RN - Long Term Care (LTC)

*This position has a sign-on bonus of $5,000 along with a $500 referral fee for other LPN/RNs you refer for the company*  Hourly rate: $28-$38/hr    Position Summary:  The Registered Nurse (RN) provides clinical leadership and coordination of medical care across Integrea’s residential programs. This role ensures high-quality, person-centered nursing services are delivered in compliance with medical standards and regulatory guidelines. The RN oversees comprehensive health planning, supports interdisciplinary treatment teams, and plays a critical role in helping consumers maintain stability, independence, and safety in the community.   Key Responsibilities:  Clinical and Medical Oversight   Conduct nursing assessments and develop individualized health care recommendations related to medical, dietary, hygiene, and behavioral needs.   Monitor the medical condition of consumers across residential programs, ensuring timely response to acute and chronic health concerns.   Collaborate regularly with physicians, psychiatrists, pharmacists, and the Director of Nursing on care coordination.   Review vitals, weight, seizure records, and other critical health indicators.   Oversee infection control procedures and emergency medical readiness (e.g., kits, protocols).   Medication Management  Administer medications and ensure accurate implementation of all physician orders.   Accept and document verbal/phone orders in accordance with policy; ensure physician signature follow-up.   Prepare and audit Medication Administration Records (MARs) monthly and for all new admissions.   Monitor and inventory all medications for proper storage, labeling, and expiration tracking.   Educate consumers, families, and MAC/LPN staff on medication safety and side effects.   Team and Consumer Support  Participate in interdisciplinary treatment planning and team meetings to support placement stability and health outcomes.   Provide direct care guidance and medical support to residential staff, especially in situations involving medically fragile or behaviorally complex individuals.   Offer individual and group health education to consumers and their families, covering topics such as nutrition, sexual health, hygiene, and self-care.   Documentation and Compliance  Maintain up-to-date nursing notes, incident reports, and health-related documentation in compliance with agency policy and licensure standards.   Ensure timely scheduling and follow-up for all medical, dental, and psychiatric appointments.   Support ongoing licensure audits, accreditation readiness, and internal quality improvement initiatives.   Training and Mentorship  Mentor and train LPNs and MAC-certified staff to ensure safe, consistent, and effective delivery of medication and health services.   Lead or participate in in-service trainings and team education related to psychotropic medications, chronic conditions, infection control, and trauma-informed care.    Qualifications:   Current RN license in the State of Alabama  Nursing degree from an accredited institution.   Minimum of 1–2 years of nursing experience (behavioral health or community-based care preferred)  Valid driver’s license and reliable transportation required  Strong communication, organizational, and interpersonal skills  Proficiency in Microsoft Office and EHR systems  Ability to work independently and as part of a multidisciplinary team  Commitment to trauma-informed, culturally competent, and recovery-focused care  Strong clinical judgment, documentation, interpersonal, and organizational skills. Ability to work independently across multiple sites.   Strong communication and interpersonal skills.   Ability to work with compassion, patience, and flexibility in a variety of community settings.   Ability to maintain confidentiality and adhere to professional boundaries.   Transportation Requirements:   May provide transportation for consumers as needed using agency or personal vehicles.  Maintain a safe driving record and valid driver’s license with personal liability insurance.   Follow all agency transportation policies, including seatbelt usage, safe cellphone practices, and vehicle documentation.   Immediately report any vehicle issues, accidents, or violations to appropriate personnel.  Must have reliable transportation, maintain a safe driving record and valid driver’s license with personal liability insurance.   Work Environment & Schedule:   This is a non-exempt, full-time position.   Standard hours are Monday through Friday, 8:00 AM – 4:30 PM CST.  This position requires in-person work and is not eligible for remote or hybrid work arrangements.   Requires travel between multiple community sites.   Fast-paced environment involving direct interaction with consumers and staff.   In-Service Training & Continued Education Requirements:   Participation in all agency-required in-service trainings.   Commitment to ongoing professional development to enhance skills and stay informed on best practices in behavioral health.   Completion of onboarding and any continuing education requirements as directed by the agency or supervisor.   Attend staff meetings, trainings, and in-service sessions.   Maintain licensure and participate in ongoing education related to mental health, ID/DD care, and medication administration.  Benefits:  Blue Cross/Blue Shield Health and Dental  Retirement Systems of Alabama Participation   Generous Leave Policy