Registered Nurse (RN) Respiratory Therapy Program Oversight

Garden Healthcare; Town of Oyster Bay (NY); On-site; USD 95,000 - 130,000; Full time

Job summary

Garden Healthcare is seeking an experienced Registered Nurse (RN) to oversee the Respiratory Therapy Program within our New York State–licensed Skilled Nursing Facility. This role ensures respiratory services are delivered safely, compliant with CMS regulations and NYSDOH requirements, and coordinates with therapists, physicians, and nursing leadership.

The RN will support residents with acute and chronic respiratory conditions, maintain survey readiness, and lead staff education while upholding

Qualifications

• Current New York State RN license is required.
• 2–3 years nursing experience, preferably in SNF/long-term care.
• Experience with respiratory care modalities (oxygen therapy, nebulizers, tracheostomy care).
• Working knowledge of CMS regulations and NYSDOH requirements.
• Strong leadership, organizational and communication skills.

Responsibilities

• Oversee daily operations of the Respiratory Therapy Program according to physician orders and care plans.
• Ensure respiratory treatments are administered per clinical standards and policy.
• Monitor residents with respiratory diagnoses and coordinate with physicians and RTs.
• Maintain regulatory compliance and documentation; participate in QAPI activities.
• Prepare for NYSDOH surveys and audits; ensure survey readiness.

Skills

Leadership

Regulatory compliance

Interdisciplinary collaboration

Clinical oversight

Education

RN license (New York)

Job description

Position Summary

We are seeking an experienced Registered Nurse (RN) to oversee and coordinate the Respiratory Therapy Program within our New York State–licensed Skilled Nursing Facility. This role provides clinical oversight to ensure respiratory services are delivered safely, effectively, and in compliance with CMS regulations (42 CFR Part 483) and New York State Department of Health (NYSDOH) requirements.

The RN will collaborate closely with Respiratory Therapists, medical providers, nursing leadership, and interdisciplinary team members to support residents with acute and chronic respiratory conditions while maintaining survey readiness and regulatory compliance.

Key Responsibilities

Clinical Oversight & Program Management

• Oversee the daily operations of the facility’s Respiratory Therapy Program in accordance with physician orders and resident care plans
• Ensure respiratory treatments (e.g., oxygen therapy, nebulizers, CPAP/BiPAP, pulse oximetry monitoring, tracheostomy care) are administered per clinical standards and facility policy
• Monitor residents with respiratory diagnoses including COPD, pneumonia, asthma, post-acute respiratory illness, and chronic hypoxia
• Coordinate respiratory services with attending physicians, pulmonologists, and respiratory therapy providers

Regulatory Compliance & Survey Readiness

• Ensure compliance with CMS F-tags, NYSDOH regulations, and facility policies related to respiratory care
• Maintain accurate and timely clinical documentation in the medical record consistent with NYSDOH and CMS standards
• Participate in Quality Assurance and Performance Improvement (QAPI) activities related to respiratory services
• Assist with preparation for NYSDOH surveys, audits, and complaint investigations related to respiratory care
• Support compliance with Emergency Preparedness requirements related to oxygen-dependent residents

Staff Education & Interdisciplinary Collaboration

• Provide education and competency oversight for nursing staff regarding respiratory treatments, equipment, and resident monitoring
• Serve as a clinical resource for respiratory-related concerns and changes in resident condition
• Collaborate with Pulmonologist to ensure continuity, consistency, and quality of care
• Participate in interdisciplinary care plan meetings as indicated

Resident Safety & Infection Prevention

• Ensure proper use, storage, cleaning, and maintenance of respiratory equipment in accordance with NYSDOH and infection control standards
• Promote compliance with infection prevention and control practices related to respiratory treatments
• Identify changes in resident respiratory status and initiate timely nursing interventions and provider notifications

Qualifications

• Current, unencumbered New York State Registered Nurse (RN) license
• Minimum 2–3 years of nursing experience, preferably in a Skilled Nursing Facility, subacute, or long-term care setting
• Experience with respiratory care modalities including oxygen therapy, nebulizer treatments, and tracheostomy care.
• Working knowledge of CMS regulations, NYSDOH requirements, and SNF clinical standards
• Strong leadership, organizational, and communication skills
• Ability to function effectively in a highly regulated healthcare environment