Registered Nurse/Delegating Nurse

DOFA Pathways Corporation; Columbia (MD); On-site; USD 75,000 - 95,000; Full time

Job summary

DOFA Pathways Corporation is seeking a compassionate Registered Nurse/Delegating Nurse to oversee nursing services for individuals with intellectual and developmental disabilities in community settings and day programs.

You will perform clinical assessments, manage nurse delegation, and coordinate care with physicians, families, and support teams to ensure person-centered, compliant services.

Qualifications

• Licensed RN in Maryland with knowledge of Maryland Board of Nursing requirements.
• Familiar with COMAR regulations and DDA standards.
• Experience with nursing delegation and medication oversight.
• Ability to train staff and provide clinical guidance.
• Strong communication and coordination with healthcare teams.

Responsibilities

• Oversee nursing services in community residential settings and day programs.
• Perform nursing assessment and develop/update Nursing Care Plans.
• Coordinate care with physicians, therapists, and families.
• Monitor health status and manage HRST ratings and reviews.
• Delegate tasks safely and supervise delegated staff.
• Provide 24/7 nursing guidance and rapid response within 15 minutes.

Skills

Nurse assessments

Nursing delegation

Care coordination

Staff training

Clinical documentation

HRST reviews

Emergency response

24/7 availability

Travel between locations

Education

Registered Nurse (RN) license

Job description

Position Summary

DOFA Pathways Corporation is seeking a compassionate and organized Registered Nurse/Delegating Nurse to oversee nursing services for individuals with intellectual and developmental disabilities in community residential settings and day programs.

The RN/DN provides clinical assessments, nurse case management, nursing delegation, staff training, and healthcare coordination. This role supports safe, person-centered services consistent with Maryland Board of Nursing requirements, applicable COMAR regulations, and DDA standards.

Key Responsibilities

Nursing Assessment and Care Coordination

• Review medical histories, medications, and healthcare needs before admission and recommend appropriate nursing supports.
• Complete initial and ongoing nursing assessments and develop, implement, and update individualized Nursing Care Plans.
• Coordinate care with physicians, psychiatrists, therapists, pharmacies, families, guardians, and support teams.
• Monitor changes in health status, hospitalizations, discharge instructions, and follow-up care.
• Complete and update Health Risk Screening Tool (HRST) ratings and clinical reviews as required.
• Support individuals during complex medical appointments through attendance or telephone coordination when needed.

Nursing Delegation and Medication Oversight

• Determine whether nursing tasks can be safely delegated based on the individual's condition, staff competency, and service environment.
• Delegate medication administration and other permissible nursing tasks to appropriately trained and qualified personnel.
• Conduct supervisory on-site visits at least every 45 days for individuals meeting applicable delegation criteria, and more frequently when required by regulation or clinical need.
• Review Medication Administration Records (MARs), Physician Medication Order Forms (PMOFs), medication supplies, storage, and administration practices.
• Evaluate and document staff competency before delegation and through ongoing supervision.
• Identify medication discrepancies and coordinate timely corrective action.

Staff Training and Clinical Guidance

• Assist with coordinating and delivering the 20-hour Medication Technician Training Program (MTTP), including instruction, practical training, competency evaluations, and required documentation, within the nurse's qualifications and authorization.
• Assist Certified Medication Technicians with the two-year renewal process, including required clinical updates, competency verification, and renewal documentation.
• Provide orientation, participant-specific instruction, and nursing-related in-service training.
• Train staff on Nursing Care Plans, infection prevention, health monitoring, medication safety, and emergency response.
• Be available 24 hours a day, seven days a week to provide nursing guidance to residential and day program staff, with a response required within 15 minutes of being contacted.
• Coordinate qualified backup coverage when unavailable to ensure uninterrupted access to nursing support.

Quality Assurance and Documentation

• Audit medical records and healthcare documentation for completeness, accuracy, and compliance.
• Assess and document medication errors, health incidents, and changes in condition; complete required notifications and reporting within applicable timeframes.
• Participate in quality assurance, management, interdisciplinary team, and standing committee meetings as needed.
• Maintain timely nursing assessments, care plans, delegation records, competency evaluations, and follow-up documentation.
• Promote preventive care, individual choice, dignity, and informed participation in healthcare decisions.

Conditions of Employment

• Authorization to work in the United States.
• Successful completion of required background checks and employment screenings.
• Ability to travel between program locations.
• Ability to meet the 24/7 nursing availability and 15-minute response requirement, with coordinated qualified backup coverage.
• Ability to perform essential job duties, with or without reasonable accommodation.

Join DOFA Pathways Corporation and help individuals receive safe, coordinated healthcare while living and participating in their communities.

DOFA Pathways Corporation is an equal opportunity employer.