Job Title: Residential RN Oversight
Department: Nursing
Reports To: VP of Health Services
FLSA: Exempt
SUMMARY
The Residential Oversight RN is responsible for overseeing the health and medical care of individuals with
intellectual and developmental disabilities (IDD) living in residential settings. This role ensures quality nursing
oversight, compliance with regulatory standards, and continuity of care across all settings. The RN collaborates with
health coordinators, direct support staff, physicians, and family members to promote optimal health outcomes.
BASIC FUNCTIONS AND GENERAL RESPONSIBILITIES:
IDD registered nurses, including APRNs, are included in an interprofessional team for healthcare
consumers with IDD and are responsible for the coordination of care and support for individuals
with IDD. The IDD registered nurse participates in the implementation of individual and family or
legal guardians’ assessment and in the planning, implementation, and evaluation of their health and
health services with the healthcare consumer with IDD, family or legal guardians, and community
support staff as partners. - Intellectual and Development Disabilities Nursing: Scope and Standards
of Practice, 3rd Edition
• Responsible for ensuring the health of all individuals.
• Provide nursing oversight for individuals living in group homes and ISLs, ensuring compliance
with state and federal regulations, waiver requirements, and best practice standards.
• Review, interpret, and implement physician orders, care plans, and treatment protocols.
• Supervise and train health coordinators and direct support staff on medication administration,
health documentation, and emergency response.
• Provide or coordinate nursing assessments for incident reports, illness, injuries, or changes in
condition.
• Initiate or monitor implementation of individualized health protocols for seizure management,
aspiration risk, skin integrity, intake and output, or other health needs.
• Conduct routine health assessments, review medical records, and monitor chronic health
conditions at a minimum of 1.25 hours monthly.
• Communicate routinely with families or guardians, service coordinators, primary care providers,
and interdisciplinary team members.
• Maintain current and complete nursing notes, care summaries, and required documentation in
HRST.
• Monthly review of staff compliance of physician orders including but not limited to treatments,
procedures, labs, appointments, specialized diets, medications, outcomes, and adaptive equipment
for each resident.
• Obtain an initial health history and perform initial physical examination within four(4)
weeks of admission for all individual's to Life Unlimited group homes, ISLs and Shared
Living homes.
• Consult on difficult or complex medical/mental cases, keeping Community Living informed of
individual health and safety needs. Report any identified deficiencies in the standard of care
provided to Individuals to a member of the Life Unlimited administrative team. Communicate
any concerns to physicians as needed (directly or through Health Coordinators and/or Team
supervisors) and Shared Living staff.
• Inspect medication administration application of procedures including medication
storage, destruction of medication and correct documentation.
• Maintain documentation of monthly expended time and activity for auditing purposes using
PAM log documentation forms of Life Unlimited.
• Review annual ISPs and all Addendums for health information and medical supply needs
accuracy.
• Attend meetings such as monthly health team, IDT, and DMH community RN meetings.
• Oversee the implementation of health care policies and procedures and recommend revisions as
needed in collaboration with VP of Health Services and the Department of Mental Health.
• Responsible for timely and ongoing communication.
• Meet regularly with Life Unlimited VP of Health Services to coordinate and direct health
care of all group home, ISL and Shared Living residents.
• Participates in staff and house meetings as necessary to address corrective actions needed as
identified during health QA assessment(s) and/or Service Monitoring.
• Provide education regarding health matters to Community Living, Life Unlimited staff and
Shared Living Contractors as needed.
• Maintains open and consistent communication with individuals, families/guardians, other
health-care providers and regulatory oversight agencies (DMH, DHSS, etc.).
• Maintains contact with Community Living staff and Shared Living contractors who support each
individual to assure timely reporting of medical/psychiatric concerns are addressed appropriately.
• Maintain communication with agency management, reporting and documenting changes in the
individual’s health status, needs and identified deficiencies in the standard of care provided to
residents.
• Maintain a collaborative relationship with Quality Assurance RN’s at the Kansas City
Regional Office of the Department of Mental Health to implement and maintain statewide
health and safety initiatives.
• The ability to effectively and efficiently use computers or mobile devices to input, access,
modify, or output information. This includes the ability to quickly access, store and retrieve
data.
• Responsible for training of agency personnel.
• Become certified and conduct the Level 1 Medication Aide training program monthly to
ensure all new staff hired for Life Unlimited Inc. are DMH certified to pass medication.
• Become certified and conducts the 2-year Update Level 1 Medication Aide program monthly for
all certified staff to continue their qualification to administer medications per DMH guidelines.
• Provide appropriate delegation and supervision of Unlicensed Assistive Personnel (UAP)
who perform such duties as medication administration and other nursing tasks when
applicable, and document those activities. (Nursing Practices Act Chapter 335 RSMo).
• Periodically inspect the technique and skill of a sampling of certified staff delegated to pass
medications, and determine a plan of action, in conjunction with the Community Living and
Training department when certified staff have excessive medication errors.
• Other duties requested by the Executive Director or mandated to the agency by the
Department of Mental Health/Division and Developmental Disabilities.
• All Other Duties as Assigned
Physical Expectations
This position requires extended periods of sitting with some periods of walking and standing. It may
also require bending, kneeling, and/or stooping and climbing stairs. May require light (5 lbs.) to heavy
lifting (50 pounds of dead weight). An individual in this position may need to drive a vehicle to
resources in the community. There may be extended periods of using a computer and/or calculator.
Working Conditions
Office/home environment with noises from those we support, office equipment, and telephones. May be
exposed to bloodborne pathogens and/or infectious diseases.
QUALIFICATIONS
• Must have knowledge of the unique physical needs and medical implications of individuals
with developmental disabilities.
• Must maintain an active unencumbered license issued by the Missouri State Board of
Nursing or appropriate compact state.
• Must have/acquire Level 1 Medication Administration trainer certification through
Department of Mental Health.
• Must obtain a Class E driver’s license during new hire orientation– must carry minimum
coverage applicable by law for auto insurance
• Must maintain Basic Life Support Certificate
• Must Receive Seasonal Flu Vaccination
Equal Opportunity Employer