REGISTERED NURSE

The Sentinel of Amsterdam; South Amsterdam (NY); On-site; USD 80,000 - 100,000; Full time

Job summary

The Sentinel of Amsterdam is seeking a Lead Registered Nurse to oversee clinical operations within the ALP/LHCSA framework, ensuring high-quality resident care, accurate documentation, and regulatory compliance.

You will perform in-person assessments, coordinate care plans, supervise staff, participate in surveys and audits, and drive performance improvement while collaborating with interdisciplinary teams to support safe, patient-centered care.

Qualifications

• Active RN license in good standing.
• Experience in assisted living, home care, long-term care, or related clinical settings.
• Strong knowledge of resident assessments, care planning, and regulatory compliance.
• Proficiency with electronic health records and documentation systems.
• Excellent organizational, communication, and leadership skills.

Responsibilities

• Conduct in-person nursing assessments for new admissions, recertifications, significant change evaluations, and post-hospitalization returns
• Complete Start of Care, UAS assessments, reassessments, and care plan development
• Address urgent and emergent resident clinical needs and coordinate services as needed
• Complete fall risk, nutritional assessments, and ongoing chart audits
• Participate in DOH surveys, audits, and performance improvement initiatives
• Maintain accurate and timely documentation in HCM, CompuCare, and state systems
• Upload and manage required resident documentation, certifications, and plans of care
• Ensure compliance with ALP/LHCSA regulations, policies, and assessment timelines
• Conduct quarterly chart audits and annual chart thinning
• Orient aides to residents and individualized Plans of Care
• Conduct aide supervisions, skills competencies, and annual compliance requirements
• Provide clinical education and re-education to caregiving staff
• Review and sign off on duty sheets and care delivery
• Attend required nursing meetings (daily, weekly, monthly, quarterly as applicable)
• Submit weekly Lead RN reports to leadership
• Collaborate with interdisciplinary teams, case managers, providers, and leadership
• Manage HealtheConnections access, consents, and medical record retrieval

Skills

RN license active

Assisted living / home care

Regulatory compliance

Electronic health records

Leadership & communication

Education

Nursing degree

Tools

HCM

CompuCare

state DOH systems

Job description

Lead Registered Nurse

Assisted Living Program (ALP) / LHCSA

Position Overview

The Lead RN is responsible for overseeing clinical operations, resident assessments, regulatory compliance, and nursing coordination within the Assisted Living Program (ALP) and Licensed Home Care Services Agency (LHCSA). This role ensures high-quality resident care, accurate documentation, staff oversight, and compliance with Department of Health (DOH) and organizational standards.

Key Responsibilities

Clinical Oversight & Resident Care

• Conduct in-person nursing assessments for new admissions, recertifications, significant change evaluations, and post-hospitalization returns

• Complete Start of Care, UAS assessments, reassessments, and care plan development

• Address urgent and emergent resident clinical needs and coordinate services as needed

• Complete fall risk, nutritional assessments, and ongoing chart audits

• Participate in DOH surveys, audits, and performance improvement initiatives

Documentation & Compliance

• Maintain accurate and timely documentation in HCM, CompuCare, and state systems

• Upload and manage required resident documentation, certifications, and plans of care

• Ensure compliance with ALP/LHCSA regulations, policies, and assessment timelines

• Conduct quarterly chart audits and annual chart thinning

Staff Oversight & Education

• Orient aides to residents and individualized Plans of Care

• Conduct aide supervisions, skills competencies, and annual compliance requirements

• Provide clinical education and re-education to caregiving staff as needed

• Review and sign off on duty sheets and care delivery

Coordination & Communication

• Attend required nursing meetings (daily, weekly, monthly, quarterly as applicable)

• Submit weekly Lead RN reports to leadership

• Collaborate with interdisciplinary teams, case managers, providers, and leadership

• Manage HealtheConnections access, consents, and medical record retrieval

Required Qualifications

• Active Registered Nurse (RN) license in good standing

• Experience in assisted living, home care, long-term care, or related clinical settings

• Strong knowledge of resident assessments, care planning, and regulatory compliance

• Proficiency with electronic health records and documentation systems

• Excellent organizational, communication, and leadership skills

Preferred Experience

• ALP and/or LHCSA experience

• Familiarity with UAS assessments, HCM, CompuCare, and DOH requirements

• Experience supervising and educating nursing and aide staff

Work Schedule

• Full-time

• Mix of in-person assessments, administrative work, and meetings

Why Join Us

• Leadership-focused nursing role

• Meaningful impact on resident care and clinical quality

• Collaborative clinical environment

• Opportunity to influence care standards and staff development

Competitive salary, great atmosphere and the opportunity to work in a nurturing environment where patient care is the number one priority.

• Salaried position with benefits and paid time off.

• 40 hours per week

• Salary commensurate with experience.

• $80,000 - $100,000