Lead Registered Nurse

St. Joseph's Villa • Richmond, VA

9d

About The Position

The Lead Registered Nurse oversees clinical and medical operations within the 23-Hour Crisis Receiving Center (CRC) and Crisis Stabilization Unit (CSU). The role manages nursing services, ensures regulatory compliance, supervises and trains nursing staff, and coordinates medical and psychiatric care for youth ages 5–17 in crisis and their families.

Work aligns with the Crisis Now Model, emphasizing rapid access, warm hand-offs, and systems collaboration to ensure the right care at the right time.

Requirements

• Registered Nurse (RN).
• Unrestricted RN license in Virginia.
• DEA registration required if applicable.
• At least 5 years of clinical experience, including crisis and leadership roles.
• CPR, First Aid, and pharmacology certifications.
• Strong leadership and supervisory abilities.
• Excellent communication and crisis management skills.
• Knowledge of trauma-informed care and DBHDS/DMAS standards.
• Proficiency in MS Office and electronic health record systems.
• Valid Virginia driver’s license and clean driving record.
• Successful completion of a background check and fingerprinting.

Nice To Haves

• APRN or PMHNP.

Responsibilities

• Conduct and/or delegate rapid medical and nursing assessments for all youth admissions.
• Ensure continuous 24/7 nursing coverage and quality clinical services.
• Oversee medication management, physician orders, and coordination with psychiatric providers.
• Provide and supervise crisis and safety planning, discharge coordination, and health education.
• Respond to medical and psychiatric emergencies.
• Develop and manage nursing schedules and fill shifts when needed.
• Attend interdisciplinary and management meetings.
• Ensure policies and procedures meet VA DBHDS and other regulatory standards.
• Lead continuous quality improvement efforts and audit clinical documentation.
• Supervise, mentor, and evaluate RNs and LPNs.
• Participate in hiring, training, and performance management.
• Provide onboarding for new clinical staff and ensure ongoing professional competency.
• Maintain certification as a VA Medication Administration Trainer.
• Maintain HIPAA and accreditation standards.
• Oversee medication dispensing and record-keeping accuracy.
• Evaluate and enhance work processes for compliance and quality outcomes.
• Facilitate coordination of care and community linkage upon discharge.
• Support crisis intervention and connect families to resources.
• Participate in the on-call rotation for crisis services.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed