LEAD NURSE - LPN, ID ICF - Job Location: Fredericksburg, VA
Company: Rappahannock Area Community Services Board
Location: Alexandria
Posted on: February 18, 2026
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Job Description:
Job Description Job Description OVERVIEW Provides oversight of
general LPN nursing care and medication management under the
direction of the contracted Medical Director and/or Nurse Manager.
Supervises, supports, and instructs intellectually-disabled and
developmentally-disabled adults having more complex medical or
behavioral needs in a 24/7 group home setting. Work is performed
under regular supervision and guided by well-established, specific
agency policies and procedures; quality assurance; public and
private payer guidelines; professional practices; and ethical
standards related to client interactions, Board of Pharmacy and
Board of Nursing regulations, and state and federal licensure and
accreditation regulations and guidelines. DUTIES AND
RESPONSIBILITIES Arranges and accompanies individuals to medical
appointments and oversees physician orders, lab and subsequent
appointments, and completes medical/appointment notes. Provides
supervision and oversight to the ICF/IDD individuals. Co-manages
the Personal Support team, supporting the individual during
admission, assessment, and planning processes. Coordinates care
with the Medical Director, Nurse Manager, Pharmacist, and other
contracted Providers Conducts medication audits and chart reviews.
Schedules, trains, supervises, and evaluates program nursing staff.
Supervises resident medication management and monitoring and
related documentation for compliance with agency, state, and
federal policies, regulations, and/or guidelines. Provides direct
care, dispenses medications, and administers injections to
residents. Monitors the ongoing medical needs and medication
management for the residents. Performs on-going nursing assessments
and arranges access for individuals to other medical services,
including physicians, occupational therapy, physical therapy,
speech, dental, etc. Availability to be on call 24/7 for
emergencies. Prepares medical correspondence and reports. Maintains
adequate first aid supplies and materials. Responds to medical
emergencies and other potential crisis situations. Orders,
inventories, and secures pharmaceuticals. Attends required team
meetings, staff meetings, conferences, and in-service training.
Provides the resident and the resident's family with medication
management and behavioral support training. Observes, documents,
and reports reactions to medication/treatments and significant
behavioral incidents. Assists with the admission process and the
development and implementation of treatment plans. Monitors drug
count and maintains records. Assists individuals with personal
hygiene and grooming. Monitors, instructs, and assists residents
with eating, daily living skills, mobility, communication skills,
and community interactions and activities. Records the resident's
daily progress and communicates the resident's behavior to the
relieving and/or management staff. Reports resident behavior to
other service providers, family members, legal guardians, and other
authorized parties. Facilitates networking and support for
residents engaged in volunteer, social, and leisure activities.
Provides overnight support and supervision to residents and
monitors resident activities. Participates in housekeeping and meal
preparation activities. Assists in behavioral interventions.
Transports or escorts individuals to various activities and to and
from the program. Performs related work as assigned. KNOWLEDGE,
SKILLS, AND ABILITIES Considerable knowledge of the principles,
standards, practices, and techniques related to general nursing
Considerable knowledge of Board of Pharmacy and Board of Nursing
regulations relating to prescription drug storage, administration,
and documentation Considerable knowledge of the principles,
practices, and techniques of instruction, support, and behavior
management for persons with intellectual disabilities Some
knowledge of common housekeeping practices; some knowledge of
communicable and of infectious diseases Ability to establish and
maintain rapport with the individual population Ability to
establish and maintain effective working relationships with agency
clinicians and staff of other private and public organizations
Ability to function calmly in stressful situations Ability to
operate a vehicle Ability to observe, assess, and record individual
behaviors and functioning TYPICAL EDUCATION, TRAINING, AND WORK
EXPERIENCE REQUIRED Associate's Degree or completion of a technical
training program in Nursing, and some professional experience in
nursing and/or behavioral health serving the
intellectually-disabled population. LICENSURE AND CERTIFICATIONS
REQUIRED State Certified Licensed Practical Nurse. Valid Virginia
Driver's License with no adverse driving record. ENVIRONMENTAL AND
PHYSICAL EXPOSURE Work involves considerable exposure to
disagreeable environmental conditions, such as the requirements to
interact with clients having unsanitary behaviors, poor hygiene,
and contagious illness, and/or are potentially violent; drive a
vehicle and transport clients in inclement, if not severe weather;
frequently physically lift and/or restrain adult individuals; lift
moderate weight objects in connection with operating the facility.
Assisting residents who may be of limited mobility skills that
require lifting requires overall good physical condition.
Occasional lifting or supporting individuals weighing in excess of
180 lbs. (with the aid of assistive equipment). Ability to transfer
individuals from a wheelchair to bed/toilet/chair.
Keywords: Rappahannock Area Community Services Board, Baltimore , LEAD NURSE - LPN, ID ICF - Job Location: Fredericksburg, VA, Healthcare , Alexandria, Maryland
