REGISTERED NURSE

(RN)

JOB DESCRIPTION

Position Title:

Registered Nurse (RN)

Department:

Nursing /

Clinical ServicesReports To:

Director of Operations /

AdministratorEmployment Status:

PRN, Part-Time, Full-Time, or Contract as assigned

POSITION SUMMARY

The Registered Nurse (RN) provides nursing oversight, assessments, nursing delegation, staff consultation, clinical guidance, and health-related support for individuals receiving services from Roots Home Health Care LLC. The RN will perform all nursing duties within the scope of the nurse's current Ohio RN license and in accordance with applicable Ohio nursing laws, Ohio Board of Nursing rules, Department of Developmental Disabilities requirements, authorized medical orders, individual service plans, and agency policies. This position does not require the RN to be a DODD-certified Registered Nurse Trainer.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Nursing Assessments The RN will: Complete initial nursing assessments as needed for individuals receiving services. Complete annual nursing assessments and reassessments as required. Perform additional assessments when there is a significant change in an individual's medical condition, medication regimen, treatment orders, nursing needs, or health status. Review diagnoses, medical history, allergies, medications, treatments, physician orders, hospital discharge instructions, and known health risks. Identify health concerns requiring physician notification, additional nursing follow-up, or emergency intervention. Document assessments accurately and within required timeframes. Make nursing recommendations based on assessment findings.

Nursing Delegation The RN will:

Provide nursing delegation when permitted by Ohio law and applicable DODD requirements. Determine whether a nursing task is appropriate and safe to delegate. Consider the individual's condition, complexity of the task, predictability of the outcome, staff competency, and available supports before delegation. Provide individual-specific instructions related to delegated nursing tasks. Observe and evaluate staff competency when appropriate. Verify that staff can safely perform delegated nursing tasks. Establish the appropriate level of nursing supervision and follow-up. Monitor the performance of delegated nursing activities. Provide additional instruction or retraining when necessary. Suspend or withdraw delegation if the RN determines that a task is no longer safe to delegate. Reassess nursing delegation at least annually and whenever there is a significant change affecting the delegated task. Maintain appropriate documentation of delegation, competency evaluation, supervision, reassessment, and withdrawal of delegation. Staff Nursing Support and On-Call Responsibilities The RN will: Be available for staff nursing questions during assigned on-call periods. Provide nursing guidance to Direct Support Professionals and agency leadership. Respond to questions involving medications, treatments, delegated nursing tasks, changes in condition, physician orders, and health concerns. Provide direction regarding appropriate follow-up when an individual experiences a change in medical condition. Determine when staff should contact the individual's physician, urgent care, emergency department, pharmacy, guardian, or emergency medical services. Provide timely nursing consultation when medication errors or treatment concerns are reported. Document significant on-call nursing consultations and follow-up when required. On-call nursing support does not replace emergency medical services. Staff must call 911 for medical emergencies. Medication and Treatment Oversight The RN will: Review medication and treatment orders as assigned. Review Medication Administration Records and other medication-related documentation as needed. Monitor for medication errors, omissions, adverse reactions, or documentation concerns. Provide nursing guidance following medication or treatment errors. Communicate with physicians, pharmacies, guardians, and other healthcare providers when clinically appropriate. Assist with clarification of medication or treatment orders when necessary. Review health-related documentation for accuracy and completeness. Provide individual-specific instruction regarding medications, treatments, and health-related procedures when permitted within the RN's scope of practice. Staff Training and Competency Support The RN will: Provide individual-specific nursing education to staff. Educate staff regarding an individual's diagnoses, medical conditions, treatments, medications, symptoms, health risks, and emergency procedures. Evaluate staff understanding and competency related to delegated nursing tasks. Provide retraining when staff performance or safety concerns indicate additional education is necessary. Document individual-specific nursing training as required. This position does not authorize the RN to independently conduct DODD medication administration certification courses or issue DODD medication administration certifications unless the RN separately obtains the required DODD Registered Nurse Trainer certification. Changes in Condition and Emergency Support The RN will: Evaluate reported changes in an individual's health condition. Provide appropriate nursing recommendations and follow-up. Determine whether additional nursing assessment is necessary. Communicate with physicians or other healthcare providers as appropriate. Review hospital discharge instructions and new medical orders. Determine whether changes in condition require reassessment of existing nursing delegation. Assist with development or review of individualized health and emergency protocols when applicable. Incident and Medication Error Follow-Up The RN will: Provide nursing consultation following medication errors, treatment errors, injuries, illness, hospitalization, or other health-related events. Review the health-related circumstances surrounding medication or treatment errors. Provide staff retraining or competency reevaluation when necessary. Identify circumstances in which delegated nursing activities should be suspended. Assist agency administration with health-related information for incident reviews when appropriate. Cooperate with authorized DODD, county board, Medicaid, or other regulatory reviews involving nursing services. Individual Service Plan and Team Participation The RN will: Review relevant portions of the Individual Service Plan involving medical, medication, treatment, nursing, and health-related needs. Participate in team meetings when nursing input is necessary. Communicate nursing recommendations to the individual's service team. Collaborate with individuals, guardians, families, Direct Support Professionals, SSAs, physicians, pharmacies, therapists, and other providers. Promote person-centered, safe, and appropriate healthcare supports.

Nursing Documentation The RN will:

Maintain accurate, complete, timely, and professional nursing documentation. Document assessments, nursing observations, consultations, interventions, delegation, staff competency, and reassessments. Maintain confidentiality of medical and personal information. Comply with HIPAA and agency confidentiality requirements. Review physician orders, medication records, treatment records, nursing notes, and hospital documentation when assigned. Report incomplete, inaccurate, or potentially unsafe documentation to agency leadership. Quality Assurance and Compliance The RN will: Assist the agency with nursing-related quality assurance activities. Identify health and safety concerns involving medications, treatments, delegation, or nursing documentation. Make recommendations for corrective action when deficiencies are identified. Assist with development and review of nursing-related policies and procedures. Cooperate with audits, surveys, and regulatory reviews as appropriate. Maintain current knowledge of applicable nursing laws, delegation standards, and DODD requirements affecting assigned nursing duties.

MINIMUM QUALIFICATIONS

The Registered Nurse must: Hold a current, valid, unrestricted Registered Nurse license in good standing in the State of Ohio. Practice within the lawful scope of Registered Nurse practice. Possess knowledge of nursing assessment, nursing delegation, medication administration, medication safety, health-related activities, infection control, and emergency response. Demonstrate sound nursing judgment and professional decision-making. Be able to complete initial, annual, and change-of-condition nursing assessments. Be able to provide nursing delegation when legally permitted. Be able to provide nursing consultation and on-call support to agency staff. Communicate effectively with individuals, families, guardians, staff, physicians, pharmacies, SSAs, and other members of the service team. Maintain accurate nursing documentation. Meet applicable background check, registry, exclusion, and agency employment requirements. Maintain CPR/First Aid certification when required by the agency. Maintain required continuing education and current Ohio RN licensure.

PREFERRED QUALIFICATIONS

Preferred experience includes: Experience working with individuals with intellectual or developmental disabilities. Experience in home and community-based services. Nursing delegation experience. Experience providing nursing oversight to Direct Support Professionals. Medication administration oversight experience. Community nursing, home health, residential, behavioral health, developmental disability, or long-term care experience.

NURSING DELEGATION AUTHORITY

The RN maintains independent professional nursing judgment regarding nursing delegation. Roots Home Health Care LLC will not require an RN to delegate a nursing task that the RN determines cannot be performed safely or legally. Delegation may be changed, suspended, or withdrawn when: The individual's health condition changes. Physician or treatment orders change. The delegated task changes. Staff competency cannot be demonstrated. Staff fail to perform the task safely. Required staff credentials or training are no longer current. Required equipment or supplies are unavailable. Continued delegation creates an unacceptable health or safety risk. Continued delegation would violate applicable law or nursing standards.

PROFESSIONAL EXPECTATIONS

The RN is expected to: Maintain professional and ethical conduct. Exercise sound nursing judgment. Protect the health, welfare, dignity, and rights of individuals served. Maintain appropriate professional boundaries. Report suspected abuse, neglect, exploitation, or other reportable concerns according to applicable requirements. Maintain confidentiality. Complete assigned duties within required timeframes. Immediately notify agency leadership of any restriction, suspension, expiration, or other change affecting the RN's license or ability to perform assigned duties.

PHYSICAL AND WORK REQUIREMENTS

Depending on assigned responsibilities, the RN may be required to: Travel to individuals' homes, community locations, agency settings, or medical appointments. Sit, stand, walk, bend, reach, and perform routine nursing assessments. Use electronic documentation systems, phones, computers, and other office equipment. Respond to staff during assigned on-call periods. Attend scheduled individual or team meetings. Work flexible hours when nursing assessments, staff training, health concerns, or individual needs require nursing involvement. Reasonable accommodations may be provided in accordance with applicable law.

Pay:

$24.00 - $28.00 per hour Expected hours: 4.0 - 20.0 per week

Benefits:

Employee assistance program Employee discount Flexible schedule Professional development assistance Referral program

Work Location:

Hybrid remote in Bowling Green, OH 43402