TX Lead Registered Nurse (RN)

Provides clinical supervision to all Nurses within their assigned region.  Provides ongoing oversight and support to the nurses assigned to their regions, to ensure routine, and emergency nursing care is being provided in order to maintain the optimal health status of the individuals and continuity of nursing care.  Works in coordination with the Regional Directors, Area Directors and the Senior Nurse Consultant when implementing company-wide nursing systems, policies and procedures, and is accountable for ensuring these systems are being followed accurately by nursing staff.  Participates in the monitoring of the individual’s service plan through quality assurance measures.

Essential Duties and Responsibilities

  • Monitors consumers’ health conditions through medical chart reviews and audits.
    • Identifying delays in service.
    • Ensuring state guidelines are being followed through the delivery of nursing services.
    • Ensuring compliance with Caregiver Policy and Procedure.
    • Ensuring adequate and appropriate follow up to potential citations.

 
  • Monitors the health data information of the individuals served, in coordination with the Area Directors & Regional Directors by ensuring nursing staff is completing following: 
    • Immediately reports to supervisor any significant changes in an individual’s health status including, but not limited to, acute illness, adverse reactions to medication, sudden and/or unexplained changes in vital signs, increase seizure activity, etc.
    • Immediately reports to supervisor any problems related to individual safety, staff problems, and/or facility problems.
    • Delegation as required and in compliance with Board of Nurse Examiners criteria.
    • Comprehensive Nursing Assessments or RNAs and Annual Review of RNAs on each individual as required and in compliance with Caregiver Policy, Tx BON & DADS criteria.
    • Provides on call nursing services for individuals served, thus providing telephone triage as assigned by Supervisor.
    • Ensures that all medical consultations and laboratory reports are documented in the consumer’s records in a timely manner
    • Attends and participates in Annual Recertification surveys, and intermittent surveys, investigations as indicated, and follow up to those as indicated.  Provide intervention to potential medical concerns during those and provides strategies for achieving success.

 
Miscellaneous/other duties
Attends meetings with corporate directors as assigned.
  • Participation in development and implementation of nursing system restructures as assigned.
  • Attends industry driven conferences as assigned.
  • Serves as member of agency wide committees as assigned.
  • Completes specific assignments and submits written reports within designated time frames.
Supervisory Responsibilities
  • Provides ongoing and clinical supervision, and support to nursing staff as the need arises through face to face meetings, email, text messages, or phone calls. Assist Nursing staff when indicated in obtaining appropriate medical services for the individuals.
  • Reviews daily on call nursing reports, and follows up to critical issues, providing justifications to Regional Directors & Area Directors.  Monitor and evaluate the individuals that receive emergency medical services.
  • Maintain accurate documentation of those chart reviews and audits, and works in coordination with the Area RNs, Lead RNs (if applicable) and Area Director to ensure appropriate follow up has occurred.
  • Responsible for communication with administration staff for all open nursing positions within assigned region.
  • Responsible for hiring and training the Area RNs, & Lead RNs (if applicable), and LVN if need be, within assigned region.
  • Provide initial OJT training and EHR training to all nursing personnel within assigned region.
  • Responsible for coordinating nursing assignments and caseloads to nurses within region while staying within company budget restraints.
  • Responsible for retraining of nursing staff in need, and corrective actions in coordination with the Area Directors and Regional Directors.
  • Monitors nurse billing rates for the nurses within their assigned regions, train and mentor nurses to achieve the minimal billing standards while ensuring quality nursing care is being provided and accurately documented to stay in compliance with state guidelines.
    • Review NSLs of all nursing staff within region.
    • Identify non-billable tasks and needed corrections.
    • Identify billing rate reporting errors and report those to Regional Director, and admin staff as indicated.
    • Organize strategies to maintain and increase nurse billing rates.
    • Train on HCS billing system, and Caregiver Nurse billing expectations as indicated.

Qualifications and Education
  • Extensive knowledge of accepted standards of nursing practice and ability to apply knowledge in daily work activities and provide instruction and direction.
  • Outstanding communication necessary with community health care professionals and those working within industry and both inside and outside of the company. 
  • Ability to formulate training objectives and meeting agendas, and to present this information in a formal or non-formal setting for other professionals.
  • High level assessment skills of individual’s health status and to provide appropriate interventions and direction to other staff. 
  • Always displays leadership qualities and attitude consistent with Caregiver policies at a Director level.
  • Sets a professional standard and example to other co-workers and those supervised by you.
  • Attends work punctually and regularly.
  • Always adheres to Caregiver policies and procedures
  • Proficient in Microsoft Outlook, Word, Excel, Access system
  • Completes all duties in compliance with accepted standards of nursing practice
  • Graduate of an accredited nursing program.
  • Possession of valid RN license from the Texas Board of Nurse Examiners or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC).
  • A minimum of 3 years of nursing experience. 
  • 1 year of DD nursing experience.
 

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