Director of Nursing (Monday - Thursday; 9 hour days; 8 am - 5 pm)

Position Summary The Registered Nurse (RN) is responsible for overseeing the health and medical needs of individuals receiving services through Doma.

The RN provides nursing assessments, health monitoring, medication administration oversight, staff training, and delegated nursing services in accordance with Ohio Department of Developmental Disabilities (DODD) regulations, Ohio Board of Nursing requirements, Medicaid standards, and organizational policies.

This position partners closely with Program Managers, Supervisors, Direct Support Professionals (DSPs), physicians, pharmacies, guardians, and interdisciplinary teams to ensure individuals receive safe, high-quality, person-centered care.

Essential Duties and Responsibilities Complete nursing assessments and health evaluations for individuals served.Develop, implement, and monitor individualized health care plans.Review physician orders and ensure accurate implementation.Monitor chronic health conditions and communicate changes in condition.Coordinate medical appointments and follow-up care as needed.Review medication regimens for accuracy and effectiveness.Participate in interdisciplinary team meetings and ISP development.Provide clinical consultation to operations and direct care staff.Ensure compliance with DODD, Medicaid, and nursing regulations.

Medication Administration & Delegated Nursing Provide nursing delegation in accordance with Ohio Board of Nursing and DODD requirements.Conduct individual-specific medication administration training.Verify competency of delegated staff prior to authorization.Complete required documentation related to nursing delegation and medication administration.Perform medication administration audits and MAR reviews.Monitor medication errors and develop corrective action plans.Investigate medication-related incidents and provide follow-up education.Maintain oversight of delegated nursing tasks and health-related activities.Ensure medication administration certifications remain current.Serve as a resource for medication-related questions and concerns.

Training & Staff Development Conduct DODD Medication Administration Certification training.Provide annual medication administration refreshers and competency evaluations.Train staff on: Medication administration proceduresInfection prevention and controlDiabetes managementSeizure protocolsHealth-related activitiesDelegated nursing tasksDocumentation standardsEmergency medical procedures Develop training materials and educational resources.Maintain training records and competency documentation.Support new employee orientation and onboarding.

Quality Assurance & Compliance Conduct routine health and medication audits.Ensure compliance with DODD medication administration requirements.Participate in quality improvement initiatives.Review incident reports related to health and medical services.Assist with regulatory surveys and licensing reviews.Monitor compliance with physician orders and treatment plans.Recommend p...