What are the responsibilities and job description for the Lead Registered Nurse position at St. Joseph's Villa?
Overview
Responsible for overseeing all clinical and medical operations within the 23-Hour Crisis Receiving Center (CRC) and the Crisis Stabilization Unit (CSU). This includes managing nursing services, ensuring regulatory compliance, providing supervision and training to nursing staff, and coordinating medical and psychiatric care for youth in crisis (ages 5–17) and their families.
All work aligns with the Crisis Now Model, emphasizing rapid access, warm hand-offs, and systems collaboration to ensure the right care at the right time.
Responsibilities
Clinical Oversight & Operations
Conduct and/or delegate rapid medical/nursing assessments for all youth admissions.
Ensure continuous 24/7 nursing coverage and quality clinical services.
Oversee medication management, physician orders, and coordination with psychiatric providers.
Provide and supervise crisis and safety planning, discharge coordination, and health education.
Respond to medical and psychiatric emergencies.
Program Management
Develop and manage nursing schedules; fill shifts when needed.
Attend interdisciplinary and management meetings.
Ensure policies and procedures meet VA DBHDS and other regulatory standards.
Lead continuous quality improvement efforts and audit clinical documentation.
Supervision & Staff Development
Supervise, mentor, and evaluate RNs and LPNs.
Participate in hiring, training, and performance management.
Provide onboarding for new clinical staff and ensure ongoing professional competency.
Maintain certification as a VA Medication Administration Trainer.
Compliance & Quality
Maintain HIPAA and accreditation standards.
Oversee medication dispensing and record-keeping accuracy.
Evaluate and enhance work processes for compliance and quality outcomes.
Community & Client Support
Facilitate coordination of care and community linkage upon discharge.
Support crisis intervention and connect families to resources.
Participate in the on-call rotation for crisis services.
Qualifications
Education: Registered Nurse (RN); APRN or PMHNP preferred
Licensure: Unrestricted RN license in Virginia; DEA registration required if applicable
Experience: 5 years clinical experience including crisis and leadership roles
Certifications: CPR, First Aid, pharmacology, VA Medication Administration Trainer
Skills:
Strong leadership and supervisory abilities
Excellent communication and crisis management skills
Knowledge of trauma-informed care and DBHDS/DMAS standards
Proficiency in MS Office and electronic health record systems
Additional Requirements:
Valid Virginia driver’s license and clean driving record
Successful completion of background check and fingerprinting