Registered Nurse

YAI•Southampton, NJ

About The Position

The Registered Nurse provides nursing services to people supported in assigned programs or systems, collaborating with direct support staff and program leadership. The role includes regular on-site engagement, observations, assessments, staff training, clinical coordination, and support for medical needs. The nurse uses the nursing process to assess individuals, establish person-centered goals, implement interventions, evaluate responses to treatment, and update care as needed. The position also provides health education, triages medical calls during and outside regular hours, documents care, and coordinates with internal and external providers. The nurse develops and maintains knowledge of applicable nursing standards and regulations. Responsibilities include reviewing medical records and test results, writing and updating nursing care plans, overseeing medical documentation and systems such as EHR and eMAR, and training direct care staff in medication administration and specialized care. The role may involve intake assessments, addressing complaints and audit findings, supporting LPNs and other nursing staff, and participating in committees, projects, or training development. The position participates in a rotational residential nursing on-call system as applicable, including responding to incidents, inquiries, or emergencies on a 24/7 basis within 30 minutes when required by applicable guidelines. The nurse must regularly travel to assigned programs, respond to medical concerns outside scheduled working hours, maintain required certifications, and comply with HIPAA and other applicable requirements. Compensation is $55.00 per hour.

Requirements

Valid, active Registered Nurse license and/or registration to practice in the assigned state of operations (New York or New Jersey).
Current Basic Life Support certification for Healthcare Providers, or obtain it within 90 days of appointment, and maintain it for the duration of the assignment.
Sound clinical judgment in selecting methods and techniques to address medical concerns.
Excellent interpersonal, verbal, and written communication skills, including the ability to communicate medical information to people supported, staff, circles of support, and external medical providers.
Ability and willingness to lead, direct, and teach program staff in medical support, medication administration, and specialty care, both on the job and in formal group or individual training.
Computer and electronic-systems proficiency, including ability to use or quickly learn applicable equipment and software, electronic medical records, billing and I/DD-related systems, email, Microsoft Office Suite, and Workday.
Strong organization and flexibility, with the ability to manage multiple priorities and meet requirements and deadlines.
Ability to obtain and maintain additional certifications required for assigned programs, systems, or people supported, which may include SCIP-R, Diabetes Care, or Train-the-Trainer training.
Ability to regularly report to assigned programs and travel between programs as required.
Ability to respond to or triage medical calls outside regularly scheduled working hours and be on call as needed.
Ability to meet physical demands, including frequent walking, sitting, standing, bending, twisting, stooping, kneeling, crouching, pushing, pulling, reaching, and handling or feeling objects, tools, or controls.
Ability to assist with lifting or moving individuals of any weight using mechanical lifts or other equipment, push individuals in wheelchairs, occasionally lift or move up to 25 pounds, and implement emergency interventions under a person’s Behavior Support Plan as needed.

Nice To Haves

Previous nursing experience in any setting, such as a hospital or clinic.
Two years of experience supporting people with I/DD, mental health or related needs, or individuals in crisis, including in a nursing home, assisted living facility, rehabilitation center, or setting applicable to the assigned caseload.
Working knowledge of I/DD, related diagnoses, and applicable state regulations such as OPWDD or DDD.

Responsibilities

Provide nursing services to people supported in assigned programs or systems in collaboration with direct support staff and program leadership.
Regularly report on-site to engage with people supported and staff, conduct observations and assessments, and provide training.
Maintain knowledge of regulations and nursing standards applicable to assigned programs, states, and care needs.
Use the nursing process to assess conditions, establish person-centered goals, implement interventions, evaluate progress, and update care as needed.
Assess health-care learning needs and educate people supported about treatments, diets, medications, diagnostic follow-up, and healthy lifestyles.
Collect assessment information, including vital signs, social history, chief complaints, and current concerns.
Triage calls from staff, leadership, or people supported during and outside regular working hours, recommend appropriate actions or destinations, and document according to protocols.
Observe, record, and report conditions, treatment responses, drug reactions, and complaints to appropriate medical providers.
Document calls, correspondence, and encounters in electronic or paper systems in accordance with guidelines and timelines.
Write, review, and update Plans of Nursing Service and other individualized nursing care plans; complete required reports and forms.
Review medical records, diagnostic tests, labs, evaluations, and other clinical information; take appropriate action and coordinate care with providers and other parties, including during hospitalizations.
Present health information and respond to inquiries in team or person-specific meetings; provide nursing support in other service settings or systems as requested.
Oversee medical care, documentation, EHR, and eMAR for the assigned caseload, including training direct care staff and management on individual medical needs.
Provide in-service training and ongoing oversight for staff performing medication administration or supporting complex or specialized medical needs.
Participate in intake assessments by reviewing records, observing or assessing individuals, and making recommendations when requested.
Help address complaints, incidents, audit findings, and other concerns in collaboration with internal and external parties, and participate in resolving deficiencies as directed.
Participate in a regularly scheduled rotational residential nursing on-call system as applicable, providing coverage and responding to emergencies or inquiries, including 24/7 response within 30 minutes where required.
Keep current with applicable regulations and standards, infection control, and nursing care requirements; complete required training.
Assist with oversight of LPNs, including clinical guidance, training, directing activities, and reviewing or signing documentation where applicable.
Support training and mentorship of less experienced or newly hired nursing staff as needed.
Participate in committees, special projects, and development of medical in-service trainings or assessments as requested.
Comply with applicable regulatory requirements, including HIPAA, and perform other assigned duties.