RN, House Supervisor - Full-time, Days

Home of the Innocents•Louisville, KY

3d•Onsite

About The Position

The RN House Supervisor provides clinical and operational leadership during an assigned shift at the Kosair for Kids Complex Care Center. The role supervises nursing, respiratory, and support staff; coordinates resident care; addresses emergent concerns; and promotes continuity, accountability, and quality outcomes across the campus. Working within the RN scope of practice, the supervisor guides team members and collaborates with the Director of Nursing and interdisciplinary team to promote quality of life and meet applicable federal, state, local, and facility standards. The role models Excellence, Wellness, Empowerment, and Compassion to support children, families, and team members. This is an on-site, shift-based role in a 24/7 residential/skilled nursing environment. Shifts may include days, evenings, nights, weekends, and holidays according to resident and staffing needs. The position may involve mandatory or voluntary overtime during high census, emergencies, or staffing shortages. The supervisor may also provide direct resident care when staffing is low or acuity is elevated, while maintaining supervisory oversight. The position does not have direct supervisory responsibilities but indirectly supports a diverse team. It reports to the Director of Nursing and collaborates with the Vice President of Nursing, Neighborhood Nurse Managers, and the Interdisciplinary Team.

Requirements

Associate’s degree in Nursing (ADN).
Current, unencumbered Commonwealth of Kentucky Registered Nurse (RN) license.
One year of direct-care RN experience in acute care or long-term care.
Current CPR/Basic Life Support (BLS) for healthcare providers; the employer may provide it as needed.
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.
Excellent time management and prioritization skills in a fast-paced, 24/7 care environment.
Ability to use safe resident-handling techniques and follow infection prevention and control practices.
Knowledge and competency to operate, monitor, and maintain medical equipment according to training, manufacturer guidelines, and facility protocols.
Ability to meet pre-employment and ongoing 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 stand for prolonged periods; move frequently; bend, kneel, and reach; and push, pull, move, or lift at least 35 pounds unassisted using proper body mechanics.
Visual, auditory, and tactile acuity to monitor residents, equipment, and safety cues.
Ability to attend and participate physically in continuing education, mandatory in-services, and training.
Ability to operate computers and EHR systems, phones, and nursing/medical equipment.
Ability to work in conditions involving possible exposure to blood, bodily fluids, infectious diseases, air contaminants, and hazardous chemicals, while adhering to PPE, infection control, HIPAA, and OSHA standards.
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/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 daily resident care provided by nursing and respiratory staff, ensuring care follows individualized care plans, physician orders, regulatory standards, and facility policies.
Provide on-site clinical leadership during the assigned shift and serve as the highest-level clinical authority and resource for complex decisions and emergent situations.
Assess resident conditions, respond to ventilator and monitoring alarms, troubleshoot medical equipment, and escalate significant changes in condition to providers and leadership.
Provide direct resident care when staffing is low or acuity is increased, including taking a full resident assignment 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 with parents and guardians about changes in condition, new orders, transfers, and emergencies.
Coordinate admissions, transfers, and discharges during the assigned shift, supporting 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 attending to 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, and leadership to coordinate resident-centered care.
Treat service recipients, families, team members, and visitors fairly and respectfully; maintain confidentiality and report concerns about abuse, neglect, or maltreatment immediately.
Perform other duties as assigned.