About The Position

The LPN II provides direct service and daily nursing care in a medically intensive program serving people diagnosed with brain injuries, developmental delays, or intellectual disabilities who have complex medical needs. The LPN II assumes overall responsibility for the program during the designated shift as lead staff/nurse. Care must be respectful, dignified, high-quality, person-centered, and supportive of individual choices. The position implements treatment and care plans, provides activities-of-daily-living support and skilled nursing interventions, monitors changes in client status, and ensures equipment and assistive devices are ready for use. The LPN II clinically supervises CNAs during designated shifts, supports staff training, communicates with clients’ care networks and colleagues, and completes accurate nursing and medication documentation in accordance with Vinfen policy and applicable standards. The role also helps maintain a safe, clean, welcoming, and regulation-compliant environment that encourages client participation and respects preferences. This is a physically active role requiring movement and assistance with clients’ daily living tasks. Driving is required, using either a Vinfen van or a personal vehicle. The pay range is USD $40.49 per hour.

Requirements

  • Massachusetts Licensed Practical Nurse license.
  • High school diploma or equivalent.
  • CPR certification, required within two weeks of hire.
  • Safety Care training, required within two weeks of hire.
  • Valid driver’s license presented at employment; at least 21 years of age; valid U.S. driver’s license held for at least six months; and ability to pass a driver-screening background check.
  • If using a personal vehicle, maintain adequate insurance and a safe driving record, subject to annual checks.
  • Ability to stand, walk, bend, kneel, stoop, crouch, crawl, climb, sit, reach, climb stairs, and maneuver through narrow spaces or hallways.
  • Ability to lift at least 25 pounds using proper lifting techniques or a two-person lift, and to assist clients with activities of daily living.
  • Ability to operate a computer and office equipment such as a calculator, copier, and printer.
  • Ability to speak, hear, and communicate with clients, staff, and external representatives.
  • Required vision abilities include close, distance, color, peripheral, and depth vision, and the ability to adjust focus.
  • Knowledge of LPN practice standards and intervention techniques.
  • Strong commitment to the rights and abilities of individuals with complex health issues.
  • Sensitivity to cultural, religious, ethnic, age, gender, and disability issues.
  • Skills and competency to develop supportive, trusting relationships with clients.
  • Knowledge of teaching and learning modalities.
  • Ability to supervise and mentor CNAs.
  • Knowledge of evidence-based practices and commitment to appropriate adherence.
  • Knowledge and use of different communication and learning styles and supervisory techniques.
  • Knowledge of organizational, strategic, participatory, and collaborative skills.
  • Knowledge of formal and informal assessment practices.

Nice To Haves

  • Experience working with individuals with developmental disabilities, intellectual disabilities, or brain injuries.
  • One to two years of supervised practical experience, including internships, in a clinical or rehabilitation setting; helpful but not required.
  • Experience working with people with developmental and/or psychiatric disabilities, medical illnesses, and other co-occurring disorders.
  • Associate’s degree.
  • May be asked to obtain CBIS (Certified Brain Injury Specialist) certification.
  • Bi-lingual/bi-cultural applicants and applicants with lived experience are encouraged to apply.

Responsibilities

  • Implement person-centered treatment and care plans in accordance with medical orders.
  • Assist individuals with activities of daily living, including showering, dressing, shaving, mouth care, foot care, and diabetes care, as specified in each person’s plan.
  • Complete skilled nursing care, including wound care, GT/JT care, tracheostomy care, and nutritional support.
  • Monitor and observe clients for changes in status and report issues promptly to the PD, SPD when needed, and Program Nurse.
  • Provide care using best practices while preserving each person’s dignity and choices.
  • Ensure ADLs are completed and assistive devices are in working order, available, and ready for use.
  • Perform individualized assessments when status changes and provide skilled nursing interventions as indicated.
  • Clinically supervise CNAs during designated shifts and provide in-the-moment training when needed.
  • Ensure care is completed accurately and on time, meets ISP goals, addresses the whole person, and satisfies program quality-control monitoring.
  • Communicate and meet with the RN Manager as needed.
  • Maintain communication with primary care providers, family members, guardians, significant relationships, Vinfen employees, outside and community agencies, and neighbors.
  • Document nursing care and treatments as ordered by the primary care provider and in accordance with Vinfen policies and procedures.
  • Document medication administration according to Vinfen policy and procedure and MAP standards.
  • Ensure documentation is complete and accurate, including shift notes, daily communication, treatment protocol data, medication administration sign-offs, and controlled-substance counts; review CNA and direct-care staff medical documentation.
  • Maintain a safe, clean, comfortable, and welcoming environment for individuals, families, guardians, visitors, and other significant people.
  • Ensure the environment meets regulatory requirements and promotes clients’ active participation in the residence.
  • Respect clients’ preferences and choices.

Benefits

  • Fully funded 401(a) employer-sponsored retirement plan requiring no employee contribution, and an employee-funded 403(b) plan.
  • Medical, dental, and vision plans for employees scheduled to work 30 hours per week or more, with an employer contribution toward medical insurance.
  • Employer-paid life, accidental death and dismemberment, and long-term disability insurance.
  • Employer-paid short-term disability insurance for eligible employees.
  • Flexible Spending Reimbursement Accounts for health and dependent care.
  • Voluntary term life, whole life, accident, critical illness, and hospital indemnity insurance.
  • Paid time off for employees scheduled to work 20 hours or more per week.
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