Registered Nurse (RN) Maryland Day Program & Residential Services

Registered Nurse (RN) Day Program & Residential Services

Position Summary

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 drivers license preferred.

Schedule & Work Environment

- Full-time MondayFriday with rotating on-call responsibilities.

- Travel between the day program sites and residential homes required.

Compensation

- $82000 - $95000 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.