Clinical Oversight & Competency Validation

Administer and document skills validation testing for IHSS Attendants before service delivery (or within required regulatory timeframes), and verify ongoing competency in assigned tasks and safety procedures.
Provide clinical guidance, counseling, and corrective instruction when deficiencies are identified.
Offer consultation on complex care needs, challenging scenarios, and high-risk situations.

Care Plan Review & Supervision

Review IHSS Care Plans and Physician Attestation of Consumer Capacity upon enrollment, change in condition, and as required.
Collaborate with members, authorized representatives, and case managers to determine appropriate levels of clinical oversight; conduct in-home supervision visits as required.
Validate that Attendants perform tasks in accordance with the approved Care Plan.

Consultation, Documentation & Communication

Serve as a clinical consultant to members, authorized representatives, IHSS Attendants, and agency staff; collaborate with care teams and support care plan updates when a member's condition changes.
Maintain accurate, timely documentation of clinical observations, skills validation, supervision visits, care plan reviews, incident investigations, and back-up coverage activities.
Facilitate effective communication across interdisciplinary teams, including case managers and provider staff.

24-Hour Back-Up Coverage & Direct Care Support

Participate in the agency's 24-hour back-up system to ensure continuity of IHSS services, responding to urgent staffing gaps, call-offs, or emergencies impacting member safety.
Provide direct in-home services within RN scope of practice when necessary, and assist with coordinating emergency staffing and contingency planning.
Support implementation of emergency preparedness plans.

Incident Management & Regulatory Compliance

Investigate complaints and incidents within required timelines (typically within ten (10) days).
Ensure compliance with IHSS program regulations, federal and state laws, and agency policies; participate in corrective action planning and risk mitigation.

Training & Quality Assurance

Assist in developing, delivering, and evaluating Attendant training, including health maintenance activities, infection control, safety procedures, and emergency response.
Participate in quality assurance and performance improvement initiatives; monitor service delivery trends and identify potential risks.

Required

Current, unrestricted Registered Nurse (RN) license in the State of Colorado.
Demonstrated ability to assess clinical competency and supervise unlicensed personnel.
Strong documentation and communication skills; able to work independently and within a multidisciplinary team.
Valid driver's license and reliable transportation.

Preferred

Technical Skills

Knowledge, Skills & Abilities

Knowledge of Health Maintenance Activities, delegation principles, infection control practices, and IHSS regulatory requirements and consumer-directed service models.
Strong clinical assessment, risk identification, and supervision skills; able to respond effectively in urgent clinical or staffing situations.
Effective interpersonal skills for working with members, families, and care staff.
Willingness and ability to provide direct care coverage when necessary.

Physical Requirements

Ability to travel to member homes as required, including frequent driving between client homes.
Daily standing, walking, bending, squatting, and maneuvering in private homes, including non-barrier-free environments (e.g., tight spaces, stairs).
Ability to lift over 50 lbs. infrequently (e.g., transfers) and up to 25 lbs. frequently, with frequent use of fine motor skills (grasping, pinching).
Ability to perform duties associated with clinical observation and in-home supervision.

Work Environment

Primarily field-based work in member homes, with occasional office responsibilities; homes may be small, cluttered, or not ADA accessible.
Exposure to variable conditions, including weather, animals, smoke, and unpredictable home environments.
Participation in on-call rotation or 24-hour back-up coverage system; may require evening, weekend, or holiday availability.

Registered Nurse (RN) — IHSS RN SUPERVISOR at Argus Home Healthcare — Pueblo, CO

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