Wellness Office Nurse

About the Role

The Wellness Nurse provides direct nursing care, medication administration, and clinical oversight for individuals served across residential and community programs in compliance with Alabama Department of Mental Health (ADMH) and Alabama Board of Nursing (ABN) standards. This includes MAS requirements, nursing assessments, and MAC supervision. The role provides consistent coverage across Jefferson and Blount Counties, supporting care coordination, clinical documentation, home visits/audits, and a rotating on-call schedule for urgent needs and follow-up tasks.

Responsibilities

• Medication Administration & Treatment
  • Administer medications per orders, standing orders, or approved verbal orders
  • Administer injectable medications per physician orders and protocols
  • Maintain accurate MARs and perform medication reconciliation
  • Monitor medication effectiveness and report concerns
  • Coordinate with pharmacies and prescribers for continuity of care
• Assessments & Care Transitions
  • Complete nursing assessments (annual, admission, discharge, self-medication, choking risk, AIMS, fall risk, focal/comprehensive)
  • Complete hospital admission, discharge, and follow-up documentation
  • Provide wound care, dressing changes, and sterile procedures
  • Remove sutures/staples and monitor as needed
  • Develop and update individualized care plans
• Home Visits & Compliance
  • Conduct home visits/audits to ensure safety, medication compliance, and regulatory standards
  • Identify and report concerns related to care, documentation, or medication storage
  • Support corrective actions with residential and day program staff
• MAC Oversight
  • Supervise and evaluate MAC-certified staff
  • Conduct training and competency validation
  • Provide guidance within nursing scope of practice
  • Ensure compliance with ADMH, ABN, and agency protocols
• Documentation & Coordination
  • Maintain clinical documentation in EHR systems (including Therap)
  • Complete incident follow-ups and medication documentation
  • Participate in staff meetings and care coordination
  • Communicate updates with providers, pharmacies, and staff
• On-Call Responsibilities
  • Participate in rotating on-call schedule for urgent needs
  • Respond to medication issues and clinical concerns
  • Complete required follow-up documentation
  • Escalate complex issues per protocol

Requirements

• Current, unencumbered RN or LPN license in Alabama
• Completion of ABN-approved training to become an MAS Nurse in ADMH Community Programs
• CPR certification required
• CPI training required through agency onboarding
• Valid driver’s license and ability to travel across Blount and Jefferson Counties
• Experience in IDD, behavioral health, or community-based nursing preferred

Skills & Competencies

• Knowledge of RN/LPN scope of practice per ABN standards
• Strong clinical assessment and documentation skills
• Proficiency in EHR systems and Therap Health Tracking
• Knowledge of medication administration and injectable procedures
• Ability to supervise MAC workers within scope
• Strong communication and teamwork skills
• Organizational and time management skills
• Ability to work independently in community settings
• Understanding of ADMH and ABN regulatory standards
• Ability to travel between multiple sites