Assistant Director of Nursing (RN)

Arcnbc; Fall River (MA); On-site; USD 95,000 - 105,000; Full time

Benefits offered by this job

Voluntary Retirement 403(b)

Life Insurance

Health Insurance

Dental and Vision Insurance

FSA

Pet Insurance

Mileage Reimbursement

Job summary

The Arc of Bristol County in Fall River, MA is seeking an Assistant Director of Nursing (RN) to provide clinical leadership across IDD/ABI residential programs and ensure health services are coordinated and compliant.

Ideal candidates hold MA RN licensure (BSN preferred) with at least five years of nursing experience and two years in supervisory roles. The position offers a competitive salary of $95,000–$105,000 and full-time benefits.

Qualifications

• Active RN licensure in MA; BSN preferred.
• Minimum of five years of progressive nursing experience including support for IDD/ABI, complex medical needs, behavioral health or community-based services.
• Minimum of two years of supervisory/management/clinical leadership experience.
• Knowledge of DDS regulations, ABI Waiver requirements, MAP regulations, HCSIS reporting and person-centered planning preferred.
• Experience with residential/services, quality assurance, regulatory compliance, incident management, and interdisciplinary care coordination strongly preferred.
• Current CPR and First Aid certification or ability to obtain within required timeframes.
• Valid driver's license, reliable transportation, current vehicle registration and proof of insurance.
• Ability to pass all required background checks for DDS-funded programs.

Responsibilities

• Provide clinical oversight across IDD/ABI residential programs, ensuring nursing services are person-centered, timely and coordinated.
• Collaborate with Director of Nursing, residential operations, leadership, families, providers and community partners to coordinate care.
• Assist in supervision of Healthcare Managers, LPNs and other nursing staff with coaching and training.
• Review health assessments, orders and records to ensure accuracy and compliance.
• Ensure DDS/ABI/MAP/license standards and agency policies are followed.
• Support MAP compliance and safe medication administration through audits and collaboration.
• Conduct audits of medication systems and health records for quality and regulatory compliance.
• Monitor health indicators and incident trends to drive corrective actions.
• Participate in ISP meetings, licensing visits, and QA initiatives as needed.
• Oversee health plan implementation and training of nursing staff.
• Participate in on-call rotations and respond to residential needs as assigned.

Skills

Nursing experience

Supervisory leadership

Clinical coordination

Education

RN licensure MA

BSN preferred

Job description

• DESE - MA Dept. of Elementary & Secondary Education; helps individuals (ages 6-22); program nested within Family Support
• HBTS - Home-Based Therapeutic Services are intensive services that help families with children with moderate-severe behavioral health, developmental, or physical disabilities. RI only

Position: Assistant Director of Nursing (RN)

Location: Fall River, MA

Job Id:893

# of Openings:0

Job # - 893

Position: Assistant Director of Nursing - Healthcare Services (RN)

Department: MA Residential

Schedule: Full-Time

Pay Rate: $95,000-$105,000 annual salary

About Us

The Arc of Bristol County provides innovative services and programs that empower individuals with intellectual and developmental disabilities to live their best lives. Through advocacy, community partnerships, and exceptional support, we promote growth, inclusion, and innovation for people of all abilities.

Benefits*

• Voluntary Retirement 403(b)
• Life Insurance
• Health Insurance
• Dental and Vision Insurance
• FSA (Flexible Spending Account)
• Pet Insurance
• Mileage Reimbursement

Minimum Qualifications

• Active RN licensure in the state of MA, BSN preferred
• Minimum of five (5) years of progressive nursing experience required, including experience supporting individuals with IDD, ABI, complex medical needs, behavioral health needs, aging populations, or other individuals receiving community-based services.
• Minimum of two (2) years of supervisory, management, clinical leadership, or nurse educator experience required.
• Demonstrated knowledge of DDS regulations, ABI Waiver requirements, MAP regulations, HCSIS reporting requirements, person-centered planning practices, and applicable Massachusetts healthcare regulations preferred.
• Experience with residential services, day services, quality assurance activities, regulatory compliance, incident management, and interdisciplinary care coordination strongly preferred.
• Current CPR and First Aid certification, or ability to obtain within agency-required timeframes.
• Valid driver's license, reliable transportation, current vehicle registration, and proof of insurance.
• Ability to successfully complete all required background checks and maintain eligibility for employment in DDS-funded programs.

Job Responsibilities

• Provide clinical oversight and consultation across assigned IDD and ABI residential programs, ensuring nursing services are person-centered, timely, coordinated, and responsive to each individual's health, communication, behavioral, and support needs.
• Partner with the Director of Nursing, residential operations, program leadership, direct support professionals, families, guardians, primary care providers, specialists, pharmacies, hospitals, DDS representatives, and other community partners to coordinate care, resolve clinical concerns, and ensure continuity of services.
• Assist in the oversight and supervision of Healthcare Managers, LPNs, and other nursing personnel, including coaching, performance monitoring, training, and support related to clinical practices and regulatory compliance.
• Review and monitor health assessments, nursing plans, physician orders, medication administration records, treatment protocols, hospital discharge instructions, and other clinical documentation to ensure accuracy, implementation, and follow-through.
• Ensure compliance with DDS regulations, ABI Waiver requirements, MAP regulations, HCSIS reporting requirements, licensing standards, accreditation standards, and agency policies and procedures.
• Support safe medication administration and Medication Administration Program (MAP) compliance through consultation, observation, record review, competency support, audits, corrective action, and collaboration with approved trainers, consultants, pharmacists, and healthcare providers.
• Conduct routine audits of medication systems, treatment documentation, health records, physician orders, nursing notes, protocols, and healthcare practices to ensure quality services and regulatory compliance.
• Monitor and trend medication variances, adverse events, falls, infections, emergency department visits, hospitalizations, incidents, and other quality indicators; ensure appropriate assessment, reporting, corrective action, follow-up, and prevention planning.
• Support the completion and review of HCSIS reports, investigations, incident reviews, corrective action plans, and follow-up activities to ensure compliance with required reporting timelines and regulatory expectations.
• Participate in ISP meetings, clinical reviews, licensing visits, DDS audits, survey activities, quality assurance initiatives, risk management processes, human rights reviews, and interdisciplinary team meetings as needed.
• Monitor implementation of healthcare plans, nursing assessments, physician recommendations, treatment protocols, and individualized health supports to ensure quality outcomes and continuity of care.
• Provide initial and ongoing education, training, and clinical consultation to nursing staff, direct support professionals, and program leadership regarding medication administration, nursing protocols, infection prevention, signs and symptoms requiring escalation, emergency procedures, documentation standards, and individualized healthcare supports.
• Conduct scheduled and unannounced residential site visits to evaluate clinical practices, medication management systems, health record maintenance, infection prevention practices, medical equipment management, emergency preparedness, and overall healthcare compliance.
• Support transitions of care, including admissions, discharges, transfers, hospitalizations, changes in residence, aging-related needs, hospice and palliative care services, and other significant changes in an individual's health status or service needs.
• Develop, implement, and evaluate nursing policies, procedures, protocols, audit tools, quality improvement initiatives, and performance improvement plans consistent with professional standards and applicable regulatory requirements.
• Maintain required records and reports, safeguard confidential information, analyze clinical data to identify trends and priorities, and communicate findings, risks, corrective actions, and outcomes to appropriate stakeholders.
• Participate in an on-call and/or urgent clinical consultation rotation and respond to residential program needs outside of regular business hours as assigned.

*Benefits eligibility is based on full-time hours.

Employment compliance with the Americans with Disabilities Act

The physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is regularly required to use hands in order to handle or feel objects, tools and controls; reach with hands or arms, stoop, kneel, talk, and hear. The employee is required to stand, walk, sit, and occasionally be required to lift/transfer up to 50/70 lbs. alone or occasionally up to 200lbs with the assistance of other staff. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.