Registered Nurse

General Description of the Position:
This position primarily serves as a clinic nurse, providing direct nursing care and clinic-based services to individuals with physical, intellectual, and developmental disabilities. The clinic nurse manages scheduled and walk-in appointments, administers injections, oversees medication destruction, and ensures each participant receives safe, timely, and effective care. In addition to clinic duties, the nurse carries a small caseload and provides comprehensive case management services that promote independence, coordinate care, and advocate for access to community-based services supporting each participant’s health, safety, and overall quality of life. Participants are adults with diverse intellectual and developmental needs who reside in group homes, apartments, and private residences throughout the Rapid City community. The nurse works closely with Direct Support Professionals, the non-medical staff who provide daily care in participants’ homes, and offers them medical guidance, training, and ongoing support. As a key member of each participant’s care team, the clinic nurse plays a vital role in ensuring safe and effective care both in the clinic and in the community.

Primary Responsibilities:

Clinic Nursing

• Schedules, confirms, and manages clinic appointments through Bookieo.
• Provides care for walk-in appointments, assessing needs and prioritizing care as appropriate.
• Administers injections, including IM injections, per certified medical professional orders.
• Completes medication destruction for discontinued, expired, or refused medications in accordance with agency policy and state regulations, including witnessed documentation.
• Performs Foley catheter insertion, suprapubic catheter changes, and non-delegatable wound care for participants as required per certified medical professional orders.
• Performs medical assessments and addresses emergency needs as they arise.
• Maintains accurate clinic records and documentation.

Case Management (Small Caseload)

• Provides comprehensive case management services for an assigned caseload, coordinating medical care and community-based services for each participant.
• Provides information and assists the team in developing programs to enhance each participant’s community integration and independence.
• Provides consistent communication with medical providers to advocate for participants and follow up on medical concerns.
• Attends specialty medical appointments as needed.
• Completes appointment medical data forms, inputs them into the computer record, and carries out doctor’s orders.
• Maintains a current record of all health-related appointments for each participant on the caseload in the nursing medical file.
• Accepts and documents physician orders.
• Documents medication, dietary, treatment, and all health-related orders and ensures that the participant, staff, and guardians or other caregivers are aware of new or changed
• Other duties as assigned

Black Hills Works, Inc. is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.