IDD Care Lead RN — Clinical Leadership & Quality

Caregiver, Inc.; Granbury (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Caregiver, Inc. is seeking a Lead Registered Nurse to oversee nursing operations for individuals with IDD. You will lead RNs and LVNs, ensure person-centered care, and mentor staff to deliver high-quality services.

The role requires an active RN license, ADN or BSN preferred, 3+ years nursing experience, 1+ year IDD/long-term care, and strong leadership and documentation skills. Travel locally may be required.

Qualifications

• Active RN license (multi-state preferred if applicable).
• Associate’s Degree in Nursing required; BSN preferred.
• 3+ years of clinical nursing experience.
• 1+ year supporting IDD, developmental disabilities, or long-term care.
• Strong leadership, coaching, and problem-solving skills.
• Experience with documentation systems (EHR) and Microsoft Office tools.
• Ability to manage priorities, travel locally, and respond to urgent needs.

Responsibilities

• Provide leadership, supervision, and mentorship to RNs and LVNs/LPNs
• Coordinate care delivery and ensure appropriate staffing coverage
• Step in to provide direct clinical support when needed
• Review assessments, care plans, and documentation for accuracy and compliance
• Serve as a clinical resource for complex medical and behavioral cases
• Partner with physicians, pharmacies, and interdisciplinary teams
• Lead audits, incident reviews, and quality improvement initiatives
• Ensure compliance with all federal, state, and organizational standards
• Support onboarding, training, and ongoing development of nursing staff

Skills

Leadership

Coaching

Problem-solving

Travel locally

Education

Associate’s Degree in Nursing

BSN preferred

Tools

EHR systems

Microsoft Office

Job description

Caregiver, Inc. is seeking a Lead Registered Nurse to oversee nursing operations for individuals with IDD. You will lead RNs and LVNs, ensure person-centered care, and mentor staff to deliver high-quality services.

The role requires an active RN license, ADN or BSN preferred, 3+ years nursing experience, 1+ year IDD/long-term care, and strong leadership and documentation skills. Travel locally may be required.