Supervisor - Registered Nurse - Hudson Valley

About the role

Under the supervision of Assistant Director - Program Nursing and at the direction of nursing and program leadership teams, the Supervisor - Registered Nurse is responsible for overseeing and directing day-to-day activities of nursing-related services for assigned region and/or system(s).

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Key/Essential Functions & Responsibilities

• Ensure safe and appropriate nursing services and medication administration for persons supported across assigned caseload, working in collaboration with regional, nursing and other leadership and interdisciplinary teams to ensure implementation of person-centered, individualized plans of nursing service.
• Serve as the primary resource for day-to-day nursing and medical-related needs of the people we support across assigned caseload, providing leadership and clinical support to program staff, regularly attending regional leadership meetings to remain informed of progress, concerns or issues, making recommendations and implementing resolutions to address new or changing needs.
• Develop and maintain an understanding of regulations applicable to assigned programs and/or systems as they relate to medical and nursing care, including needs or care for specific medical and related conditions of persons supported and of scopes and standards of nursing practice applicable to state(s) of assignment.
• Directly supervise Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) for assigned caseload across or within a region, providing support and guidance for nursing services to ensure that the medical needs of persons supported are successfully met.
• Maintain regular communication with assigned nursing staff to ensure understanding and consistent application and enforcement of job expectations, performance standards, policies and procedures and conducts regular observations, including on-site at programs or systems across assigned caseload, to evaluate performance, managing concerns of performance issues through discussions and plans for corrective actions or development plans, as needed.
• Ensure nursing staff are utilizing the full nursing process with each person supported from assessing conditions through improving effectiveness of care and are appropriately communicating with persons supported based on their learning needs, as they relate to health care, to support understanding and education relating to individualized medical treatments, medications and related information.
• Regularly monitor and assess nursing caseloads based on program and/or person-specific needs, proposing changes and new needs to nursing leadership team, including reassignments of Regional HCS to programs across caseload to address specific needs or concerns.
• Direct and assist assigned nursing staff with implementing, monitoring and otherwise updating plans of nursing care or PONS, addressing new and changing medical needs for persons supported and handling complex medical issues through regular support, feedback and coaching, on site, in person and virtually as appropriate.
• Regularly travel to programs across assigned region to engage with or observe persons supported, program staff and nursing staff or to conduct assessments, implement plans, collect data, facilitate medical in-services and/or attend meetings to ensure appropriate implementation and monitoring of nursing plans; travels to local headquarters or other regions, as directed.
• Participate in the hiring process, interviewing and assessing candidates for nursing roles and ensures appropriate staffing and coverage for assigned caseload and assists with the identification of partnerships and with or at recruitment initiatives or events to attract and retain nursing staff, in collaboration with HR and nursing leadership teams.
• Initiates, reviews or approves staff status, work hours, promotions, demotions, transfers and/or other adjustments for staff, ensuring changes are appropriately submitted in Workday in a timely manner.
• Ensures timekeeping records and approvals are completed through Workday accurately and on a timely basis to support payroll processing; identifies concerns with attendance, work hours and/or time tracking, resolving with staff or coordinating resolutions with leadership, when needed.
• Collaborates with regional program leadership, program staff and nursing team to identify, address and/or coordinate clinical training needs, supports, assessments, documentation and related plans, providing feedback regarding program staff and people supported, as applicable.
• Plans and facilitates regional direct care leadership and/or other clinical team meetings to engage, train and assess Health Care Specialists and other direct care staff as applicable, providing support, guidance, mentorship and feedback through regular updates, information and discussions; directly supervises Regional Health Care Specialists, assigning responsibilities and monitoring performance.
• Monitors medical systems, including Electronic Medication Administration Record (eMAR), to ensure quality of documentation and adherence to prescribed orders and/or requirements for services including medication administration and confirms appropriate, complete, person-centered and timely documentation of all plans, calls, correspondence and encounters with people we support in appropriate formats and systems, in accordance with all established guidelines and regulations.
• Reviews medical data for assigned caseload through regular monitoring of electronic health record, eMAR and/or other systems to support quality assurance of nursing-related services, conducting regular checks of and analyzing documentation and information to identify and report on key indicators, such as medication errors, 911 calls and falls, summarizing trends and changes over time.
• Collaborates with applicable parties to address audit findings and other issues or concerns, actively participating in the development and implementation of plans of corrective action to resolve findings with a focus on continuous improvement, directing activities, facilitating specialized or ad hoc trainings to address deficiencies, conducting regular check-ins with programs to assess effectiveness and making recommendations for changes to improve health outcomes for persons supported.
• Takes the lead for intake assessments during the referral process for assigned caseload, reviewing medical records and documentation, suggesting matches to programs and ensuring or facilitating direct observations and/or assessments to inform recommendations to program and/or nursing leadership for placement.
• Participates in nursing call list for assigned caseload, receiving and triaging phone calls as needed, including escalated calls from nursing staff and assists with handling or directing calls from program staff, leadership and/or persons supported during and outside of regular working hours.
• Presents information and responds to inquiries regarding health, conditions and/or status of persons supported across assigned caseload and assists with nursing-related needs in other service settings or systems as needed or requested, which may include participating in meetings, planning, assessments and/or education.
• Ensures appropriate oversight of medical care and systems for assigned caseloads by nursing staff, including regular in-service training and education for direct care staff across assigned caseload regarding medical needs, medication information and administration or other conditions including short-term needs for specific conditions through regular monitoring.
• Keeps abreast of applicable Federal, State and/or Local government regulations and standards, including those applicable to oversight agencies for assigned setting(s), infection control and/or nursing care and completes and maintains all necessary trainings based on assigned system(s) to ensure compliance with all applicable regulations and internal policies or procedures.
• Participates in nursing call list for assigned caseload, receiving and triaging phone calls as needed, including escalated calls from nursing staff and assists with handling or directing calls from program staff, leadership and/or persons supported during and outside of regular working hours.
• Presents information and responds to inquiries regarding health, conditions and/or status of persons supported across assigned caseload and assists with nursing-related needs in other service settings or systems as needed or requested, which may include participating in meetings, planning, assessments and/or education.
• Ensures appropriate oversight of medical care and systems for assigned caseloads by nursing staff, including regular in-service training and education for direct care staff across assigned caseload regarding medical needs, medication information and administration or other conditions including short-term needs for specific conditions through regular monitoring.
• Keeps abreast of applicable Federal, State and/or Local government regulations and standards, including those applicable to oversight agencies for assigned setting(s), infection control and/or nursing care and completes and maintains all necessary trainings based on assigned system(s) to ensure compliance with all applicable regulations and internal policies or procedures.
• Participates in the development of medical in-service trainings or assessments for specific content areas such as AMAP, choking and diabetes and/or for specialized programs including START, OMH, etc. in collaboration with nursing leadership team.
• Complies with and ensures staff complies with all Federal, State, Local and other relevant regulatory agency requirements, including the Health Insurance Portability and Accountability Act (HIPAA).
• Performs all other duties as assigned.

Minimum Qualification Requirements

• Valid, active Registered Nursing (RN) license and/or registration to practice as an RN in assigned state of operations (NY or NJ); and
• Holds and maintains Basic Life Support (BLS) certification for Healthcare Providers;
• Bachelor of Science in Nursing (BSN) degree and three (3) years of nursing experience in any healthcare setting, preferably working with individuals with intellectual and developmental disabilities (I/DD); or
• Satisfactory equivalent combination of education, experience and/or training; however, all incumbents must hold current, valid license to practice as a RN in state of assignment and current BLS.

Demonstrates sound clinical judgment in selecting methods and techniques to resolve medical concerns.

Excellent interpersonal, verbal and written communication skills, along with the ability to effectively interact with and communicate medical information to persons supported, staff at all levels and circles of support, including external medical providers.

Exceptional supervisory and leadership skills, including the ability to effectively direct, coach and support nursing and program staff across multiple sites through hands-on support by adapting leadership style to address a variety of team and/or individual challenges.

Ability and willingness to lead, direct and teach program staff on appropriate medical support for persons supported.