Lead LVN — Medication Management & Resident Care

NEMS ASSISTED LIVING LLC; San Francisco (CA); On-site; USD 59,236 - 67,502; Full time

Job summary

NEMS ASSISTED LIVING LLC in San Francisco, CA is seeking a licensed vocational nurse to lead medication management and resident care within a long-term care setting.

The role requires CA LVN licensure, a strong clinical foundation, and ability to supervise Medication Aides, coordinate assessments, and ensure compliance with state and federal regulations. Flexibility for shifts including nights, weekends, and holidays is expected.

Qualifications

• High School Diploma or equivalent required.
• Current, active CA LVN license.
• One-year experience in long-term care preferred.
• Pass medication dosage and calculation test with a score of 80% or higher.
• Maintain current First Aid certification.
• Maintain current CPR or BLS certification.
• Ability to obtain and maintain California Background Clearance through the Department of Social Services.
• Strong organizational and leadership skills; good judgment and problem-solving.
• Flexible schedule including nights, weekends and holidays; ability to work independently.
• Fluent English; bilingual Chinese preferred.

Responsibilities

• Ensure overall compliance with state and federal laws and regulations in the provision of care.
• Oversee Medication Management Program and supervision of Medication Aides.
• Observe residents for changes in physical, mental, emotional and social functioning.
• Responsible for medication management program, ensuring compliance with state regulations.
• Monitor medication room to ensure proper receiving, ordering, storage, security and disposal of medications.
• Supervision of Medication Aides.
• Completion of Medication Training with ability to train Medication Aides.
• Review 24-hour report daily and ensure appropriate documentation is complete.
• Attend change of shift daily.
• Conduct weekly skin rounds to evaluate progress and effectiveness of current treatments.
• Complete any treatments which require a licensed nurse.
• Assess residents for need of blood glucose monitoring, intake and output.
• Complete assessment on all new residents within seven days of admission.
• Review pre-placement appraisal, physician's report and other information; converse with care staff and conduct interview with the resident.
• Complete resident assessments, identify care needs and initiate/update care and service plans as indicated.
• Provide care plan to administrator for review, signature and completion of any needed negotiated risk agreements.
• Conduct pre-admission appraisals as requested.
• Assess all residents every six months, or as required for changes of conditions or special needs.
• Upon completion of annual assessments, provide list of conferences to be scheduled to receptionist.
• Review, log, and report monthly weights and vital signs.
• Verify proper transcription of medication orders. Assist with medication distribution.
• Makes rounds of the building at least once per day to identify resident needs and care gaps.
• Maintain knowledge of and comply with applicable federal, state and local laws, regulations, facility policies, procedures and licensing requirements.
• Conduct Department of Social Services Self-Assessment audits and make recommendations for continuous quality improvement.
• Monitor completion of required documentation of care and services, including assessments, physician orders, observations, interventions and response.
• Utilize 24-hour report forms for continuing care and attend change of shift report.
• Complete accident/incident forms and additional reports as required.
• Promote and maintain good public relations.
• Interact effectively, provide leadership, and act as a role model for residents and facility staff.
• Maintain current knowledge of resident status.
• Work with Administrator to ensure all care is provided according to physician orders.
• Direct, practice, and implement infection control programs.
• Ensure employees follow facility procedures for hand-washing, standard precautions and PPE to prevent infection and promote environmental health.
• Ensure proper disposal of sharps.
• Assist staff and problem-solve resident care issues.
• Inform resident, physician, administrator and family or responsible party when incidents occur, there is a significant change in status, or any other pertinent information.
• Demonstrate knowledge of and respect for residents' rights and dignity in all interactions.
• Maintain confidentiality of resident and facility information.
• Promote the highest possible quality of life and level of independence for every resident.
• Act as a resident advocate when necessary and as a mandated reporter of abuse.
• Report relevant information to administrator including compliance issues, quality improvement, resident risk factors, change of condition, medication errors, incidents, refusals of treatment, or other pertinent events.
• Know emergency and disaster plans; remain calm and direct others in emergencies; provide first aid as necessary.
• Perform other job duties as required by manager/supervisor.

Skills

Interpersonal skills

Leadership

Attention to detail

Problem-solving

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

NEMS ASSISTED LIVING LLC in San Francisco, CA is seeking a licensed vocational nurse to lead medication management and resident care within a long-term care setting.

The role requires CA LVN licensure, a strong clinical foundation, and ability to supervise Medication Aides, coordinate assessments, and ensure compliance with state and federal regulations. Flexibility for shifts including nights, weekends, and holidays is expected.