On-Call/ Relief RN

ON CALL REGISTERED NURSE

Department: Residential Services

FLSA Status: Non-Exempt

Position Status: On-Call

Position Location: Remote (Washington-based)

Salary Grade: Residential Pay Grade 31

Reports to: Director of Medical Supports

Prepared/Revised Date: 1/29/2026

ABOUT THE POSITION

The On‑Call Registered Nurse provides clinical consultation and support to Life Works staff regarding medical or medication concerns for residential clients. This position ensures timely, accurate implementation of physician orders, updates Medication Administration Records (MARs), and guides staff in following appropriate medical protocols within RN scope of practice.

Essential Duties and Responsibilities:

• Respond to medical or medication‑related questions from staff during assigned on‑call periods.
• Provideclinical guidance that aligns with RN scope, physician orders, and Life Works policies.
• Redirect staff to the Delegating Nurse, Advice RN, on‑call provider, orprescribedphysician when clarification isrequired.

• Enter new prescriptions anddiscontinuemedications inTherapMARs based on provider orders.
• MaintainaccurateandtimelyMAR updates for clients supported during on‑call coverage.
• Document change‑of‑care notes with clear instructions for staff.

• Communicate promptly with the Director of Medical Supportsregardingsignificant medical issues or patterns of concern.
• Report urgent or unusual findings requiring follow‑up.
• Coordinate with providers and pharmacies when needed.

• Provide limited, as‑needed training to staff on equipment within RN competencies (wheelchairs, gait belts,hoyerlifts, catheters).
• Identifywhen staff requireadditionalcoaching and notify the Director of Medical Supports for scheduling.

• Provide weekly on‑call availability schedule to the Director of Medical Supports.
• Notify the Director of Medical Supportsimmediatelyof schedule changes.
• Create Medi‑set labels for clients receiving Medication Assistance as needed.

POSITION REQUIREMENTS

EDUCATION:

Graduate of an accredited nursing program (ADN or BSN).

RELATED EXPERIENCE:

• One to three years of experience as a practicing RN in a clinical, acute, or community setting.
• Experience working with individuals with developmental disabilities preferred.

CERTIFICATES, LICENSES, OR REGISTRATIONS:

• Active RN license in Washington State.
• Successful completion of all required background checks (Washington State, FBI, DCYF).
• Pre‑employment drug screen.

REQUIRED COMPETENCIES:

• Strong clinical judgment and problem‑solving.
• Clear,concise,written,and verbal communication.
• Ability to remain calm and effective during on-call situations.
• Strong organizational and time‑management skills.

• Proficiencyin Microsoft Office (Word, Excel, Outlook, PowerPoint).
• Ability to effectively useTherapor other cloud‑based client database systems.
• Accurate MARentryand documentation.

• Remoteworkenvironment requiring reliable phone and internet access.
• Prolonged periods of computer use.
• Occasional travel to residential sites for training or follow‑up.
• Ability toliftupto 25 pounds for equipment demonstrations, when applicable.

• MaintainRN licensure andrequiredcontinuing education.

• Comply withall Life Works policies, procedures, and documentation standards.
• Maintain confidentiality and adhere to HIPAA.