• Monitor individual health status and promptly communicate significant changes to appropriate clinical, supervisory, guardian, or healthcare contacts.
• Coordinate routine, specialty, dental, behavioral health, hospital discharge, emergency department, and follow-up care.
• Ensure healthcare recommendations, provider instructions, physician orders, treatment protocols, and medical equipment needs are implemented and documented.
• Maintain communication with pharmacies, physicians, hospitals, durable medical equipment providers, and other healthcare partners.

• Provide oversight of medication systems, MAR accuracy, refills, storage, security, disposal, order changes, and medication-related follow-up.
• Identify and respond to medication variances, omissions, adverse reactions, and documentation concerns according to policy.
• Audit nursing notes, treatment records, appointment forms, monitoring logs, and health-related documentation for accuracy and completeness.

• Oversee the day-to-day operation of two assigned IDD medical homes.
• Maintain safe, clean, organized, welcoming, and person-centered residential environments.
• Ensure adequate household supplies, food, medical supplies, adaptive equipment, transportation coordination, and maintenance follow-through.
• Maintain audit, licensing, survey, and internal review readiness.

• Supervise, coach, and support LPN and DSP staff assigned to the two homes.
• Assist with interviewing, onboarding, training, scheduling, performance feedback, retention, and corrective action processes.
• Ensure staff understand each individual's medical, behavioral, communication, dietary, mobility, safety, and person-centered support needs.
• Promote clear role definition and effective shift-to-shift communication between LPNs and DSPs.

• Maintain personal clinical competency and support competency validation for assigned LPNs in collaboration with nursing leadership and the Program Manager.
• Ensure LPN staff are trained and validated before independently performing individual-specific procedures or health protocols.
• Monitor competency in areas such as medication administration, MAR documentation, diabetes care, enteral feeding, seizure protocols, respiratory support, aspiration precautions, skin integrity, wound care, catheter/ostomy care, emergency response, infection control, and other individual-specific needs.
• Escalate scope-of-practice, competency, or clinical performance concerns promptly.

• Ensure services align with each individual's person-centered plan, healthcare needs, preferences, routines, goals, and desired outcomes.
• Promote dignity, privacy, informed choice, self-determination, independence, and meaningful community participation.
• Protect individuals from abuse, neglect, exploitation, mistreatment, unnecessary restrictions, and violations of rights.

• Follow applicable Tennessee DIDD, Medicaid, HCBS, licensing, HIPAA, incident reporting, risk management, and agency requirements.
• Ensure reportable events, injuries, medication errors, hospitalizations, ER visits, suspected abuse/neglect, and unusual incidents are addressed and reported timely.
• Participate in investigations, incident reviews, corrective action plans, audits, and quality improvement activities.
• Respond to urgent health, staffing, behavioral, and residential concerns and participate in on-call or after-hours support as assigned.

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