Registered Nurse Manager

Position Summary 

The Registered Nurse (RN) Manager serves as the clinical authority for all nursing, health, and medication services across Burlington United Methodist Family Services’ residential programs, in compliance with WV Code §30-7, 78 CSR 3, and OHFLAC standards. 

The RN provides leadership, oversight, and accountability for health services, including medication administration by assigned AMAP-certified staff, ensuring compliance with physician orders, regulations, and nursing standards. The RN also serves as Statewide Director of the National School Lunch Program (NSLP), overseeing USDA compliance and dietary operations. 

Operating with independent clinical judgment, the RN leads clinical policy enforcement, medication management and risk mitigation, health assessments and care planning, AMAP delegation and competency validation, and regulatory readiness (OHFLAC, USDA, WV licensing). 

This role holds organization-wide nursing authority and serves as the primary liaison with medical providers, pharmacies, regulators, and public health entities. 

ESSENTIAL DUTIES & RESPONSIBILITIES 

Clinical Assessment & Care Management (Non-Delegable) 

• Conduct comprehensive nursing assessments and develop, implement, and adjust individualized care plans 
• Monitor resident health status, identify risks, and coordinate appropriate interventions 
• Ensure all clinical documentation is accurate, timely, and compliant with regulatory standards 

Medication Management & Oversight 

• Review and validate all physician orders and provide final clinical sign-off 
• Monitor for medication errors, adverse reactions, and drug interactions 
• Ensure proper medication storage, handling, and disposal 

AMAP & Delegation Oversight 

• Determine appropriateness of delegation based on resident needs and staff competency 
• Approve, deny, or revoke delegation and maintain accountabilities for all delegated tasks 
• Conduct competency validation and medication pass observations 

Psychotropic Medication Oversight 

• Monitor appropriateness, effectiveness, and authorization of psychotropic medications 
• Track PRN usage, behavioral trends, and side effects in coordination with providers 

Medication Error & Quality Management 

• Review errors, conduct root cause analysis, and implement corrective actions 
• Track trends and use data to drive system improvements and risk mitigation 

Clinical Supervision & Training 

• Supervise clinical staff and ensure consistent, compliant practices across programs 
• Develop and deliver training; ensure competency validation and OSHA/health compliance 

Regulatory Compliance & Audit Readiness 

• Ensure compliance with WV Code, 78 CSR 3, OHFLAC, USDA, and applicable regulations 
• Maintain audit-ready systems and participate in inspections and corrective actions 

Collaboration & Health Oversight 

• Coordinate with physicians, behavioral health providers, and interdisciplinary teams 
• Oversee infection control, safety practices, and overall health services delivery 

NSLP Oversight 

• Ensure USDA compliance and supervise dietary operations 
• Maintain program integrity and integrate nutrition into overall care planning 

SUPERVISORY RESPONSIBILITIES 

• The Registered Nurse (RN) provides direct supervision, leadership, and performance management for: 
  • Registered Nurses (RNs) 
  • Licensed Practical Nurses (LPNs) 
  • AMAP-certified staff (indirect clinical oversight) 
  • Dietary staff (NSLP) 

• Provide day-to-day clinical supervision and ensure staff operate within scope of practice and regulatory requirements 

• Monitor performance, ensure compliance, and maintain clear communication and accountability 

• Conduct and document regular supervisory check-ins (minimum monthly) 

• Manage and participate in the on-call schedule to ensure 24/7 clinical coverage and timely emergency  

• Conduct evaluations using clinical, compliance, and performance data (audits, medication errors, documentation) Provide coaching, feedback, and implement Performance Success Plans (PSPs) as needed 

• Ensure competency validation, training completion, and professional development 

• Administer progressive discipline that is timely, consistent, documented, and legally compliant 

• Partner with HR to mitigate risk and ensure defensible employment actions 

• Support recruitment, onboarding, training, performance management, and offboarding 
  Ensure licensure, certification, and training compliance across all supervised staff 

Non-Delegable RN Functions  

• Nursing assessment and clinical decision-making 
• Care planning and medication review/sign-off 
• Oversight of clinical systems, delegation, and compliance 
• Leadership of training, audits, and quality/risk management 

Core Competencies  

• Demonstrates advanced clinical judgment and decision-making  

• Operates with confidence and accountability as the organization’s clinical authority  

• Ensures safe, evidence-based care practices across all programs  

• Balances autonomy with regulatory compliance and organizational needs  

• Maintains deep knowledge of:  

• WV nursing regulations  

• Residential licensing requirements  

• AMAP standards  

• USDA NSLP guidelines  

• Interprets and applies regulations to real-world operational practices  

• Ensures continuous audit readiness and documentation integrity  

• Communicates complex clinical information in a clear, understandable manner  

• Demonstrates strong interpersonal and relationship-building skills  

• Influences staff behavior through education, coaching, and accountability  

• Promotes transparency, responsiveness, and collaboration  

• Appropriately delegates tasks while maintaining clinical accountability  

• Evaluates staff competency and provides ongoing supervision  

• Ensures staff understand scope limitations and escalation protocols  

• Balances supportive coaching with enforcement of standard 

Minimum Qualifications 

• Active Registered Nurse (RN) license in West Virginia, (in good standing) BSN highly desired, MSN preferred  

• Minimum 5 years of nursing experience (residential, pediatric, or community health preferred)  

• Experience with medication administration systems and delegation (AMAP preferred)  

• Knowledge of regulatory compliance in residential or healthcare settings  

• Experience with USDA NSLP or dietary program oversight preferred  

• Any combination of education, licensure, training, and professional experience that demonstrates advanced knowledge, clinical judgment, and leadership capability required to perform the essential functions of this role effectively. 

Preferred Qualifications 

• Experience in residential child welfare or behavioral health settings  

• Prior experience with regulatory surveys (OHFLAC, licensing, USDA)  

• Leadership or supervisory experience  

• Training and staff development experience  

Work Environment & Expectations 

• Ability to work in residential settings with youth  

• Availability for on-call consultation for clinical issues  

• Ability to respond to urgent health or medication concerns  

• Commitment to mission-driven, trauma-informed care  

• Ability to travel and occasion overnight stays 

Authority Statement  

The RN maintains final nursing authority over all health and medication-related decisions, including those carried out by delegated staff. All clinical practices, medication administration processes, and health services must align with RN direction, physician orders, and regulatory standards. 

Core Values 

The employee will demonstrate the ability to apply, promote, practice, and adhere to the core values of the agency:  

• Collaboration- You work with others and stakeholders, function as a team when necessary, bring solutions to common and complex issues and problems, and create a culture where suggestions and teamwork are not only welcomed but expected. 

• Respect/Dignity- You value and respect the differences of others. You are respectful of staff, clients, agency property, and the rights of consumers and treat all with dignity and acceptance; you are a welcoming beacon.  You complete work promptly and according to standards set by the agency, particularly as it relates to respecting other people’s time and deadlines. 

• Empathy- You understand the needs of staff/clients and provide an environment where they can thrive. 

• Accountability: You take responsibility for decisions, successes, and failures of programs, results, resources, relationships, and sustainability.  

• Trust/ Trustworthiness- You build trust by acting in an honest ethical manner that builds a foundation for relationships. You strive to do the right thing, even when you think no one is looking. You are and operate with honesty, transparency, and a commitment to doing what’s best for your clients, customers, teammates, and agency. You maintain ethical principles in all you do. 

• Excellence- You are at your best, strive to be a top performer in your field, and maintain adherence to policies, procedures, and program/licensing requirements. You understand we have hard but meaningful work to do for those we serve.  

The job description is intended to describe the general requirements, nature, conditions, and level of work being performed.  It is not intended to be construed as inclusive of all responsibilities, duties, and skills required of the position title.  The job description is not a contract of employment, nor does it alter the at-will status of the employee/employer relationship. 

BUMFS Inc. is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Minimum Qualifications 

• Active Registered Nurse (RN) license in West Virginia, (in good standing) BSN highly desired, MSN preferred  

• Minimum 5 years of nursing experience (residential, pediatric, or community health preferred)  

• Experience with medication administration systems and delegation (AMAP preferred)  

• Knowledge of regulatory compliance in residential or healthcare settings  

• Experience with USDA NSLP or dietary program oversight preferred  

• Any combination of education, licensure, training, and professional experience that demonstrates advanced knowledge, clinical judgment, and leadership capability required to perform the essential functions of this role effectively. 

Preferred Qualifications 

• Experience in residential child welfare or behavioral health settings  

• Prior experience with regulatory surveys (OHFLAC, licensing, USDA)  

• Leadership or supervisory experience  

• Training and staff development experience  

Salary : $70,000 - $85,000