Community Living Registered Nurse (RN)

Behavioral Health Allies•Kansas City, MO

6d•Hybrid

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Innovative problem-solver who challenges outdated practice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.
Work hours may vary based on organizational needs, including occasional evenings, weekends, or on-call responsibilities.
The employee may have access to Protected Health Information (PHI). Employees must always protect the confidentiality of all client information. This includes adhering to all BHA policies and all applicable state and federal regulations regarding Protected Health Information (PHI). Sharing, discussing, or disclosing PHI in any form—verbal, written, electronic, or visual—is strictly prohibited unless explicitly authorized and required for job duties.

Nice To Haves

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

Responsibilities

Ensures all health care services are delivered with dignity, respect, and compassion
Protects the health, safety, and rights of individuals served
Advocates for appropriate medical care and treatment
Develops and maintains individualized health care plans based on each person’s medical needs
Ensures plans reflect physician orders, diagnoses, and personal needs
Promotes autonomy and informed decision-making in health care
Coordinates with physicians, specialists, pharmacies, and external providers
Supports integration of medical care within daily routines and environments
Ensures continuity of care across providers and settings
Monitors overall health status, including physical, behavioral, and medical conditions
Tracks trends in health indicators (weight, vitals, labs, behaviors, etc.)
Identifies and responds to changes in condition proactively
Ensures staff are trained to support individuals’ health needs within daily routines
Promotes independence in health-related skills where appropriate
Provides education to individuals and staff
Ensures all medical documentation is accurate, complete, and compliant with DMH standards
Reviews physician orders, MARs, and documentation regularly for accuracy
Maintains compliance with all regulatory, licensing, and organizational requirements
Works closely with Operations, Clinical, and Direct Support teams
Provides guidance and training to staff on medical and health-related supports
Participates in interdisciplinary team meetings
Ensures consistent implementation of medical and health care plans across all homes
Monitors staff compliance with delegated nursing tasks
Provides follow-up and oversight to ensure quality and safety
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