Nurse Manager Registered Nurse (RN)

Job Title: Nurse Manager (RN)

Reports To: Program Director / Administrator

Status: Full-Time, Exempt

Work Setting: Licensed Residential/IDD Service

Position Summary

The Nurse Manager oversees all health-related services for individuals receiving supports within Quality Healthcare Group Inc. (QHCG) programs. This role ensures safe, effective care consistent with physician orders, nursing standards of practice, CARF International quality expectations, and Pennsylvania Title 55 regulatory requirements (including Chapters 59 and 6400). The Nurse Manager is responsible for clinical supervision of direct support professionals related to health tasks, ensuring medical oversight, and maintaining comprehensive, accurate documentation.

Essential Duties & Responsibilities

Clinical Leadership

• Conduct and document health assessments, medication reviews, and ongoing nursing monitoring.
• Develop and update individual health-care plans addressing chronic conditions, risk factors, and preventive needs.
• Oversee medication management systems: storage, administration, documentation, and error reduction.
• Ensure timely implementation of physician orders, follow-ups after hospitalizations, and continuity of care.
• Manage infection control, incident reporting, and health-related risk mitigation.

Regulatory Compliance

• Maintain practices that meet PA 55 Chapter 6400 requirements for community homes (e.g., medication administration training oversight, health services documentation, staff competency).
• Align nursing policies and procedures with PA 55 Chapter 59 program standards where applicable.
• Support and participate in CARF International continuous quality improvement activities, survey preparation, outcome measurement, and corrective action planning.
• Maintain readiness for state licensing inspections and accreditation surveys, ensuring files are complete and current.

Training & Supervision

• Train, delegate, and evaluate staff performing health-related duties and medication administration.
• Conduct competency testing for medication administration and retraining when needed.
• Provide coaching and guidance to ensure staff understand medical protocols, emergency responses, and person-centered health supports.

Coordination & Communication

• Serve as liaison with physicians, pharmacies, hospitals, specialists, and families/guardians.
• Participate in interdisciplinary team meetings, ISP planning, and transitions of care.
• Ensure timely communication of health changes and risk factors to leadership and direct support teams.

Admissions & Intake:

• Receive, review, and triage all incoming referrals from hospitals, MCOs, case managers, and community partners.
• Conduct preliminary clinical assessments within RN scope and escalate complex cases to the Clinical Director.
• Verify insurance/MCO eligibility, service codes, authorizations, and required payer documentation before admission.
• Coordinate the collection of medical records, medication lists, PCP notes, hospital discharge summaries, and any supporting documents.
• Communicate with patients and families to explain services, gather intake information, and schedule start-of-care visits.
• Ensure all admission paperwork is complete, accurate, and compliant with DHS/OLTL/ODP regulations and company policy.
• Collaborate with scheduling, operations, and nursing leadership to ensure appropriate staffing prior to accepting a case.
• Maintain detailed admission logs, timelines, and documentation for internal auditing and regulatory compliance.
• Serve as a liaison to ensure a seamless transition from referral to active service.

Documentation & Records

• Maintain secure, thorough, and accurate medical documentation consistent with legal and regulatory expectations.
• Review MARs, health logs, incident reports, and appointments for accuracy and follow-through.
• Track immunizations, annual screenings, and preventive care schedules.

Quality & Safety

• Lead nursing-related investigations and corrective actions following serious incidents or medication errors.
• Monitor environmental safety related to infection prevention and medication storage.
• Support quality improvement initiatives, trend monitoring, and performance evaluation using CARF quality frameworks.

Required Qualifications

• Active Pennsylvania RN license in good standing.
• Prior experience in IDD/behavioral health, group homes, or residential care.
• Knowledge of state licensing regulations and nursing delegation principles.
• Strong documentation skills and ability to interpret physician orders and health data.

Preferred Qualifications

• Experience with CARF-accredited organizations.
• Experience with Therap preferred
• Supervisory or nurse-lead experience.
• Familiarity with electronic health record systems.

Competencies

• Clinical judgement and emergency response
• Ethical practice and confidentiality
• Clear communication and teamwork
• Training and delegation capability
• Organizational and regulatory compliance focus
• Respectful, person-centered approach to care

Physical/Environmental Expectations

• Ability to lift, transfer, or position individuals as required.
• Travel between service sites to conduct nursing oversight