Registered Nurse (RN) | Community-Based in Monett

THE ARC OF THE OZARKS•Monett, MO
•$72,400 - $0•Onsite

About The Position

The Community Registered Nurse provides nursing care, clinical guidance, education, and oversight for individuals with developmental disabilities in community-based residential settings. The role supports individuals’ health, safety, independence, and quality of life while coordinating care with individuals, families and guardians, physicians, direct support professionals, and agency teams. The position is based in Monett, Missouri, with community-based travel to surrounding areas and occasional travel to other Arc of the Ozarks locations; accommodations are provided for required overnight travel. A fleet vehicle or mileage reimbursement is available for eligible work travel. The nurse assesses individuals’ health, provides nursing care and counseling, coordinates health care plans, monitors physician orders and changes in health status, and documents care. The role also oversees medication administration by certified Medication Aides and delegated nursing tasks performed by direct support staff, ensuring staff are trained and competent. Additional work includes staff education and specialized training, periodic visits to programs and residences, review of medical records and practices, quality-control activities, and communication with agency teams about medical needs and treatment. The position participates in an after-hours on-call rotation, approximately five weekends per year, and may receive occasional after-hours calls for telephone consultation. This is a full-time, Monday–Friday position. Starting pay is $72,400 per year, with additional compensation based on relevant experience and a $5,000 sign-on bonus paid in three increments at 90 days, six months, and nine months. Benefits include medical, vision, dental, and life insurance with no waiting period, employer-paid life and AD&D coverage, a 403(b) plan with an employer match of up to 4% after one year, paid vacation and sick time, seven paid holidays, a paid birthday off, and other listed benefits.

Requirements

  • Current registered nurse license and registration issued by the State of Missouri.
  • Ability to communicate effectively in oral and written form.
  • Ability to accurately report and document observations.
  • Ability to exercise good judgment and discretion.
  • Ability to work respectfully with individuals with disabilities and advocate for their rights.
  • Ability to learn and apply crisis intervention and behavior support techniques.
  • Ability to administer medications, including oral, rectal, vaginal, optic, ophthalmic, nasal, and topical medications, and insulin injections.
  • Ability to teach basic skills and model adaptive behaviors at home and in the community.
  • Ability to maintain a safe, clean, and supportive environment for individuals served.
  • Ability to establish positive relationships with individuals, families and guardians, Direct Support Professionals, and other support-team members.
  • Ability to accept and adapt to changes in assignments, methods, and policies.
  • Ability to stand, stoop, lift up to 50 pounds, and push and pull items.
  • Ability to successfully complete CPR, First Aid, and Behavior Intervention training.
  • Ability to maintain reliable attendance and punctuality.
  • Passion for working with individuals with disabilities and supporting their independence and community participation.
  • Willingness to receive feedback, learn, and grow.

Nice To Haves

  • At least three years of nursing experience in a hospital, long-term care, community health facility, or similar setting.
  • Previous experience working with individuals with developmental disabilities.
  • Experience providing staff education, training, or clinical oversight.
  • Interest in networking and community partnerships.

Responsibilities

  • Provide nursing assessments, diagnoses, care, and counseling to individuals who are ill, injured, or experiencing changes in health.
  • Conduct monthly assessments to evaluate health concerns and identify changes in health status.
  • Coordinate and assist with delivery of health care plans with each individual's support team.
  • Monitor implementation of physicians’ orders, including treatments, procedures, laboratory work, appointments, specialized diets, and adaptive equipment.
  • Monitor and document changes in health status, needs, and identified concerns.
  • Serve as a liaison among physicians, medical professionals, individuals, families and guardians, and Arc staff regarding medical needs and treatment.
  • Oversee medication administration by certified Medication Aides, including review of physician orders and medication administration records, staff documentation, technique, skills, and medication storage.
  • Oversee nursing tasks delegated to direct support staff and ensure staff are trained, competent, and appropriately documented for assigned tasks.
  • Provide medication-administration instruction in accordance with Missouri Department of Mental Health guidelines.
  • Conduct specialized training and certifications for direct support staff based on individuals’ medical needs, including insulin, catheter, and feeding-tube care.
  • Provide direction, training, and oversight regarding medical practices and procedures conducted by Arc staff.
  • Educate staff, individuals, and families about health care and illness prevention.
  • Visit programs and residences to review medical records and monitor medical practices.
  • Complete required nursing documentation and records, including documenting nursing time and activity for auditing purposes.
  • Support quality-control activities related to nursing care and delegated services.
  • Communicate with agency management and habilitation teams about medical needs, health-status changes, and appropriate treatment.
  • Conduct periodic screenings for tardive dyskinesia and other observed side effects of psychotropic medication.
  • Inspect and evaluate prescribed adaptive equipment and protective devices.
  • Support individuals with activities of daily living and other assigned medical needs as required.
  • Participate in an after-hours on-call rotation and provide telephone consultation when needed.
  • Travel to surrounding communities and, rarely, other Arc of the Ozarks locations as needed.

Benefits

  • Medical insurance with a 0-day waiting period.
  • Vision insurance with a 0-day waiting period.
  • Dental insurance with a 0-day waiting period.
  • Life insurance with a 0-day waiting period.
  • Employer-paid life insurance and AD&D coverage.
  • 403(b) retirement plan with immediate enrollment option and employer match up to 4% after one year of service.
  • Paid vacation and sick time.
  • Seven paid holidays per year.
  • Paid birthday day off.
  • Monthly cell phone reimbursement stipend.
  • Fleet vehicle or mileage reimbursement for eligible work travel.
  • Fitness center membership discount for full-time employees.
  • Employee Assistance Program.
  • Wellness Program.
  • Opportunities for advancement.
  • Annual wage increase potential.
  • Verizon and AT&T phone discounts.
  • $5,000 sign-on bonus, paid in three increments at 90 days, six months, and nine months.
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