RN Clinical Program Administrator

Work Training Center For•Chico, CA

5d•$45 - $60

About The Position

The Registered Nurse Clinical Program Administrator provides clinical leadership and administrative oversight of health care systems across WTC’s Mosaic medical model adult day programs. The position is accountable for safe nursing practice, clinical compliance, supervision of Licensed Vocational Nurse staff, review of medical admissions, health-related staff training, and integration of each client’s health needs into person-centered services. The RN works in partnership with the Day Program Manager and Program Coordinators. Program Coordinators lead daily client programming, client conferences, DSP supervision, activities, and the overall client experience. The RN has clinical authority for matters involving nursing practice, physician orders, medications, restricted health conditions, infection control, emergency response, or medical safety. The RN leads clinical systems across both locations and communicates medical matters to program leadership when they affect attendance, activities, staffing, or service delivery. The position includes clinical care and oversight, cross-program administration and regulatory compliance, LVN supervision, health-related staff training and competency validation, medical review of prospective admissions, participation in client conferences when medical issues arise, and maintaining accurate, confidential clinical records. The RN may issue clinical direction and stop or modify a health-related procedure, outing, or service activity when an immediate clinical risk exists. Local travel between program locations is required. The role is full-time, Monday through Friday, at 30 or more hours per week, with overtime as required.

Requirements

Current active California Registered Nurse license in good standing.
Current First Aid and CPR certification, or ability to obtain and maintain certifications within the timeframe established by WTC and applicable requirements.
Demonstrated ability to provide clinical oversight, supervise licensed nursing staff, organize work across more than one program location, and communicate clearly with nonclinical staff and support teams.
Ability to use WTC computer and mobile applications for communication, documentation, scheduling, and record review.
Ability to maintain confidentiality and professional boundaries and represent WTC appropriately with clients, families, care providers, agencies, and community partners.
Ability and willingness to work overtime as required.
At least 18 years of age.
Valid California driver license and driving record acceptable to WTC when driving is an assigned function.
Required Department of Justice and/or FBI fingerprint clearance.
Ability to satisfy required drug screening, medical examination, tuberculosis screening, and ongoing health requirements.
Ability to perform the stated physical activities and provide physical assistance, including assisting with transfers and positioning, operating mechanical lifts, and responding to health emergencies.
Ability to travel locally between program locations.

Nice To Haves

Experience supporting adults with developmental disabilities or complex medical needs in an adult day, community-based, school, residential, or long-term care setting.
Experience supervising LVNs and providing clinical training or competency validation to direct support staff.
Knowledge of person-centered practices, positive behavior supports, Community Care Licensing requirements, medical model adult day services, and restricted health condition requirements.
Experience with licensing surveys, quality assurance, incident review, and corrective action planning.

Responsibilities

Assess and monitor client health needs and changes in condition, and provide nursing intervention, referral, and follow-up within the RN scope of practice.
Review and implement physician and medication orders, individualized health care plans, restricted health condition plans, emergency protocols, and nursing documentation.
Provide, delegate when legally permitted, or oversee nursing services, including medication administration, enteral nutrition and hydration, diabetes care, skin and wound care, positioning, catheter and ostomy care, inhalation assistance, and tracheostomy-related supports.
Establish clinical expectations and provide timely direction when health or safety issues require immediate action.
Communicate with physicians, pharmacies, families, care providers, Regional Center personnel, and other health professionals about medical matters within applicable privacy and consent requirements.
Maintain clinical oversight across both Mosaic programs and support consistent nursing systems, documentation standards, and health and safety practices.
Monitor compliance with Community Care Licensing requirements, Title 22, applicable nursing laws and standards, WTC policies, program designs, physician orders, and client-specific health plans.
Provide required RN oversight for programs using LVN services, including at least eight hours per month at the existing Mosaic program or more when required.
Prepare for and participate in licensing reviews, surveys, audits, investigations, corrective action plans, quality assurance activities, and health-services policy updates.
Monitor clinical incidents, medication variances, changes in condition, infections, skin concerns, hospitalizations, and other trends; ensure appropriate assessment, notification, documentation, and follow-up.
Evaluate clinical staffing, supplies, adaptive and emergency equipment, and facility conditions, and recommend corrective action when needed.
Recruit, orient, supervise, coach, and evaluate LVN staff in coordination with Human Resources and program leadership.
Develop, provide, or approve health-related training for LVNs, DSPs, and DSP Leads, and validate and document staff competency for health-related procedures.
Suspend a task assignment when staff competency or safety cannot be assured.
Collaborate with Program Coordinators on DSP performance concerns involving medical care, documentation, health protocols, or safety expectations.
Participate in staff meetings and promote respectful teamwork between nursing and direct support staff.
Support medical review of prospective admissions and confirm required orders, medications, health plans, equipment, staffing supports, and emergency information are available before services begin.
Advise program leadership whether identified health needs can be safely supported within the applicable program design, staffing model, license, and scope of practice.
Provide clinical information and recommendations for person-centered planning while respecting client choice, participation, and independence.
Participate in client conferences when medical issues, changes in condition, or health-related decisions need to be addressed; present and own the medical portion of the discussion.
Complete assigned follow-up and provide Program Coordinators with relevant clinical information for goals, activities, schedules, and support planning.
Maintain accurate, timely, and confidential nursing records, medication records, assessments, physician orders, health care plans, training records, and required reports.
Ensure medication changes, new orders, hospital discharge instructions, and significant health information are communicated to appropriate staff and incorporated into current plans.
Keep the Director of Client Services, Day Program Manager, and Program Coordinators informed of significant health, safety, staffing, licensing, or compliance concerns.
Use WTC computer and mobile systems to communicate, review information, and complete documentation.
Issue clinical direction when necessary to protect client health or comply with orders, plans, law, regulation, or nursing standards; stop or modify a health-related procedure, outing, or service activity when an immediate clinical risk exists and promptly communicate the reason and next steps.
Recommend admission conditions, staffing supports, clinical equipment, and corrective action.
Perform other duties as assigned.
Travel locally between program locations.
Adhere to established dress standards and WTC safety standards.
Maintain required professional license, certifications, training, and ongoing health requirements.