AFC Registered Nurse

Position Summary:

The Adult Foster Care (AFC) Registered Nurse provides clinical oversight, home-based assessment, and coordinated support services for individuals with medical needs and/or developmental disabilities within the AFC program. This role utilizes a collaborative, team-based approach to ensure high-quality, person-centered care and regulatory compliance. ***LPNs encouraged to apply as well***

Schedule: 24 hours/week Compensation: $36 - $38/hour

Key Responsibilities:

Clinical Oversight & Service Delivery

• Participate in the evaluation of potential AFC members and prospective caregivers.
• Conduct clinical assessments and develop individualized, multidisciplinary care plans.
• Provide clinical supervision and ongoing support for assigned AFC placements, including monthly home visits and case management.
• Monitor participant health status on a continuous basis and respond to changes promptly.
• Provide education to members and caregivers regarding medical concerns, prevention strategies, and wellness practices.
• Coordinate community medical services and personal care supports for members as needed.
• Collaborate with primary care providers, community service providers, medical professionals, and internal team members to ensure integrated care.

Documentation & Compliance

• Complete and/or review all required AFC program documentation in accordance with agency standards.
• Maintain compliance with Kennedy-Donovan Center mission, philosophy, policies, procedures, and quality standards.
• Ensure adherence to all applicable state and federal funding agency certification requirements and regulations.
• Maintain certifications and competencies required by the agency and funding sources.

Collaboration & Communication

• Serve as a resource for caregivers, case managers, and interdisciplinary team members regarding clinical needs.
• Communicate effectively with primary care providers, caregivers, families, and program staff to share updates on participant health and support needs.

Professional Development & Additional Duties

• Participate in professional development activities to enhance clinical skills and maintain licensure.
• Perform other job-related responsibilities as assigned.

Core Competencies:

• Clinical Expertise: Ability to assess, plan, and coordinate care for individuals with medical or developmental needs.
• Person-Centered Thinking: Demonstrates commitment to individual choice, dignity, and independence.
• Collaboration: Works effectively with interdisciplinary teams, families, caregivers, and external partners.
• Communication: Communicates clearly, respectfully, and professionally across diverse audiences.
• Time Management: Manages deadlines, documentation requirements, and caseload demands efficiently.
• Compliance & Documentation: Maintains accurate records in line with regulatory and agency requirements.
• Professionalism & Integrity: Upholds confidentiality, ethics, and agency values at all times.
• Cultural & Family-Centered Practice: Sensitivity to diverse family systems and commitment to person-centered support.

Required Qualifications:

• Current Massachusetts Registered Nurse (RN) licensure.
• Minimum of 3 year of experience in human services, long-term supports, disability services, or a related program area.
• Understanding of home- and community-based service models, AFC, Shared Living, or related MassHealth programs.
• Excellent communication, organizational, and interpersonal skills.
• Proficiency with Electronic Health Records (EHR), and Microsoft Office Suite.
• Valid driver’s license and reliable transportation for travel.
• Ability to complete all required trainings required such as CPR and First Aide

Preferred Qualifications:

• Experience working in community-based programs.
• Experience with Medicaid, MassHealth, and state funding systems.
• Bilingual or multilingual skills.

Working Conditions & Physical Requirements:

• Travel: Frequent travel to AFC member homes, caregiver residences, community settings, and program offices across the service region. Travel may require navigating urban, suburban, and rural areas, with occasional exposure to inclement weather.
• Mobility & Activity: Regular walking, standing, climbing stairs, and moving through a variety of home and community environments during visits and assessments. Must be able to respond quickly during emergencies or when providing in-field support to case managers or caregivers. Must be able to lift, carry, or move a minimum of 25 lbs as needed during home visits, emergency response, or when assisting staff or caregivers in the field.
• Computer & Documentation: Ability to sit for extended periods while completing electronic documentation, data entry, and reporting within the Electronic Health Record (iCentrix) and other required software platforms.
• Telephone & Communication: Frequent phone, email, and virtual communication with case managers, caregivers, members, families, and external providers. Requires clear, professional, and timely communication skills
• Field Support & Assistance: Occasional hands-on support for staff or caregivers during home visits, including guidance in safe practices, crisis response, or behavior support interventions as appropriate within the AFC model.
• Safety & Situational Awareness: Maintain consistent awareness of home and community environments to ensure safety for members, caregivers, staff, and self. Provide oversight and coaching in trauma-informed approaches and crisis-prevention strategies.
• Emotional Demands: Regular exposure to sensitive or complex family dynamics, caregiver stress, and member health or behavioral challenges. Requires resilience, empathy, sound judgment, and the ability to remain calm and solution-focused.
• Training & Coaching: Provide onsite coaching, modeling, and hands-on support to case managers and caregivers to reinforce quality standards, regulatory requirements, and best practices in AFC service delivery.

Salary : $36 - $38