RN, House Supervisor - Full-time, Days

Home of the Innocents•Louisville, KY

1d•Onsite

About The Position

The RN House Supervisor provides clinical and operational leadership during an assigned shift in a residential/skilled nursing setting serving children and families. The role supervises and coordinates nursing, respiratory, and support staff; guides care delivery; addresses emergent concerns; and promotes continuity, accountability, and quality outcomes across the campus. Working within the RN scope of practice, the House Supervisor supports team members and models Excellence, Wellness, Empowerment, and Compassion. In collaboration with the Director of Nursing, providers, and the interdisciplinary team, the RN House Supervisor promotes resident-centered care that meets or exceeds applicable federal, state, local, and facility standards. The position serves as the highest-level clinical authority on site during the assigned shift and may also take a full resident assignment when staffing is low or acuity increases, while maintaining supervisory oversight. This is an on-site, full-time role at the Kosair for Kids Complex Care Center in a 24/7 care environment. Shifts may include days, evenings, nights, weekends, and holidays based on resident and staffing needs. Mandatory or voluntary overtime may be required during high census, emergencies, or staffing shortages. Reliable transportation to and from work is required.

Requirements

Associate’s degree in Nursing (ADN).
Current, unencumbered Commonwealth of Kentucky Registered Nurse (RN) license.
Current CPR/Basic Life Support (BLS) for healthcare providers; the employer may provide it as needed.
At least one year of direct-care RN experience in acute care or long-term care.
Excellent leadership, interpersonal, and motivational skills, including the ability to build trauma-informed relationships and encourage teamwork among a diverse workforce.
Ability to work independently with flexibility, integrity, professionalism, and compassion across diverse populations and crisis situations.
Strong analytical, clinical assessment, and critical-thinking skills.
Excellent verbal and written communication skills.
Strong proficiency with EHR documentation and clinical communication workflows.
Understanding of, or willingness to learn, long-term skilled nursing federal, state, and local regulations and guidelines.
Strong time management and prioritization skills in a fast-paced, 24/7 care environment.
Competence in safe resident handling, infection prevention and control, and operating, monitoring, and maintaining medical equipment according to training, manufacturer guidelines, and facility protocols.
Ability to meet pre-employment and ongoing policy requirements, such as background checks, drug screening, health/TB screening, immunizations, and fit testing.
Ability to read, write, and communicate effectively in English.
Ability to physically attend and participate in continuing education, mandatory in-services, and training.
Reliable transportation to and from work.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Six months of supervisor or charge nurse experience.
Cardiopulmonary and/or ventilator or tracheostomy care experience.
Pediatric and/or long-term care experience.
Experience with palliative and end-of-life care.
Bilingual or multilingual communication skills.
Experience supporting individuals with developmental and intellectual disabilities.
Knowledge of trauma-informed care principles.

Responsibilities

Supervise and coordinate resident care delivered by nursing and respiratory staff in accordance with care plans, physician orders, regulations, and facility policies.
Provide on-site clinical leadership and serve as the highest-level clinical authority and resource for complex decisions and emergent situations during the assigned shift.
Assess residents, respond to ventilator and monitoring alarms, troubleshoot medical equipment, and promptly escalate significant changes in condition.
Provide direct resident care and assume a full resident assignment when staffing is low or acuity increases, while maintaining supervisory oversight and continuity of care.
Ensure accurate, timely, and complete EHR documentation in compliance with HIPAA, CMS, and state requirements.
Collaborate with the Staffing Coordinator and leadership to adjust assignments based on resident acuity.
Review, clarify, and update physician orders with providers and the interdisciplinary team.
Communicate professionally and promptly with parents or guardians about changes in condition, new orders, transfers, and emergencies.
Coordinate admissions, transfers, and discharges, ensuring safe transitions and accurate documentation.
Monitor medication administration, high-risk treatments, and specialized therapies, including ventilator care, tracheostomy care, and enteral feeding.
Enforce infection prevention and control protocols, OSHA standards, and safety procedures.
Support behavior management strategies while meeting residents’ physical and emotional needs in a therapeutic setting.
Participate in quality improvement initiatives, incident reviews, and corrective action processes.
Collaborate with respiratory therapy, therapy services, social services, leadership, and other interdisciplinary departments to coordinate resident-centered care.
Treat service recipients, families, team members, and visitors fairly and respectfully, protect confidentiality, and promptly report concerns about abuse, neglect, or maltreatment.
Perform other duties as assigned.