Community Living Registered Nurse (RN)

Behavioral Health AlliesKansas City, MO
Remote

About The Position

The Community Registered Nurse (RN) is responsible for overseeing the medical, health, and wellness needs of individuals served within Community Living residential programs. This role ensures the development, implementation, and ongoing monitoring of individualized health care plans, in accordance with Missouri Department of Mental Health (DMH) Division of Developmental Disabilities standards, physician orders, and best nursing practices. The Community RN provides clinical oversight, assessment, delegation, training, and monitoring of health-related services, ensuring that all medical supports are delivered safely, accurately, and consistently across residential settings. This role operates independently across multiple homes and is accountable for ensuring that individuals receive coordinated, person-centered, and compliant medical care that supports their overall health and quality of life.

Requirements

  • Active Registered Nurse (RN) license in the State of Missouri
  • Bachelor’s degree in Nursing
  • Current CPR/First Aid certification
  • Minimum of 2 years of nursing experience
  • Strong clinical assessment and critical thinking skills
  • Knowledge of DMH/DD regulations and nursing standards
  • Ability to develop and monitor individualized health care plans
  • Strong organizational and documentation skills
  • Ability to work independently across multiple sites
  • Strong communication and training skills
  • High level of accountability and attention to detail
  • Strong leadership presence with an ownership mentality
  • Ability to train, coach, and hold staff accountable
  • Innovative problem-solver who challenges outdated practice
  • High accountability and follow-through
  • Ability to manage multiple priorities in a fast-paced, 24/7 environment
  • Ability to lead calmly and decisively in high-pressure situations
  • Proficiency in Microsoft Office and operational data management systems
  • Employees must maintain professional conduct, sound clinical judgment, and emotional regulation at all times, including during medical or behavioral escalations.
  • Employees must follow all BHA nursing standards, safety protocols, and applicable regulatory requirements, including DMH and Nurse Practice Act guidelines.
  • Employees are expected to maintain situational awareness and clinical oversight within residential environments to ensure safe and effective medical care.
  • Employees must be able to provide training, delegation, and monitoring of nursing tasks to staff in accordance with DMH and nursing standards.
  • Continuous attentiveness is required to identify and respond to changes in individuals’ medical conditions; failure to act on health concerns may result in risk to individuals served.
  • Employees must maintain confidentiality, professionalism, and respect toward all individuals served, families, and staff.

Nice To Haves

  • Experience with individuals with developmental disabilities preferred
  • Experience in community-based or residential settings preferred

Responsibilities

  • Conduct face-to-face nursing assessments for individuals served
  • Develop, implement, and monitor individualized health care plans in accordance with DMH standards
  • Review and ensure accuracy of physician orders and medical documentation
  • Monitor medication administration systems (MARs) for accuracy and compliance
  • Assess effectiveness of medications and monitor for side effects
  • Review and interpret lab results and ensure appropriate follow-up
  • Monitor key health indicators (vitals, weight, seizures, bowel, blood sugar, etc.)
  • Identify trends and implement proactive interventions
  • Delegate nursing tasks in accordance with Missouri Nurse Practice Act and DMH standards
  • Train and supervise staff on delegated tasks (e.g., medication administration, specialized supports)
  • Ensure staff competency and ongoing compliance with delegated responsibilities
  • Provide ongoing monitoring and re-evaluation of delegated tasks
  • Conduct L1MA (Level 1 Medication Aide) training and oversight
  • Conduct regular audits of medical records, MARs, and documentation
  • Ensure compliance with DMH, Medicaid waiver, and licensing standards
  • Monitor incident reports related to health and medical issues
  • Ensure follow-up on hospitalizations, ER visits, and significant events
  • Maintain readiness for audits and regulatory reviews
  • Communicate with families regarding medical needs and updates
  • Coordinate medical appointments and follow-up care
  • Collaborate with external providers to ensure continuity of care
  • Participate in care planning and interdisciplinary meetings
  • Conduct staff training and supervision of delegated tasks to staff
  • Participate in on-call rotations for medical situations
  • Complete all documentation, billing, and reporting requirements in accordance with BHA and regulatory guidelines
  • Uphold BHA’s mission, values, and Standards of Excellences values in all work performed
  • Participate in meetings, trainings, and organizational initiatives
  • Support additional nursing or operational needs as assigned

Benefits

  • Bonus program
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