Job Description

Job Summary

The RN House Supervisor contributes to our mission of enriching the lives of children and families with hope, health, and happiness by providing clinical and operational leadership during the assigned shift, supervising nursing, respiratory, and support staff, coordinating care delivery, addressing emergent concerns, and ensuring continuity, accountability, and quality outcomes across the campus. The RN House Supervisor functions within the RN scope of practice to guide team members and foster a culture of teamwork. The RN House Supervisor collaborates with the Director of Nursing and the interdisciplinary team to promote the highest practicable quality of life that meets or exceeds federal, state, local, and facility standards. The RN House Supervisor models Excellence, Wellness, Empowerment, and Compassion to create an environment where children, families, and team members thrive.

Essential Job Functions:

• Supervise and coordinate daily resident care provided by nursing and respiratory staff, ensuring all clinical interventions are delivered in accordance with individualized care plans, physician orders, regulatory standards, and facility policies.
• Provide on-site clinical leadership during the assigned shift, serving as the highest-level clinical authority and resource for complex decision-making and emergent situations.
• Assess resident conditions, respond to ventilator and monitoring alarms, troubleshoot medical equipment, and promptly escalate significant changes in condition to providers and leadership.
• Function in the capacity of a direct care staff nurse during periods of low staffing or increased acuity, assuming a full resident assignment while maintaining supervisory oversight and ensuring continuity, safety, and quality of care delivery across the shift.
• Ensure accurate, timely, and complete documentation in the electronic health record (EHR) in compliance with HIPAA, CMS, and state regulatory requirements.
• Collaborate with the Staffing Coordinator and leadership to adjust assignments based on resident acuity.
• Review, clarify, and update physician orders in collaboration with providers and the interdisciplinary team to ensure clinical accuracy and regulatory compliance.
• Communicate promptly and professionally with parents/guardians regarding changes in condition, new orders, transfers, or emergent situations, fostering trust and transparency.
• Coordinate admissions, transfers, and discharges during the assigned shift, ensuring safe transitions of care and accurate documentation.
• Monitor medication administration practices, high-risk treatments, and specialized therapies (e.g., ventilator care, tracheostomy care, enteral feeding) to ensure adherence to standards of practice.
• Enforce infection prevention and control protocols, OSHA standards, and safety procedures to maintain a safe environment for residents and team members.
• Support implementation of behavior management strategies while ensuring residents’ physical and emotional needs are met in a therapeutic setting.
• Participate in quality improvement initiatives, incident reviews, and corrective action processes to promote resident safety and continuous improvement.
• Collaborate with interdisciplinary departments including respiratory therapy, therapy services, social services, and leadership to ensure coordinated, resident-centered care delivery.
• Other duties as assigned.

Accountabilities:

• This position does not have direct supervisory responsibilities; it indirectly supports a diverse team of skilled team members towards collective goals each shift.
• Reports to the Director of Nursing; collaborates with the Vice President of Nursing, Neighborhood Nurse Managers, and the Interdisciplinary Team.
• Treat service recipients, families, team members, and visitors fairly, with respect, and confidentiality, regarding all aspects of individual diversity, and inclusion to ensure they are free from abuse, neglect, and maltreatment, reporting concerns immediately.

Required Skills & Abilities:

• Excellent leadership, interpersonal, and motivational skills to build trauma-informed relationships and encourage teamwork among a diverse workforce.
• Ability to function independently with flexibility, integrity, professionalism, and compassion across diverse populations and crisis situations.
• Strong analytical, clinical assessment, and critical thinking skills.
• Excellent verbal and written communication skills.
• Strong proficiency with EHR documentation and clinical communication workflows.
• Understanding of, or willingness to learn, long-term skilled nursing federal, state, and local regulations and guidelines.
• Excellent time management and prioritization skills to foster a culture of teamwork in a fast-paced, 24/7 care environment.
• Safe resident handling techniques, strict adherence to infection prevention and control practices, and the knowledge and competency required to properly operate, monitor, and maintain medical equipment in accordance with training, manufacturer guidelines, and facility protocols.
• Ability to meet all pre-employment and ongoing requirements per policy (e.g., background check, drug screen, health/TB screening, immunizations/fit testing).

Required Qualifications & Licensure:

• Associate’s degree in Nursing (ADN)
• Unencumbered, current Commonwealth of Kentucky Registered Nurse (RN) license.
• Current CPR/Basic Life Support (BLS) for the healthcare provider (provided by employer as needed).
• One (1) year of direct care RN experience in acute care or long-term care.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).
• Six (6) months of supervisor or Charge nurse experience.
• Cardiopulmonary and/or ventilator/tracheostomy care experience.
• Pediatric and/or long-term care experience.
• Experience with palliative and end-of-life care.
• Bilingual or multilingual communication skills.
• Experience supporting individuals with developmental and intellectual disabilities.
• Knowledge of trauma-informed care principles.

Physical Demands & Work Conditions:

• Prolonged standing and frequent movement; ability to bend, kneel, and reach.
• Ability to push, pull, move, and/or lift a minimum of thirty-five (35) pounds unassisted using proper body mechanics.
• Ability to read, write, and communicate effectively in English.
• Visual, auditory, and tactile acuity to monitor residents, equipment, and safety cues.
• Ability to physically attend and participate in continuing education, mandatory in-services, and training.
• Ability to operate computers/EHR systems, phones, and nursing/medical equipment.
• Possible exposure to blood, bodily fluids, infectious diseases, air contaminants, and hazardous chemicals; adherence to PPE, infection control, HIPAA, and OSHA standards required.
• Work performed in a fast-paced, team-oriented, residential/skilled nursing setting with variable noise and frequent interruptions.
• May escort residents to on-site and off-site appointments and enrichment activities.

Administrative Details:

• Shift-based position within a 24/7 care environment; may include days, evenings, nights, weekends, and holidays based on resident and staffing needs.
• May be required to work mandatory or voluntary overtime during periods of high census, emergencies, or staffing shortages, with overtime paid in accordance with procedure and law.
• Full-time, part-time, and PRN opportunities may be available based on organizational needs.
• On-site role at the Kosair for Kids Complex Care Center.
• Must have reliable transportation to and from work.

This job description is not intended to be all-inclusive and does not constitute an employment agreement with the Home of the Innocents.