RN Clinical Program Administrator

Work Training Center For•Chico, CA

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 RN is accountable for safe nursing practice, clinical compliance, supervision and evaluation of Licensed Vocational Nurse (LVN) staff, medical admission review, 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. The RN leads clinical systems across both program locations and has clinical authority concerning nursing practice, physician orders, medications, restricted health conditions, infection control, emergency response, and medical safety. Program Coordinators retain responsibility for daily client programming, client conferences, DSP supervision, activities, and the overall client experience. The RN provides clinical direction to DSPs and DSP Leads but is not their administrative supervisor, and keeps Program Coordinators informed when medical matters affect attendance, activities, staffing, or service delivery. The position oversees nursing care, clinical documentation, regulatory compliance, staff training and competency, medical admission review, client health planning, and communication with health professionals and families. The RN may issue clinical direction or stop or modify a health-related procedure, outing, or service activity when an immediate clinical risk exists. The role includes local travel between program locations and may require physical assistance with transfers, positioning, and health emergencies.

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.
Must be 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.
Maintain required professional license, certifications, and training, and adhere to WTC dress and safety standards.

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, providing nursing intervention, referrals, 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 related nursing documentation.
Provide, delegate when legally permitted, or oversee nursing services such as 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 a health or safety issue requires 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, 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 by applicable requirements or needs.
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 as required.
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, participate in client conferences when medical issues require discussion, and complete assigned follow-up.
Maintain accurate, timely, 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 health-related procedures, outings, or service activities when an immediate clinical risk exists.
Perform other duties as assigned.