District Lead Nurse

Job Description 

York School District One 

District Lead Nurse

Reports To: Director of Special Services

FLSA Status:  Exempt

Terms of Employment:  Twelve months/195 days; salary paid on and work year to be established by the Board 

Job Summary:

The Lead District Nurse provides leadership, coordination, compliance oversight, and professional support for the district’s comprehensive school health services program. This position serves as the primary liaison between district nurses, school administration, state health agencies, medical providers, and community partners to ensure high-quality, compliant, and consistent health services across all district sites. The Lead District Nurse oversees training, documentation, audits, reporting, emergency preparedness, Medicaid compliance, and program development while supporting and evaluating nursing staff district-wide.

Qualifications:

Required

• Valid South Carolina Registered Nurse (RN) license
• Minimum of five (5) years of nursing experience, preferably in school or public health settings
• Demonstrated knowledge of school health services, immunization compliance, emergency response, and communicable disease management
• Experience with Medicaid billing, audits, and health documentation systems
• Strong organizational, leadership, and communication skills

Preferred

• Bachelor of Science in Nursing (BSN) or higher
• Prior experience in district-level coordination or supervisory role
• Experience with SNAP or comparable school health record systems
• CPR/AED Instructor certification or ability to obtain

Essential Duties:

• Serve as liaison between district nursing staff, administration, and the State School Nurse Consultant, including participation in weekly and quarterly meetings.
• Participate as a member of the District Comprehensive Health and Advisory Committee.
• Coordinate School Nurse Program Advisory Committee meetings and state planning efforts.
• Act as a daily resource for district nurses by providing guidance, troubleshooting, and consultation on health-related issues.
• Coordinate nursing services and care plans for non-school sites including the Education Services Center, District Office, Transportation, and Information Technology departments
• Coordinate and/or conduct annual and ongoing training
• In conjuction with school administrator conduct school nurse evaluations
• Immunization updates
• Medicaid billing and documentation training
• CPR and AED training for nurses and school staff
• Bus driver emergency medication and CPR training
• Professional development for district nurses
• OSHA updates and required health and safety training
• Stop the Bleed program certification and recertification
• Assist with interviewing, onboarding, and training of nurses and substitute nurses
• Oversee immunization audits, 45-day compliance reports, and district-wide immunization compliance monitoring.
• Conduct annual required nursing skills assessments as outlined by the state and provide targeted follow-up training.
• Maintain and submit required state reports
• End-of-year annual health services reports
• Maintain and update district isolation and outbreak tracking, and communicable disease reporting.
• Ensure nursing licensure, certifications, and training records are current and compliant.
• Update district health policies and procedures in collaboration with special services staff, including speech therapists and related service providers
• Provide oversight and support for Medicaid billing, documentation, audits, and compliance.
• Coordinate frequent audits of Individualized Health Plans (IHPs) and nursing documentation in response to updated Medicaid audit requirements.
• Manage SNAP charting administration
• Create and update of templates and IHPs
• System troubleshooting
• Annual rollovers and reporting
• Assist schools with Medicaid consent input and record management to improve reimbursement accuracy and compliance
• Coordinate district-wide flu shot clinics and employee wellness clinics.
• Coordinate dental, vision, and hearing screening programs, including partnerships with organizations such as the Lions Club.
• Coordinate preschool disabilities screenings and screenings in collaboration with Parenting Partnership programs.
• Assist with health services for homebound students, including securing required medical documentation.
• Coordinate infectious waste generator services and compliance requirements
• Coordinate district CPR/AED programs, including AED locations, inspections, expiration tracking, and supply ordering.
• Coordinate with medical providers regarding emergency medication orders (e.g., EpiPen orders in compliance with the Save Act).
• Respond to schools to assist with bus accidents, supporting student assessments and ensuring continued health coverage during emergencies.
• Substitute for nurses as needed to support screenings or critical coverage gaps
• Develop and manage the nursing services budget.
• Oversee ordering, inventory, and distribution of nursing supplies and equipment across the district.
• Ensure proper maintenance and availability of health equipment and emergency supplies
• Identify areas for improvement in training, documentation, and service delivery.
• Implement improvements that strengthen compliance, quality of care, and Medicaid reimbursement outcomes.
• Support development of health education lessons for schools as appropriate

Specific Job Requirements: 

• Possess and utilize excellent team-building skills 
• Accept delegated responsibilities willingly 
• Maintain confidentiality 
• Demonstrate a high level of initiative in job performance 

Physical Requirements:

The usual and customary methods of performing the job's functions require the following physical demands: some lifting, carrying, pushing, and/or pulling, and significant fine finger dexterity. Generally, the job requires 20% sitting, 40% walking, and 40% standing.  This job is performed in a clean and healthy environment

Working Conditions:

• Combination of office, school-site, and district travel
• Ability to respond to emergency situations as needed
• Occasional evening or after-hours commitments for trainings or emergencies
• Must regularly lift and/or move objects up to 10 pounds and occasionally lift and/or move objects up to 50 pounds.  
• May experience constant interruptions, inflexible deadlines, and changes to normal routines. 
• Must be willing to work a flexible schedule to meet special project deadlines

Evaluation: 

The performance of this job will be evaluated in accordance with the provisions of the Board’s policy on Evaluation of Support Service Personnel. 

Non-Discriminatory Statement:

York School District One is an equal-opportunity employer. York School District One does not discriminate based on race, religion, color, handicap, sex, age, alienage, or national origin as required by applicable state and federal laws.

Disclaimer Statement: 

This job description is not intended as a complete listing of job duties.  The incumbent is responsible for the performance of other related duties as assigned/required