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Residential Nurse

Gateway Hudson Valley
$85,000.00 - $95,000.00 / yr
life insurance, 403(b)
United States, New York, Kingston
Mar 27, 2026
Description

When you work for Gateway Hudson Valley, you make a difference in people's lives.

Our Vision: To be a leader in supporting individuals as they strive to achieve a hopeful, satisfying, active, and contributing life.

We offer Medical, Dental, Life Insurance, 403(b) Retirement, Holidays, and generous PTO.



POSITION SUMMARY

The Residential Service RN is an essential member of the Residential Services Management Team. Provide medical/nursing and safety services for assigned clients. Serve as a resource person providing health information, teaching and coordinating care with community resources for the Residential Programs.

The Residential Services RN exercises discretion and independent judgment to ensure quality of services delivered and operations are within regulatory compliance (OPWDD, OMH, DOH, OSHA) and agency guidelines.



ESSENTIAL RESPONSIBILITIES




  • Plan, develop, coordinate, and evaluate the delivery of specified health care services within the nursing scope of practice for volunteers, interns, workers, trainees, residents, and staff. In collaboration with the Safety Officer, the CQCO, and the agency leadership staff, monitor safe working and living conditions for all.

    • Schedule and implement regular reviews with the Health/Nursing staff to assess the health and related safety needs of residents; prepares specific courses to meet these needs; ensure the courses are implemented; ensure that competencies are validated by the responsible individual.
    • Monitor and review IRA resident and selected trainee medical files to ensure timeliness, accuracy, and regulatory compliance of the Health and Nursing Services Division's record keeping system. Obtain as necessary reports, nursing care plans and case notes. Record in the electronic data base as required.
    • As needed, ensure the approved OMH and OPWDD Medication Certification class (AMAP) is taught to identified VTS, Work Center, and Residential staff. Review the content to assure it meets regulatory requirements and incorporates GHV policies and procedures.
    • Responsible for assuring that the annual pouring and re-certification of all Medication Certified Residential staff occurs.
    • Serve as a member of the Health and Safety, Intake/Termination and Incident Review Committees.
    • Function as a liaison with outside public and private agencies for health/nursing related matters.


  • Work cooperatively with appropriate designees to assess, plan and develop nursing care goals and necessary educational programs to accomplish the goals for GHV staff and clients.

    • Oversee the maintenance of client medical files for the OMH/OPWDD services.


  • Work cooperatively with the VP Residential Services & Residential Directors, or their designees, to assess, plan and develop nursing care goals and necessary educational programs to accomplish the goals for GHV staff and residents.

    • Provide input to the VP of Residential Services regarding the operations of the Residential Department as related to Health Services, medication management, IRA care plans.
    • Participate in Residential Manager meetings monthly.
    • Schedule and conduct staff meetings for the Health/Nursing Services Division and Residential Department at regular intervals, including all Med. Certified staff.
    • On a monthly basis, complete the Medical Quality Assurance Review for the OPWDD-IRA residences.
    • On a bi-annual basis, complete a medication system audit for the OMH licensed residences.
    • Review the medical needs and oversight of individuals in the IRA program in accordance with regulatory requirements and coordinates related tasks and visits performed by the nursing staff. Assess residents, develop Nursing Care Plans, and delegate tasks as appropriate to residential staff.
    • Educate staff and validate competencies regarding delegated tasks, documents competencies. Provides feedback and recommendations to Residential Managers, Directors, and VP regarding observations. Provide consultation regarding needed management actions.
    • Prepare semi-annual and annual nursing reports for each IRA resident.
    • Is available to triage with residential staff, as needed.
    • Demonstrates positive work attitudes and habits.
    • Provide follow-up for Post Exposures including counseling and referral for further medical care and insuring completion of necessary paperwork and notification to the President and CEO or their designee.


  • Orders and monitors supplies for the Health Office for quantity and expiration dates.
  • Dispose of Full Sharps Containers at the Kingston Hospital (Emergency Department)
  • Responsible for disposal and documentation of controlled substances and all other medications.
  • Dispense PRN Medications for clients with valid orders
  • Coordinates care of clients with nurses from other agencies.



Health, Safety, & Compliance



  • Maintain a work environment in a clean, organized, and safe manner. Conduct daily inspections of work areas to look for unsafe conditions
  • Use all required safety devices and personal protective equipment. Train staff on all safe operating procedures and on the use of personal protective equipment
  • Provide leadership and positive direction necessary for maintaining a safe work environment as well as hold all subordinates accountable in providing direction necessary for maintaining a safe work environment
  • Actively participate in and support employee participation in health and safety practices and accident prevention
  • Ensure all accidents are reported to supervisor and Human Resources, thoroughly investigated, and properly documented. Investigate near-miss incidents to determine root cause to promote accident prevention.
  • Be familiar with the Health & Safety Program and abide by all safety and health rules, work practices, and regulations.



Agency Standards



  • Demonstrate positive work attitudes and habits. Act as a role model for vocational success for individuals
  • Maintain a clean and neat appearance consistent with agency standards and act as a role model
  • Attend all required meetings and trainings
  • Participate in training programs for professional growth as scheduled and approved
  • Responsible for understanding and adhering to Gateway Hudson Valley's Corporate Compliance Policy and Standards of Conduct as well as all applicable program rules, regulations and policies. Keep abreast of any changes or modifications to policies or regulations. Ensure that all staff are knowledgeable of applicable regulations, laws, and policies
  • Perform other duties as assigned.

Qualifications

REQUIRED QUALIFICATIONS



Education:



  • Associate's Degree in nursing required
  • Bachelor's Degree in Nursing (BSN) preferred



Experience:



  • Two years' experience in direct nursing care for OPWDD Programs
  • Experience in writing and reviewing policies as well as experience in teaching and planning in-service programs desirable



Licenses / Certifications:



  • Current NYS RN License



WORKING CONDITIONS




  • Must be able to Sit or stand for 8 hours/day
  • Must be able to bend down or kneel occasionally (1-2 times/week)
  • Must be able to use hands, wrists, and fingers with full range of motion
  • Must be able to perform CPR in emergency situations and for regular recertification.
  • May occasionally be required to lift no more than 50 pounds (1-2 times per month)



REGULATORY CLEARANCES REQUIRED:



  • Must have a valid NYS Driver's License and maintain a driving record which meets the insurable criteria of the Agency's automobile insurance carrier.

    • Driver's License Abstract




  • Must have a favorable result from all state, federal, and agency mandated background checks

    • New York State Justice Center Fingerprinting Criminal Background Check
    • OWPDD MHL Abuse/Neglect History Check
    • Statewide Central Registry Check





Affirmative Action & EEO Statement: It is the policy of Gateway Hudson Valley to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting, employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of compensation, selection for training, the use of all facilities, and participation in all company-sponsored employee activities. Provisions in applicable laws providing for bona fide occupational qualifications, business necessity or age limitations will be adhered to by the company where appropriate.



As part of the company's equal employment opportunity policy, Gateway Hudson Valley will also take affirmative action as called for by applicable laws and Executive Orders to ensure that minority group individuals, females, disabled veterans, recently separated veterans, other protected veterans, Armed Forces service medal veterans, and qualified disabled persons are introduced into our workforce and considered for promotional opportunities.

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