Licensed Practical Nurse (4414)

## Description

**Classification:** Hourly/Non-Exempt

**Department:** Residential

**Reports to:** Director of Nursing

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**Position Overview**

The **Licensed Practical Nurse (LPN)** plays a crucial role in ensuring high-quality healthcare services for residents. Under the supervision of the **Registered Nurse (RN)**, the LPN provides direct nursing care, provides **case management**, **clinical consultation** and supports staff in implementing and enforcing healthcare training and protocols. This role requires strong clinical skills, leadership abilities, and a commitment to promoting resident well-being and independence.

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**Essential Responsibilities**

*(Other duties may be assigned as needed.)*

**Quality Assurance**

• Enforce **medical/nursing policies and procedures** to ensure consistent application across programs.
• Ensure **compliance with best practices, state, and federal requirements**.
• Conduct **periodic audits** of health care record-keeping.
• Develop **individualized person-centered medical guidelines** in collaboration with healthcare providers.
• Ensure **proper implementation of health care recommendations** and screening by conducting audits and training program staff.
• Collect and analyze **health-related data** to assess compliance and identify areas for improvement.
• Organize and participate in **interdisciplinary Red flag meetings, DDS/DPH provider meetings, etc,** to review the health management of individuals within CRC.

**Nursing Consultation, Case Management & Coordination**

• Provide **nursing consultation** to program management, supervisory staff, individuals, and families.
• Serve as a **resource and advocate for health care access**, ensuring individuals receive appropriate medical care.
• Manage **case coordination** for individuals with complex or acute healthcare needs.
• Attend **medical appointments and case conferences** when complex health issues arise.
• Conduct **on-site health assessments and treatments** as needed.
• Develop and maintain **relationships with healthcare providers** to facilitate quality care.
• Stay updated on **third-party insurance, Medicare, and Medicaid regulations** to assist in coverage and benefits navigation.
• Participate in **discharge planning** for individuals transitioning into CRC residential homes.

**Health Care Training & Compliance**

• Provide reinforcement **Medication Administration Certification (MAP) specific** training under the supervision and guidance of an RN
• Ensure **compliance with MAP and Department of Public Health (DPH) regulations**.
• Stay current with **DDS, DPH, and MAP regulations** to maintain CRC’s compliance.
• Conduct annual and ongoing training **on infection control practices, person-centered medical guidelines, vital signs, modified diets, specialized training on emergency medical interventions** (ex: epi-pens, seizure protocols), and new diagnoses as they arise.
• Participate in **new staff orientation** to educate on health-related practices.
• Collaborate with **other CRC departments** to ensure individuals’ health, safety, and well-being.

**Additional Responsibilities**

• Provide **emergency first aid** and accompany individuals to **emergency medical services** as needed.
• Participate in **weekly phone on-call rotation** and provide in-person nurse coverage as needed.
• Work with **DDS and DPH health care personnel** to refine community service health policies.
• Assist in **ordering and managing health care equipment and supplies**.

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• **Required Skills & Competencies**
• **Core Competencies**

• **Interpersonal Skills:** Builds positive relationships and communicates effectively across all levels.
• **Teamwork & Cooperation:** Works collaboratively with team members and leadership to achieve goals.
• **Dependability:** Completes responsibilities with accuracy and reliability.
• **Communication:** Clearly conveys information in both individual and group settings.
• **Planning & Organization:** Prioritizes multiple tasks efficiently and adapts to changing conditions.
• **Initiative & Problem-Solving:** Demonstrates self-reliance and critical thinking in decision-making.
• **Management & Leadership:** Leads by example, supporting and enforcing agency policies.
• **Data Collection & Reporting:** Gathers, compiles, and presents accurate reports in a timely manner.

## Qualifications
**Qualifications**

• **Must be licensed** by the **Massachusetts Board of Registration in Nursing** to practice as an LPN in the Commonwealth.
• **Experience:** Minimum **one years of nursing experience** in a healthcare facility, school, or community setting.
• Preference for experience with **developmental disabilities, nursing homes, or DDS/DPH regulations**.
• **Legal & Compliance:** Must authorize **Criminal History Background Check (CORI)** and release information from **DPPC, DDS, and other regulatory agencies**.
• **Training:**
• **Successful completion** of all state and agency-mandated training and certifications, as assigned by CRC
• **CPR/AED, first aid**
• **Physical Ability:** Capable of performing essential job duties, with reasonable accommodations as needed.
• **Driver’s License & Transportation:** Valid **Massachusetts driver’s license** and access to reliable transportation.
• **Technical Skills:** Proficient in **Microsoft Office applications** and electronic health records (EHR).
• **Understanding of behavior modification techniques.**

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• **Language Skills**

• **Fluent in English** with the ability to read and interpret important documents (e.g., safety rules, procedure manuals).
• **Strong written and verbal communication skills.**
• **Ability to effectively communicate** with individuals receiving services, staff, families, and community members.
• **Capable of presenting information clearly** in both individual and group settings.

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• **Physical Demands**

• **Significant endurance** required for job-related physical activities.
• **Regular activities include:** sitting, standing, walking, stooping, kneeling, and crouching.
• **Frequent use of hands/fingers** for handling tools and reaching.
• **Must be able to generate force to maneuver up to 100 pounds** (assistance provided when needed).
• **Ability to lift up to:**
• **30 pounds from floor to waist**
• **10-15 pounds from waist to overhead**

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• **Reasoning Ability**

• **Ability to carry out detailed written or oral instructions.**