LPN Direct Care - I/DD Residential

Access, Inc.; City of Poughkeepsie (NY); On-site; USD 60,000 - 62,000; Full time

Job summary

Access, Inc. is seeking a Licensed Practical Nurse in Poughkeepsie, NY to provide essential health monitoring and support for individuals in a residential setting. The role involves administering medications, ensuring quality care, and assisting with daily living activities.

Qualified candidates will have 2-5 years of relevant nursing experience, strong organizational skills, and a commitment to improving the lives of individuals with IDD. The position offers a competitive pay rate of $29.50 per hour and operates within a supportive team culture.

Qualifications

• 2-5 years of previous nursing experience with IDD individuals or hospital/nursing home experience.
• Strong written and verbal communication skills.
• Strong organizational skills.

Responsibilities

• Monitor health status and document findings.
• Administer medications and treatments as prescribed.
• Assist individuals with Activities of Daily Living (ADLs).
• Maintain a safe, clean environment.

Skills

Communication skills

Organizational skills

Problem solving

Time management

Education

Licensed Practical Nurse

Job description

Posted Wednesday, July 1, 2026 at 4:00 AM

Do Work That Matters. In a Culture That Means It.

Be part of a team that values connection, accountability, and real impact.

Why Access?

Because how we work matters just as much as what we do. At Access, our Culture Playbook isn’t a poster on the wall – it’s how we show up for each other and for the people we support.

You’ll be part of a team that is:

• Clear about expectations
• Supportive and accountable
• Focused on outcomes that matter to people.

And committed to helping people live the healthiest and fullest lives possible – while making sure our staff can do the same.

Location: Poughkeepsie, NY

Pay Rate: $29.50 per hour

Hours: Sunday-Thursday 8:00AM-4:00PM (40hrs.)

This position will work in an Individualized Residential Alternative (IRA) setting where they will monitor health status, administer medications, and perform specialized medical treatments in a home-like setting. This position will work alongside direct support professionals where they will be part of the daily staff to individual staffing ratio sharing other daily residential duties.

Primary Functions

Health Monitoring: Regularly check vital signs (temperature, blood pressure, pulse, respiration) and observe for changes in condition, reporting findings to an RN or physician.

Medication Administration: Administer daily oral medications, injections, g-tube/j-tube feedings (as assigned), and provide treatments as prescribed. Follow all AMAP procedures and guidelines including checking for expired medications and items are stored correctly.

Medical appointments: coordinate and attend medical appointments to ensure the highest quality of care for individuals. Complete all follow up to any appointments the LPN in ratio attends.

Documentation: Maintain accurate, up-to-date documentation in eVero and QuickMar including DA logs, medication administration records (MAR), nurse’s notes, encounters, and medical reports.

Nutrition: Assist with creating menus, cooking healthy meals and portion control.

Wound Care: Complete wound care as needed, turning and positioning, and check adaptive equipment.

Direct care / ADLS: Assist individuals with Activities of Daily Living (ADLs) such as personal hygiene, bathing, dressing, feeding and nail care. (Core Competency 4,5)

Person Centered Planning: Attend Life Plan and clinical meetings.

Training: Train Direct Support Professionals (DSPs) in health-related tasks, medication administration, and safety protocols.

Safe Environment: Maintain a safe, clean environment by following universal precautions. Ensures the overall safety of individuals, colleagues and self (Core Competency 5).

OPWDD certifications: Become certified and maintain all required ratio ready trainings.

Advocacy: assists individuals with achieving desired personal outcomes. (Core Competency 1)

Household Maintenance: ensures routine household maintenance gets completed as needed, which may include meal preparation, leaning, laundry, etc. (Core Competency 5, 6).

Independent Living Skills Development: helps individuals develop skills needed to decrease support needed from others and increase independence (Core Competency 6).

Mentor - serves as a role model, demonstrating appropriate social interactions and implementing approved crisis intervention techniques and strategies as needed (Core Competency 3).

Transportation: provides transportation for to various sites in the community utilizing an agency vehicle (Core Competency 7).

Maintains LPN licensure

Performs other duties as needed or assigned.

Qualifications and Attributes

Licensed Practical Nurse

2-5 years of previous nursing experience with IDD individuals with co-occurring behavioral health challenges or hospital nursing and/or nursing home experience.

Strong written and verbal communication skills

Strong organizational skills

Excellent problem solving and time management skills

Assist in instructing staff in medical procedures and healthy lifestyle

Education and Experience

Licensed Practical Nurse

2-5 years of previous nursing experience with IDD population or hospital nursing and/or nursing home experience.

• Experience as direct support professional preferred.

Physical Characteristics

Must be capable to sit or stand in front of a computer for long periods of time

Must be capable to move throughout work day and follow people served throughout community

Work alongside co-workers within 3 feet

Must be able to move in tight spaces

Occasional lifting of 25 pounds or more

An Equal Opportunity Employer, including disability and Veterans