Summary
The Registered Nurse (RN) is responsible for the clinical oversight, coordination, and day-to-day functioning of nursing services at The Annex, which provides comprehensive mental health treatment across multiple levels of care, including weekends. This role ensures the delivery of safe, high-quality nursing care; compliance with all applicable health, safety, and regulatory requirements; and effective integration of medical and psychiatric services within the interdisciplinary treatment team.
While this position does not function as a traditional personnel manager, the RN serves as the primary clinical leader for nursing services and maintains accountability for nursing standards, medication safety, infection control, and nursing-related clinical processes. The RN plays a critical role in promoting a culture of safety, collaboration, and clinical excellence.
Functional Oversight Responsibilities
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Provides clinical guidance and coordination for Licensed Vocational Nurses (LVNs) and any unlicensed medical support staff (e.g., CNAs or Medical Assistants, if applicable), consistent with scope-of-practice regulations.
Participates in hiring input, onboarding support, scheduling coordination, performance feedback, and clinical coaching for nursing staff in collaboration with leadership.
Maintains oversight of nursing workflows including medication management, infection control practices, and clinical documentation standards.
Facilitates nursing huddles or meetings and participates in leadership, safety, and quality-improvement initiatives.
Detailed Responsibilities
Develops, implements, and maintains nursing policies and procedures aligned with organizational standards, Texas regulations, and Joint Commission requirements.
Oversees all aspects of medication administration processes, including storage, reconciliation, monitoring, and documentation.
Conducts routine audits of Medication Administration Records (MARs) for accuracy, completeness, and compliance.
Monitors adherence to infection control protocols, required health screenings, and regulatory safety standards.
Collaborates closely with the Clinical Director and Executive Director to ensure effective integration of nursing care within treatment planning and clinical programming.
Provides ongoing clinical education, competency validation, and skills development for nursing and medical support staff.
Coordinates nursing schedules to support appropriate clinical coverage across all program hours.
Leads participation in incident reporting, root-cause analysis, and corrective-action planning related to medical or nursing events.
Serves as a primary liaison with external medical providers, pharmacies, and ancillary healthcare partners as appropriate.
Participates in medical components of client admissions and ongoing assessments when indicated.
Maintains accurate nursing documentation and ensures EMR records meet all regulatory and accreditation standards.
Required Knowledge, Skills, and Abilities
Strong knowledge of nursing best practices within behavioral health and psychotropic medication management.
Ability to provide clinical leadership, mentorship, and professional guidance without formal managerial authority.
Sound clinical judgment and effective decision-making in crisis or high-acuity situations.
Excellent communication, collaboration, and interdi