Registered Nurse (RN) Maryland Day Program & Residential Services

Page Mechanical Group, Inc.; United States; On-site; USD 82,000 - 95,000; Full time

Job summary

A healthcare organization seeks a Registered Nurse (RN) in Maryland to provide clinical oversight for adults with intellectual and developmental disabilities (IDD). This role involves ensuring compliance with health standards, administering medication, and training staff. Candidates must have an active RN license, experience with IDD, and strong communication skills. The position is full-time, with a salary range of $82,000 to $95,000 annually based on experience.

Qualifications

• 2–3 years of experience supporting adults with IDD in day or residential settings.
• Strong knowledge of DC DDS, DDA Waiver, Health & Wellness Standards.
• Experience training and supervising DSPs or frontline staff.

Responsibilities

• Ensure compliance with DDS, DDA Waiver, and health standards.
• Oversee medication administration and staff training.
• Provide direct nursing care including assessments and emergency response.

Skills

Clinical oversight

Health coordination

Regulatory compliance

Training staff

Documentation

Communication

Education

Active Registered Nurse license in Maryland

CPR/First Aid certification

Job description

Registered Nurse (RN) – Day Program & Residential Services

V-Tech Solutions, Inc. seeks a Maryland Registered Nurse (RN) for Day Program and Residential Services to provide clinical oversight, health coordination, and regulatory compliance for adults with intellectual and developmental disabilities (IDD). The RN ensures safe, person‑centered care across day and residential settings while maintaining strict adherence to DDS, DDA Waiver, Health & Wellness Standards, Incident Management, and Medication Administration requirements. The RN serves as a clinical leader supporting direct support professionals (DSPs), program managers, and residential staff to ensure high-quality care, accurate documentation, and timely response to health needs.

Essential Duties & Responsibilities

Health & Wellness Oversight (DDS Compliance)

• Implement and monitor all DDS Health & Wellness Standards across day and residential programs.
• Ensure timely completion of annual and periodic health assessments, physician orders, and care plans.
• Review and update Health Management Plans (HMPs), Risk Assessments, and Nursing Care Plans.
• Conduct routine nursing rounds in day and residential sites to assess health status and compliance.

Medication Administration & MAR Compliance

• Oversee medication administration in accordance with DDS Medication Administration Certification Program (MAC) requirements.
• Train, supervise, and evaluate DSPs and residential staff on medication administration.
• Audit MARs for accuracy, timeliness, and documentation completeness.
• Ensure proper storage, labeling, and reconciliation of medications and controlled substances.
• Respond to health‑related incidents and complete required documentation.
• Ensure timely reporting of Reportable Incidents (RIs) and Serious Reportable Incidents (SRIs) to DDS.
• Participate in root‑cause analysis, corrective action planning, and follow‑up monitoring.
• Maintain compliance with DDS Incident Management & Enforcement Unit (IMEU) standards.

Direct Nursing Care & Clinical Support

• Provide direct nursing care including assessments, wound care, chronic condition monitoring, and emergency response.
• Implement physician‑ordered treatments and ensure continuity of care across settings.
• Coordinate specialty appointments, labs, and follow‑up care.
• Support individuals with complex medical needs, mobility challenges, or behavioral health considerations.

Documentation & Regulatory Compliance

• Maintain accurate, timely, and compliant nursing documentation in electronic and paper systems.
• Ensure all health‑related documentation meets DDS, DOH, Medicaid Waiver, and internal standards.
• Prepare for audits, quality reviews, and compliance monitoring visits.
• Track immunizations, medication errors, health trends, and risk indicators.

Staff Training & Capacity Building

• Train DSPs, residential staff, and day program staff on medication administration, health & safety protocols, infection control, emergency response, and individual‑specific health needs.
• Provide ongoing coaching to strengthen staff competency and reduce compliance risk.

Care Coordination & Interdisciplinary Collaboration

• Collaborate with program managers, QIDPs, behavior support staff, and external providers.
• Participate in ISP meetings and ensure nursing components are accurate and up to date.
• Communicate with families, guardians, and care teams regarding health changes and care plans.

Qualifications

• Active Registered Nurse (RN) license in the state of Maryland.
• Minimum 2–3 years of experience supporting adults with IDD in day or residential settings.
• Strong knowledge of DC DDS, DDA Waiver, Health & Wellness Standards, and Incident Management.
• Experience training and supervising DSPs or frontline staff.
• Excellent documentation, communication, and compliance‑management skills.
• CPR/First Aid certification required.
• Valid driver’s license preferred.

Schedule & Work Environment

• Full‑time, Monday–Friday, with rotating on‑call responsibilities.
• Travel between the day program sites and residential homes required.

Compensation

• $82,000 – $95,000 annually, depending on experience with DDS compliance, MAC training, and IDD nursing.

Ideal Candidate Profile

The strongest candidates are highly organized, compliance‑driven, skilled in training DSPs, comfortable managing multiple sites, experienced with DDS audits and IMEU reporting, and compassionate advocates for adults with IDD.