Registered Nurse (RN)

Registered Nurse (RN)

Location: Lakewood, WA (onsite position; some travel required) 
Position Type: Full-Time, Hourly 
Salary: $40.00 - $47.00/hour (depending on experience) 

Benefits summary: 

• Paid Medical Dental, Life Insurance, and Employee Assistance Program (EAP) with other voluntary product options 1st of the month following date of hire.  

• 401K plan is available after one year service and 1,000 hours of service.  

• Paid Time Off (PTO): Bi-weekly allotment resulting in an annual total of 168 hours of PTO. 

• Paid Training. 

• License renewal fees for BCBA and approved continuing education costs are covered by Hope Human Services. 

• Holiday Pay: Four paid holidays each year.

Job overview:  

As the registered Nurse (RN), you will oversee all nursing and related services and tasks for individuals in Supported Living, Community Protection Supported Living and Bed-based Diversion Programs at Hope Human Services. These include completing nursing tasks, overseeing nursing support, training and coordinating delegation of DSP level medical support, coordination of supports and services with community providers/hospitals and overseeing the company’s compliance with RCW, WAC and DDCS policy/contract requirements. Additional duties include completing nursing assessments, managing medical databases, consulting with plan writers and representing HHS in policy/contract negotiations as it relates to nursing services and supports

Job Duties/Responsibilities

• Hospital admission meetings/Consistent ER point of communication.
• Medical Documentation Review.
• AVS review, screening, and filing.
• Hospital discharge coordination and medical/safety protocol development.
• Provide medical advice and nursing discretion.
• Creating and monitoring medical protocols.
• Providing nursing tasks.
• Monitoring complex plans for new medications including psychoactive medication, medical procedures, and potential drug interactions.
• Monitoring the use and effectiveness of on-going medications.
• Medical observations for tasks that require nursing judgement.
• Consulting and providing staff with instructions for medication refusals and medication window extensions.
• Providing complex medical guidance to DDCS CRM, strengthening relationships with guardians, and providing medical oversight to the operations team.
• Monitor medical appointments, post-appointment specialist coordination, post-hospital PCP appointments, and support in removing barriers to medical services.
• Compiling and organizing HIPPA compliant medical records to ensure medical diagnosis are well documented, accurate, and supported by previous medical documentation.
• Providing medical guidance for what level of medical attention is required (wound, refusal, etc.) to alleviate strain on hospital resources.
• Identify how medical diagnosis may be contributing to behavior. Nurse will provide guidance to the Positive Behavior Support plan writer. The FA/PBSP template asks to explain how the diagnosis may impact the person’s level of function and impact on behavior; a nurse has more technical training on how a diagnosis may impact a person.
• Provide medical evaluation to rule out pain/medical concerns prior to FA/PBSP development.
• Medication Administration Record (MAR) management, updates, monthly approvals, auditing.
• Nurse Delegation oversight and management.
• Maintain electronic health record log database and serve as primary contact point for medical providers.

Qualifications

• At least 21 years of age.
• Bachelor’s or Master’s degree in a related field.
• Current, active Registered Nursing (RN) license in Washington State.
• Maintain 12 hours of continuing education credits annually.
• Valid CPR and First Aid certification.
• Ability to pass and maintain Washington State criminal background clearance.
• Valid Washington State driver’s license, personal auto insurance and acceptable driving record.
• Flexibility to travel/attend in-person meetings as needed.
• Experience in home settings; experience supporting individuals with developmental disabilities or autism spectrum disorders preferred.
• Strong understanding of human behavior, learning principles, motivation, behavioral assessment methodologies, and data analysis with the ability to interpret trends and adjust strategies accordingly.
• Proficiency in Microsoft Office Suite and willingness to learn additional software for data collection, workflows, and documentation.
• Demonstrated professional skills including clear written and verbal communication; relationship-building with staff, participants, and families; ability to work independently and collaboratively; effective time and priority management in fast-paced environments; proactive problem-solving; recognition of emerging concerns; and meeting quality and productivity standards.
• Minimum one year of experience in social service, preferably within the intellectual/developmental disabilities (I/DD) or DDA/DDCS field (preferred).

• Experience with Nurse Delegation (preferred).

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