Northeastern Home Group LLC is seeking a highly experienced, organized, accountable, and compliance-focused Minnesota Registered Nurse with direct experience in Minnesota Assisted Living under Chapter 144G and Customized Living/24-Hour Customized Living services. This is not intended to be an entry-level RN position. We are seeking an RN who understands the operational and clinical responsibilities of nursing in a Minnesota Assisted Living environment and can provide strong clinical oversight, resident assessment, medication-management oversight, delegation, staff training and competency evaluation, documentation review, quality assurance, and clinical leadership. The ideal candidate has direct experience with Minnesota Statutes Chapter 144G, MDH Assisted Living requirements, Customized Living, HCBS/person-centered services, medication management, delegation to unlicensed personnel, staff competency, resident assessments, service planning, change-in-condition management, and regulatory survey readiness. The RN must practice within the Minnesota Nurse Practice Act and all applicable federal and state requirements.

CORE RN / CLINICAL OVERSIGHT

RESPONSIBILITIESResident Nursing Assessments & Reassessments The RN will conduct and/or oversee applicable nursing assessments, reassessments, and monitoring required by Minnesota Assisted Living requirements.

Responsibilities include:

Conducting nursing assessments of residents' physical and cognitive needs as applicable. Completing required reassessments and monitoring. Completing reassessments following significant or relevant changes in resident needs. Ensuring nursing assessments accurately reflect residents' current conditions, risks, preferences, and service needs. Identifying when a resident requires additional medical, nursing, behavioral-health, pharmacy, therapy, or other professional services. Ensuring identified clinical needs are appropriately communicated and followed through. Maintaining complete, timely, accurate, authenticated, and survey-ready nursing documentation. The RN must understand applicable Chapter 144G assessment and reassessment timelines, including requirements associated with initiation of services and ongoing monitoring.

SERVICE PLANS & PERSON-CENTERED CARE

The RN will participate in development, implementation, review, and revision of resident service plans within the RN's responsibilities.

Responsibilities include:

Ensuring assessed nursing and health needs are accurately reflected in the resident's service plan. Reviewing service plans following changes in condition or identified resident needs. Ensuring staff have appropriate clinical instructions necessary to safely provide assigned services. Ensuring nursing interventions and delegated tasks are consistent with the resident's assessed needs. Supporting person-centered planning and resident preferences. Coordinating with residents, representatives, case managers, physicians, pharmacies, hospitals, therapists, and other members of the resident's care team as applicable.

MEDICATION MANAGEMENT

The RN must have strong working knowledge of medication management in Minnesota Assisted Living.

Responsibilities may include:

Conducting or overseeing applicable medication-management assessments. Reviewing resident medications and medication-related risks. Developing and maintaining resident-specific medication instructions within the RN's scope and responsibilities. Participating in medication reconciliation as applicable. Monitoring resident response to medications. Identifying potential medication side effects, adverse reactions, contraindications, errors, omissions, and other medication concerns. Communicating medication concerns to prescribers, pharmacies, residents, representatives, and appropriate staff. Reviewing medication administration records and medication documentation. Following up on medication errors and missed medications. Supporting safe medication storage and controlled-substance accountability. Ensuring medication-management documentation remains current when resident needs or orders change. Ensuring medication-management practices are consistent with applicable law, orders, facility policies, and standards of nursing practice.

RN DELEGATION TO UNLICENSED PERSONNEL

The RN will provide appropriate delegation and supervision of nursing tasks performed by unlicensed personnel.

Responsibilities include:

Determining whether a nursing task is appropriate for delegation. Determining whether individual staff members have the knowledge, skills, training, and demonstrated competency required to perform delegated tasks. Providing resident-specific instructions. Documenting delegated nursing instructions appropriately. Training staff before delegated tasks are performed. Observing and validating staff competency. Supervising delegated nursing tasks according to applicable requirements and resident/staff needs. Reassessing delegation when resident conditions, orders, staff competency, or circumstances change. Withholding or withdrawing delegation when safe and appropriate performance cannot be demonstrated. Maintaining appropriate evidence of training, competency, delegation, and supervision.

STAFF TRAINING & COMPETENCY

The RN will play a major role in developing a highly competent direct-care workforce.

Responsibilities include:

Providing and/or participating in required training and competency evaluations for unlicensed personnel. Conducting resident-specific training. Providing medication-administration training and competency validation when applicable. Providing training related to delegated nursing tasks. Educating staff regarding changes in resident conditions and clinical instructions. Identifying staff who require retraining, additional supervision, or competency reevaluation. Documenting training and competency evidence. Working with management to prevent staff from performing nursing duties for which they are not appropriately trained, competent, or delegated. The RN should be comfortable teaching, coaching, correcting, and holding staff accountable for safe clinical practices.

SUPERVISION OF DELEGATED NURSING SERVICES

The RN will provide appropriate supervision of staff performing delegated nursing tasks.

This includes:

Direct observation when required or clinically appropriate. Observation of medication or treatment administration when applicable. Evaluation of staff performance and competency. Identification and correction of unsafe practices. Retraining when deficiencies are identified. Documentation of supervision activities. Escalation of repeated or serious clinical-performance concerns to management.

TREATMENT & THERAPY MANAGEMENT

When Northeastern Home Group provides applicable treatment or therapy management services, the RN will participate in clinical oversight within the RN's scope.

Responsibilities may include:

Reviewing treatment orders. Developing resident-specific instructions. Determining appropriate delegation. Training and evaluating staff performing delegated treatments. Monitoring resident response. Communicating concerns to prescribers or appropriate licensed professionals. Maintaining accurate treatment documentation.

CHANGE IN CONDITION & CLINICAL TRIAGE

The RN will provide clinical leadership when resident conditions change.

Responsibilities include:

Evaluating reported changes in condition. Determining appropriate nursing intervention within scope. Determining when a resident requires physician, emergency department, urgent care, emergency medical services, behavioral-health crisis services, or other professional evaluation. Providing clear instructions to direct-care staff. Following up after emergency department visits, hospitalizations, medication changes, falls, incidents, and other significant clinical events. Updating assessments, nursing instructions, service plans, medication-management plans, or delegation as applicable. Communicating relevant changes to the resident, representative, case manager, prescriber, pharmacy, management, and other appropriate parties.

CUSTOMIZED LIVING / 24-HOUR CUSTOMIZED LIVING

The preferred candidate will have direct experience working with Customized Living or 24-Hour Customized Living services funded through applicable Minnesota waiver programs. The RN should understand that Customized Living requirements extend beyond clinical nursing responsibilities. The RN will collaborate with administration and direct-care staff to support: Individualized service delivery based on assessed needs. Person-centered services. Alignment between nursing needs and the provider's Customized Living service plan. Coordination with lead agencies and case managers. Resident health and safety. Appropriate communication of changes in needs. HCBS rights and person-centered practices. Resident privacy, dignity, autonomy, choice, and community integration. Documentation supporting services actually provided. Compliance with applicable resident rights and approved individualized modifications when applicable. The RN is expected to identify and escalate situations where a resident's clinical needs appear inconsistent with the authorized or planned level of service.

MENTAL HEALTH & BEHAVIORAL HEALTH

Experience supporting residents with mental-health and behavioral-health needs is strongly preferred. The ideal candidate will be comfortable supporting individuals with: Serious and persistent mental illness (SPMI). Co-occurring disorders. Substance-use history. Behavioral-health needs. Cognitive impairment. Complex medication regimens. Crisis history. Hospitalization history. High-risk changes in condition. Experience with de-escalation, trauma-informed approaches, person-centered care, and interdisciplinary behavioral-health coordination is highly desirable.

INCIDENTS, SAFETY & MALTREATMENT

The RN will appropriately respond to clinical incidents and safety concerns within the RN's role.

Responsibilities include:

Responding to resident injuries, falls, medication errors, health changes, and other clinical incidents. Completing appropriate clinical assessments and follow-up. Ensuring necessary medical evaluation is obtained. Maintaining appropriate clinical documentation. Immediately escalating suspected abuse, neglect, exploitation, maltreatment, or other serious safety concerns through Northeastern Home Group's required reporting process. Participating in corrective actions and prevention strategies following incidents. Identifying patterns and recurring clinical risks.

QUALITY ASSURANCE & COMPLIANCE

This RN will be expected to think like a clinical auditor.

Responsibilities include routine review of:

Nursing assessments and reassessments. Resident service plans. Medication-management documentation. MARs and medication records. Physician/prescriber orders. Delegation records. Staff competency documentation. RN supervision documentation. Change-in-condition documentation. Hospital and emergency department follow-up. Incident documentation. Treatment records. Resident-specific staff instructions. Clinical training records.

The RN will identify:

MISSING ITEM

→

REQUIREMENT

→ RISK →

RESPONSIBLE PERSON

→

CORRECTIVE ACTION

→

DEADLINE

→

FOLLOW-UP

→

PREVENTION

The RN will work with leadership to correct deficiencies before they become resident-safety issues, repeat deficiencies, survey findings, or systemic compliance problems.

MDH SURVEY READINESS

The preferred RN will have experience with Minnesota Department of Health Assisted Living surveys, licensing reviews, correction orders, plans of correction, or internal survey-readiness audits. The RN should be able to help Northeastern Home Group maintain clinical records as though they could be reviewed by MDH or another authorized oversight entity today. The RN must be comfortable identifying documentation or clinical deficiencies and immediately bringing them to management's attention.

ON-CALL CLINICAL SUPPORT

The position may include participation in an RN on-call system. The RN must be able to provide timely consultation to staff performing delegated nursing tasks when assigned to on-call responsibilities. The RN must understand when telephone guidance is appropriate and when in-person evaluation, emergency intervention, or another licensed healthcare professional is required.

REQUIRED QUALIFICATIONS

Current, active, unrestricted Minnesota Registered Nurse license. Ability to successfully complete all applicable background-study requirements. Strong nursing assessment skills. Strong medication-management knowledge. Demonstrated ability to provide clinical direction. Excellent documentation skills. Ability to work independently and exercise sound nursing judgment. Ability to train and supervise unlicensed personnel. Strong communication and organizational skills. Ability to collaborate professionally with residents, families, case managers, physicians, pharmacies, hospitals, direct-care staff, management, and other healthcare professionals.

STRONGLY PREFERRED EXPERIENCE

Northeastern Home Group strongly prefers an RN with at least 2 years of directly relevant Assisted Living, Customized Living, home/community-based nursing, or comparable clinical-oversight experience , with direct Minnesota 144G experience strongly preferred. Ideal candidates will have demonstrated experience with several of the following: Minnesota Chapter 144G Assisted Living. Customized Living / 24-Hour Customized Living. Clinical Nurse Supervisor responsibilities. Resident nursing assessments and reassessments. Service planning. Medication-management systems. Medication reconciliation. RN delegation. Training and competency evaluation of unlicensed personnel. Supervision of delegated nursing tasks. Resident-specific staff training. Mental-health and behavioral-health populations. SPMI. Change-in-condition management. Incident review. Quality assurance. Clinical chart auditing. MDH Assisted Living surveys. Correction plans and corrective actions. HCBS/person-centered service delivery. Working with waiver case managers and interdisciplinary teams. Electronic health records and electronic medication-administration systems.

Pay:

$42.00 - $48.00 per hour Expected hours: 10.0 - 15.0 per week

Work Location:

In person