RN Wellness Director

Job Summary:
The RN Wellness Director provides clinical leadership and oversight of resident care within the assisted living community, supporting the health, safety, dignity, and quality of life of residents living with memory loss and cognitive impairment. The RN Wellness Director assesses resident needs, coordinates and oversees individualized care, monitors changes in condition, supports medication management, and helps ensure that clinical services are delivered safely and in accordance with applicable requirements and established community policies and procedures.

Working closely with the Administrator, the RN Wellness Director provides leadership, supervision, education, and clinical direction to the resident care team, including CNAs, CMTs, and licensed nursing staff. The position participates in resident admissions and ongoing assessments, communicates with residents, families, healthcare providers, and other members of the care team, and promotes a compassionate, resident-centered approach to care throughout the community. As a key member of the community’s leadership team, the RN Wellness Director maintains flexibility in scheduling and availability to provide clinical support and leadership in response to resident care, staffing, and operational needs, including outside of regularly scheduled hours when needed.

Job Duties/Responsibilities:
Resident Assessment, Care Planning & Clinical Oversight

• Conduct pre-admission health screenings and cognitive assessments of prospective residents to evaluate care needs and appropriateness for the assisted living community.
• Complete required initial and ongoing nursing assessments, evaluate individualized care plans, and conduct periodic reviews of resident functioning, care needs, and appropriateness of continued placement within the assisted living community.
• Assess and monitor changes in residents' physical, cognitive, behavioral, and functional status, providing appropriate nursing interventions, referrals, follow-up, and modifications to care within the scope of RN practice and services provided by the community.
• Promote individualized, dementia-informed care that recognizes resident preferences, abilities, routines, behaviors, and changing needs while supporting safety, dignity, independence, comfort and qualify of life.

Care Coordination & Medication Management

• Collaborate with residents, families, healthcare providers, pharmacies, hospitals, home health agencies, and other partners to coordinate resident care, outside clinical services, healthcare supplies, and other resources necessary to meet resident needs.
• Review provider orders and ensure appropriate implementation, communication, documentation, and follow-up.
• Provide clinical oversight of medication management and administration, including medication orders, MARs, administration, storage, security, reordering, disposal, and medication-related documentation.
• Monitor residents for medication effectiveness, side effects, adverse reactions, and other medication-related concerns and ensure appropriate follow-up.
• Coordinate outside clinical services, healthcare supplies, and other resources necessary to support resident needs.

Staff Leadership, Supervision & Delegation

• Provide clinical leadership, supervision, education, and competency oversight to CNAs, CMTs, LPNs, RNs, and other resident care staff to support safe, effective resident care and medication management.
• Delegate resident care responsibilities in accordance with applicable requirements, scope of practice, staff competency, and individual resident needs, and monitor the quality and effectiveness of delegated care.
• Coordinate and provide clinical orientation, in-service education, and ongoing training for resident care staff, ensuring compliance with required training standards and maintenance of appropriate clinical competencies.

Regulatory Compliance & Quality

• Develop, review, and maintain nursing and resident care policies and procedures and ensure staff compliance with established clinical standards and applicable regulatory requirements.
• Support compliance with Rhode Island Department of Health requirements applicable to the assisted living community and services provided
• Participate in regulatory surveys, inspections, and other reviews, including preparation, response, and implementation of corrective actions as appropriate.
• Participate in quality improvement, infection prevention, resident safety, incident review, and other clinical initiatives.
• Identify concerns affecting resident safety or quality of care and work with the Administrator to implement appropriate follow-up or corrective action.
• Oversee the training, supervision, and competency evaluation of Certified Medication Technicians (CMTs), ensuring required evaluations are completed monthly for the first three months of employment and at least quarterly thereafter, in accordance with Rhode Island regulations.

Leadership & Operational Support

• Maintain flexibility in scheduling and availability based on resident care, staffing, and operational needs, including availability for clinical consultation and support outside of regularly scheduled hours.
• Adjust scheduled hours or provide on-site leadership support when needed due to staffing challenges, urgent resident needs, emergencies, significant weather events, or other circumstances affecting community operations.
• Work collaboratively with the Administrator to support effective day-to-day operations of the community.
• Perform other duties as assigned that support residents and the operation of the assisted living community.

Required Skills & Abilities:
Ability to maintain confidentiality and protect resident health and personal information.
Strong clinical assessment, critical thinking, and decision-making skills.
Ability to maintain sound judgment and provide effective leadership in routine and stressful situations.
Ability to provide compassionate, resident-centered care to older adults, including individuals living with dementia.
Strong communication and interpersonal skills with residents, families, staff, healthcare providers, and other members of the care team.
Ability to lead, supervise, and provide clinical direction to resident care staff.
Ability to proficiently perform and oversee clinical and skilled nursing responsibilities within the scope of RN practice.
Ability to work collaboratively and adapt to changing resident and operational needs.
Strong organizational, documentation, and follow-through skills.
Proficiency with electronic health records, Microsoft Office Suite, and similar software.

Education Requirements:
Graduate of an accredited nursing program required.
Bachelor of Science in Nursing (BSN) preferred.

Physical Requirements:
Ability to stand and walk for extended periods during the workday.
Ability to assist residents with transfers, mobility, positioning, and other physical care activities using appropriate equipment and safety techniques.
Ability to bend, stoop, kneel, reach, push, pull, and perform repetitive movements associated with resident care and community operations.
Ability to lift and carry supplies and equipment as required.
Ability to use hands and fingers to perform personal care, documentation, and other tasks requiring manual dexterity.
Ability to move throughout the assisted living community and respond to resident needs in a timely manner, including in resident apartments, dining areas, activity spaces, laundry areas, and common areas.
Ability to accompany and assist residents during community-based activities and events as needed.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.

Occupational Exposure: This position involves reasonably anticipated occupational exposure to blood, body fluids, or other potentially infectious materials in the performance of assigned duties.

Experience:
Minimum of two years of nursing experience required.
Experience working with older adults, including individuals living with dementia, preferred.
Previous supervisory or leadership experience preferred.
Assisted living, long-term care, or similar residential care experience preferred.

License & Certification Requirements:
Current Rhode Island Registered Nurse (RN) License in good standing required
Current BLS certification required or must be obtained within the timeframe established by the organization

Position Requirements:
Must be at least 21 years of age