness Check-ups to ensure a proactive and preventative clinical approach.
• Oversee and coordinate all third-party vendors, including Podiatrists, Dentists, Lab, Pharmacy, Home Health, and Hospice.
• Serve as the Clinical Leader in the community, acting as an essential manager, resident advocate, case manager, delegating and practicing RN.
• Ensure Victory Housing’s Mission Statement guides all decisions and actions.
• Assume responsibilities of the Case Manager/Delegating Nurse as defined in COMAR 10.07.14 Regulations.
• Manage all aspects of Pharmacy and Medication Management, including:
  • Monthly change-over of medication cards.
  • Accuracy of monthly medication delivery from Order to MAR.
  • Training staff on new medications, parameters, orders, and special conditions.
  • Updating the Emergency Sheet (electronically and hard copy).
• In conjunction with the Assistant Director, handle interviewing, hiring, mentoring, training, evaluating, and managing each Medication Technician.
• Ensure medication administration adheres to the Nurse Practice Act and Federal, State, and local regulations.
• Write all physician orders into the POS/MAR according to VHI policy.
• Perform daily/weekly checks of MAR (EMR/Hard Copy) to ensure proper administration and documentation.
• Maintain overall quality of the resident care program in accordance with all local, state, and federal regulations and the highest standards of nursing practice.
• Proactively intervene on resident status changes and work closely with staff on clinical issues.
• Implement a comprehensive Health and Wellness Program addressing physical, psychosocial, and rehabilitative needs, including quality assurance and outcome measures.
• Schedule and conduct weekly check-ups with each resident to monitor:
  • Medications
  • Fall Risk
  • Vital Signs
  • Weights
  • Nutritional Status
  • Skin Assessments
  • Overall Clinical, Psychological, and Social Status Changes
• Record information on Wellness Assessment Forms, in Progress Notes (weekly), and Community Log (as needed).
• Maintain regular communication with residents, families, and physicians on individual health care issues.
• Act as the primary liaison with healthcare professionals, including pharmacy, lab, and Hospice, during resident status changes.
• Actively participate in monthly care planning meetings, Quality Assurance Meetings, Family Clinical Reviews, and Hospice meetings.
• Report all resident status changes, follow-up actions, and next steps in Resident Status Documentation (RSD).
• Educate staff as needed and participate in Monthly Staff Meetings, providing In-service Training as requested.
• Coordinate dietary needs with the Food Service Director (FSD) and environmental needs with the Maintenance Tech, in conjunction with the Executive Director (ED).
• Assist the ED/Assistant Director (AD) with identifying and resolving employee concerns, complaints, grievances, and issues.
• Assist the ED in completing 90-day and annual performance reviews, and counsel caregivers and medication technicians when requested.
• Be available 24/7 to support the clinical needs of residents.
• Direct community programs for infection control, quality assurance, outcomes monitoring, and other oversight programs.
• Regularly review all resident charts for content, clarity, completeness, and appropriateness of care.
• Ensure the quality of all resident charts complies with applicable regulations and the highest standards of nursing practice.
• Instruct caregiving staff on clinical and nursing issues.
• Assess each prospective resident prior to move-in and recommend appropriateness of placement and level of care in partnership with the ED.
• On the day of move-in or within 24 hours, meet with the resident to:
  • Discuss Wellness Check-ups
  • Establish baseline
  • Start clinical chart
  • Review/establish care needs and schedule in coordination with ED/AD/Resident Services Director (RSD)
• Complete clinical components and follow-up of resident individual service plans with the Executive Director and caregiving staff.
• Complete reassessments and service plans for residents as needed and all assessments mandated via COMAR Regulations.
• Coordinate services of outside agencies providing health care or other assistance to residents, including home health agencies, physical therapists, hospice, laboratories, durable medical equipment suppliers, and other professional services.
• Review and sign-off on Incident Reports with the Executive Director and Assistant Director, establishing intervention and documentation of follow-up.
• Attend classes, seminars, and meetings to maintain a high level of knowledge regarding current nursing theory, trends, and regulatory changes.
• Adhere to a consistent schedule of either 10:00 AM – 6:30 PM or 9:00 AM – 5:30 PM based on community preference.
• In the absence of the Executive Director and Assistant Director, assume responsibility for the day-to-day operations of the community.
• Perform other duties as assigned.

Requirements

• Must be current on all vaccinations, including COVID-19, and receive CDC-recommended booster doses.

Qualifications

• Graduate of an accredited school of nursing with three years of experience in nursing, preferably in geriatric services.
• Current Maryland license as a registered professional nurse.
• Baccalaureate degree in nursing or related health field with geriatric emphasis preferred.
• Must have successfully completed the 20 Hour Delegating Nurse Course within 60 days of employment.

Pay

The salary range for this position is $70,000 - $75,000 annualized based on skills and experience.

Benefits

• Medical, dental, and vision insurance
• Life insurance
• Retirement benefits
• Paid time off

Schedule

Scheduled hours are from 10:00 AM – 6:30 PM or 9:00 AM – 5:30 PM based on community preference. The schedule must be set and adhered to consistently.