Community Health Nurse

Woods Services•Levittown, PA

3d•Onsite

About The Position

The Community Health Nurse supports the health and wellness of individuals with intellectual and developmental disabilities who live in community homes regulated by Pennsylvania’s 6400 and 6100 regulations. The role ensures compliance with applicable regulatory standards and provides clinical oversight, staff training, and ongoing health monitoring. The nurse conducts nursing assessments and residential site rounds, monitors health changes, supports safe medication practices, completes required documentation and reports, and coordinates with providers, families, residential staff, and interdisciplinary care teams. The position also provides clinical guidance and training to direct support staff and tracks follow-up related to appointments, labs, and specialist visits.

Requirements

Current Pennsylvania licensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN).
At least 2 years of nursing experience; community health, home health, or intellectual/developmental disability services experience is preferred.
Skill in using feeding pumps and administering parenteral nutrition and medications through G-tubes, J-tubes, and GJ-tubes.
Willingness to receive training and work with tracheostomy- and ventilator-dependent clients.
Strong clinical assessment, critical-thinking, and communication skills.
Proficiency in Microsoft Office and electronic health record systems.
Maintain current BLS certification.
Ability to work flexible hours to meet the needs of WCS and residents.
Good interpersonal and communication skills.
Current, valid driver’s license, acceptable Motor Vehicle Record (MVR) as required by Woods’ insurance company, and successful completion of SMITH driver training.
Ability to lift at least 50 pounds; be agile; physically pursue clients on foot; physically restrain; bend, squat, stretch, reach, push up, and stand for several hours at a time.

Nice To Haves

Nursing experience in community health, home health, or intellectual/developmental disability services.

Responsibilities

Ensure health-related services comply with Pennsylvania DHS Chapter 6400 and 6100 regulations.
Complete and maintain Lifetime Medical Summaries for individuals as required by 6400 regulations.
Ensure health service documentation is accurate, timely, and accessible in accordance with licensing requirements.
Conduct weekly nursing assessments for individuals in assigned homes.
Conduct regular rounds at residential sites to assess health status, infection control practices, and safety conditions.
Prepare and distribute weekly nursing reports to the interdisciplinary care team.
Participate in 90-day medication reviews with prescribing providers and the care team.
Monitor acute and chronic health changes and ensure timely provider follow-up.
Train direct support staff on health topics, including medication administration, infection control, seizure response, and diabetes care.
Provide on-site coaching to staff during rounds or when health service concerns arise.
Support new staff orientation and competency checks for medication administration.
Serve as the HCSIS point person for reportable medical incidents.
Conduct monthly Medication Administration Record (MAR) audits and perform medication-pass observations as needed, providing staff feedback on safe practices.
Complete prior authorizations and medication refill requests with providers and pharmacies.
Ensure individuals have appropriate medication equipment and supplies, such as glucometers, inhalers, and PRN medications.
Communicate regularly with the Medical Director, Director of Nursing, House Supervisors, and interdisciplinary team members.
Attend care planning meetings, hospital discharge meetings, and other relevant team discussions.
Serve as a clinical resource to residential staff and families regarding health conditions and treatment plans.
Maintain clear, timely, and complete documentation in the agency’s electronic health record system.
Track and follow up on medical appointments, laboratory work, and specialist visits.
Ensure consultation forms and post-appointment notes are completed and reviewed.
Collaborate with case managers to ensure families are informed about residents’ health status, appointments, and changes in condition.
Perform other duties as assigned.