Oversee daily nursing operations for the residential program(s), ensuring effective and efficient delivery of patient/resident care across all shifts.
Provide leadership support to the residential program/house during assigned shifts, including stepping into house-level operational oversight as needed to support safety, staffing coordination, and overall program operations
Collaborate with Residential Supervisors to support staffing coordination, including Residential Medication Technician scheduling needs, to ensure safe and effective coverage across programs.
Serve as the nursing leadership resource during assigned shifts, providing real-time clinical guidance and decision support to nursing staff.
Coordinate admissions, discharges, and transfers in collaboration with the interdisciplinary treatment team and ancillary departments.
Manage program workflow related to nursing/medication management needs, prioritizing patient/resident care activities based on clinical acuity and operational needs.
Facilitate effective communication at shift handoff, ensuring accurate and thorough reporting of patient/resident status, safety concerns, and outstanding care needs.
Support float coverage across residential programs as indicated.
Conduct and oversee comprehensive nursing assessments as needed
Contribute to discharge planning needs
Engage family and support systems in the assessment, care planning, and education process as clinically appropriate.
Develop, implement, and update individualized nursing treatment plans in collaboration with the interdisciplinary team as needed.
Participate in interdisciplinary treatment team meetings, contributing clinical nursing expertise to treatment planning and discharge planning discussions.
Review and act upon laboratory and diagnostic data in collaboration with providers; communicate clinically significant findings promptly.
Identify and escalate changes in patient condition to the appropriate provider in a timely manner.
Provide direct patient care as needed.
Participate in on-call responsibilities and provide clinical/operational support as needed.
Perform additional responsibilities as assigned to support team effectiveness and care quality.
Provide direct supervision to Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Residential Medication Technicians within the residential program(s), while proactively addressing staff performance concerns in a timely, constructive manner and escalating to leadership as appropriate.
Delegate tasks appropriately based on staff scope of practice, competency, and patient/resident care requirements.
Conduct real-time coaching, performance feedback, and competency observation to support staff development and clinical excellence.
Identify staff learning needs and collaborate with Residential Nursing Leadership to address education and training gaps.
Participate in recruitment, onboarding and orientation of new nursing and Residential Medication Technician personnel, ensuring alignment with program standards, workflows, and organizational expectations.
Oversee and monitor medication administration practices, ensuring all procedures are performed safely, accurately, and in compliance with the rights of medication administration.
Monitor therapeutic and adverse medication effects, including potential drug interactions, and communicate findings to the treatment team.
Ensure accurate transcription and timely implementation of provider orders.
Supervise and validate medication administration practices of RNs, LPNs, and Residential Medication Technicians on the unit.
Maintain medication storage, documentation, and controlled substance compliance in accordance with state and federal regulations and organizational policy.
Identify clinical deterioration, behavioral escalation, and emerging safety concerns; initiate and coordinate appropriate interventions.
Utilize and direct approved de-escalation and crisis management techniques consistent with organizational training and protocols.
Ensure safe application of crisis intervention and, when applicable, physical intervention techniques in accordance with Nonviolent Crisis Intervention (NCI) training and safety standards.
Maintain composure and provide clear leadership direction during high-stress and crisis situations.
Serve as a resource and decision-maker for nursing staff during emergent and complex clinical events.
Ensure adherence to nursing department and hospital standards of practice across the residential program(s).
Maintain operational compliance with:
State Nurse Practice Act
The Joint Commission Standards
CMS Conditions of Participation
Wisconsin DHS residential facility regulations (DHS 83 and applicable codes)
Participate in infection prevention activities, environmental safety rounds, and regulatory readiness efforts.
Ensure accurate, timely, and compliant documentation by self and supervised staff.
Additional Job Description:
Communicate professionally and therapeutically with patients, families, and all members of the interdisciplinary team.
Maintain accountability for delegated responsibilities and ensure follow-through on unit-level commitments.
Demonstrate flexibility and responsiveness in adjusting priorities and scheduling to meet patient care needs.
Seek consultation and escalate clinical situations that exceed scope of practice or competency level.
Model behaviors aligned with Rogers Service Commitments, including respect, collaboration, empathy, and patient-centered care.
Apply and reinforce therapeutic approaches, professional boundaries, and de-escalation techniques within the residential setting.
Demonstrate dependability, clinical judgment, and a commitment to quality outcomes.
Foster a psychologically safe and supportive work environment that encourages staff engagement, open communication, and continuous learning.
Maintain professionalism and composure during high-stress, dynamic, or crisis situations.
Majority of time is spent inside the building; walking, pulling, pushing, bending, twisting, sitting, and grasping are routine activities. Will be required to lift work equipment, patient care equipment, supplies and patients, within reason. Personal judgment dictates weight-lifting limits but must be able to lift a minimum of fifty (50) pounds.
Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
Able to plan, control and direct all aspects of employee relations and professional staff. Logical thinking and discretion required to make decisions in initiating and implementing policies, procedures and standards.
Requires effective verbal, written, and auditory communication skills.
Must be able to perform the physical components of non-violent crisis intervention, including safe physical intervention techniques, in accordance with training and safety protocols.
Role requires sustained physical and mental readiness to respond quickly to dynamic or escalating situations within the work environment.
With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:
Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)