Lead Registered Nurse

Caregiver • Granbury, TX

7d

About The Position

The Lead Registered Nurse oversees nursing operations and supports and develops nursing staff while ensuring high-quality, person-centered care for individuals with intellectual and developmental disabilities (IDD). The role combines clinical expertise with nursing leadership. The Lead RN coordinates care delivery and staffing, provides direct clinical support when needed, and serves as a clinical resource for complex medical and behavioral cases. The position also works with physicians, pharmacies, and interdisciplinary teams and leads audits, incident reviews, and quality improvement initiatives.

Requirements

• Active RN license; multi-state license 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

• BSN preferred.
• Multi-state RN license preferred 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

• Meaningful work impacting individuals and families.
• Leadership career growth in a supportive environment.
• Collaborative, mission-driven 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