• Follows-up with any patients in need of medical follow-up as determined by review of medical file/documentation. 

• Administer all medications to clients as needed and is responsible for safe and secure storage of all medications. 

• Always keep abreast of all State standards for nursing practice in an intermediate care facility and maintain compliance with these standards. 

• Perform the Nursing Assessment for each client at admission and provide for each client at discharge a care plan for continuing medical conditions.

• Responsible for orientation of nursing staff, as instructed by Nurse Manager. 

• Maintains all medical forms in clinical records in complete and timely manner. Maintains accurate records of TB testing of all employees. 

• Review and completes patient paperwork as needed. 

• Monitor client’s complaints and incident, reply in accordance with agency/ regulatory body guidelines for complaint tracking procedures and complaint policy. 

• Works with staff, as necessary to resolve incidents. 

• Responsible for monitoring and follow-up on Infection Control/Surveillance reporting. 

• Maintain a system of client care records; reporting forms, client and service data and any other needed client care information as required.

• Ensures that all client care services are coordinated and integrated as indicated.

• Maintains all needed clinical documentation from doctors, nurses, etc.

• Maintains a multi-disciplinary approach to delivery of services. 

• Accepts and performs duties assigned by Medical Director, Executive Director or Designee who are appropriate to this job description but are not here specified. 

• Attends meetings as necessary or required.

• All other duties as assigned

Required Knowledge, Skills and Abilities, Education and/or Experience:

• Ability to review charts on an ongoing basis in preparation for audits and to ensure compliance.

• Demonstrated ability to maintain the client’s right to courtesy and confidentiality. 

• Consistently observes essential discipline of the program, including reporting to work, 

• Use of sign-in logs, incident logs, reporting to supervisors, punctual attendance at required staff meetings and training sessions, 

• Adherence to standards of dress, language and general deportment required. Consistently and promptly performs all monitoring as prescribed by Infection Control Policy. 

• Demonstrated ability to train staff in medication procedures. 

• Consistently arranges client medical referrals-out according to policy and demonstrates ability to orient clients to procedures for departure and return from appointments. 

• AA (Associates Degree) or BS (Bachelor’s Degree) required.

• Valid Maryland RN license required, BLS certified, required. 

• Ability to learn in-house software. 

• If Recovering, five (5) years sobriety. 

• Must be able demonstrate excellent oral and written communication skills. This position may include weekend and/or evening duties as needed or required.