GENERAL SUMMARY As a member of the nursing and care management team, provides nursing services to facilitate the screening of new foster homes and participants; assists with matching and placement services and maintains services to participants, as needed. ESSENTIAL JOB FUNCTIONS* + Provides oversight to caregivers in nursing care of participant; coordinates participant care with local home health agencies; educates, supervises and evaluates caregivers in care of program participants; participates in ongoing supervision of participants in homes via regular outreach visits. + Provides professional nursing services within established department policies and procedures. + Screens and assesses referrals for services in conjunction with case management staff; obtains approval for referrals assessed to be appropriate. Operates within the scope of professional nursing ethics and practice. + Develops a care plan for participants; reviews plan of care with the participant and caregiver; provides ongoing evaluation and revision semi-annually or on an as needed basis. + Assists in the development, implementation and evaluation of home caregiver training sessions. + Records and maintains accurate and timely case records. + Prepares and submits detailed documentation for Adult Foster Care consideration; meets with guardians, doctors and relevant parties, as needed. + Prepares and submits individual service plan (ISP) goals and assessments for individuals funded by the Department of Developmental Services (DDS). + Provides on-call coverage on nights and weekends, as scheduled. + Maintains professional growth and development through approved seminars, workshops, and professional affiliations. + Provides consultation to management with respect to health care policies for the program. + Serves as a mandated reporter of suspected cases of abuse and/or neglect to the Disabled Persons Protection Commission (DPPC). OTHER DUTIES AND RESPONSIBILITIES + Performs additional duties, as assigned. COMPETENCIES + Total Quality Management: Is dedicated to providing the highest quality services which meet the needs and requirements of internal and external customers; is committed to continuous improvement through empowerment and performance management; creates a learning environment leading to the most efficient and effective work processes. + Adaptability: Able to deal with frequent change, delays, or unexpected events; manages competing demands; changes approach or method to best fit the situation; inspires others to be adaptable to change. + Ethics, Values and Diversity: Promotes an appropriate and effective work environment and strives to ensure that the agency’s core values and beliefs are applied during all circumstances; genuinely cares about people; deals effectively with all races, nationalities, cultures, disabilities, ages, lifestyle choices and genders; supports equal and fair treatment and opportunity for all; adheres to and promotes the Americans with Disabilities Act (ADA); advocates for the rights and interests of individuals with disabilities to maximize their potential in the programs and communities of their choice. + Integrity and Trust: Is respectful, truthful, and transparent; keeps confidences; takes ownership and responsibility for decisions and outcomes. + Problem Solving and Judgment: Probes all useful and constructive sources to find pertinent answers; can analyze issues, identify problems and work toward appropriate solutions; collaborates with others or as part of a team; displays willingness to make decisions; makes timely decisions; exhibits sound and accurate judgment. + Oral and Written Communications: Speaks clearly, appropriately and effectively with a diverse group of individuals; is an active listener and gets clarification when necessary; participates constructively in meetings; is able to write clearly and succinctly; is able to communicate clearly in a variety of settings and situations. PREPARATION, KNOWLEDGE, SKILLS & ABILITIES + Registered Nurse licensed by the Massachusetts Board of Registration in Nursing. + Minimum 2 years prior nursing experience in the direct care of the elderly or disabled adults. + Must be compassionate and patient. SUPERVISORY RESPONSIBILITY + No formal supervisory responsibility. WORKING CONDITIONS/PHYSICAL DEMANDS + Frequent sitting, standing and walking. + Ability to sit for prolonged period of time in a car travelling from location to location.