Lead Registered Nurse

Caregiver • Granbury, TX

5d

About The Position

The Lead Registered Nurse oversees nursing operations and supports high-quality, person-centered care for individuals with intellectual and developmental disabilities (IDD). The role provides leadership, supervision, and mentorship to nursing staff; coordinates care delivery and staffing coverage; and provides direct clinical support when needed. The Lead RN also serves as a clinical resource for complex medical and behavioral cases, partners with physicians, pharmacies, and interdisciplinary teams, and supports staff onboarding, training, and development.

Requirements

• Active RN license; a multistate license is preferred if applicable.
• Associate’s Degree in Nursing required.
• At least 3 years of clinical nursing experience.
• At least 1 year supporting IDD, developmental disabilities, or long-term care populations.
• Strong leadership, coaching, and problem-solving skills.
• Experience with documentation systems (EHR) and Microsoft Office tools.
• Ability to manage priorities, travel locally, and respond to urgent needs.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• Multistate RN license, if applicable.

Responsibilities

• Provide leadership, supervision, and mentorship to RNs and LVNs/LPNs.
• Coordinate care delivery and ensure appropriate staffing coverage.
• Provide direct clinical support when needed.
• Review assessments, care plans, and documentation for accuracy and compliance.
• Serve as a clinical resource for complex medical and behavioral cases.
• Partner with physicians, pharmacies, and interdisciplinary teams.
• Lead audits, incident reviews, and quality improvement initiatives.
• Ensure compliance with federal, state, and organizational standards.
• Support onboarding, training, and ongoing development of nursing staff.

Benefits

• Opportunity to make a meaningful impact in the lives of individuals and families.
• Supportive environment for leadership career growth.
• Mission-driven, collaborative team.
• Opportunity to help shape clinical quality and best practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree