Registered Nurse Per Diem

Summary of Responsibilities:

The Registered Nurse (RN) delivers high-quality, compassionate nursing care through both direct and indirect services, including medication administration, treatment implementation, and documentation. This position is responsible for the coordination, oversight, and support of resident care within an assigned hall or unit. The RN monitors, guides, and evaluates the performance of Licensed Practical Nurses (LPNs) and Certified Nurse Aides (CNAs), ensuring adherence to professional standards and regulatory requirements. In collaboration with interdisciplinary team members, the RN conducts comprehensive resident assessments and develops individualized care plans that promote wellness, safety, and dignity. Additionally, the RN contributes to the onboarding, training, evaluation, and disciplinary processes for subordinate nursing staff.

Essential Functions/Duties:

Resident Assessment & Care Planning

• Conducts initial and ongoing assessments of residents to identify physical, psychosocial, educational, and discharge needs.
• Completes the admission assessment and contributes to the Minimum Data Set (MDS) as needed.
• Develop and updates individualized care plans based on resident status and changing needs.
• Engages interdisciplinary team members in resident assessments and care discussions.

Medication & Treatment Administration

• Administers medications and treatments per physician orders and in accordance with facility policies and regulatory guidelines.
• Accurately documents medication administration, effectiveness, and any withholding of medications.
• Identifies medications, monitors for adverse reactions, and utilizes proper routes of administration.
• Transcribes medication orders accurately and ensures outdated medications are properly disposed of.
• Notifies physicians of concerns related to prescriptions or the need for new orders.

Supervision & Team Leadership

• Oversee performance, documentation, and care responsibilities of LPNs and CNAs.
• Participate in staff orientation, ongoing education, performance evaluations, and disciplinary actions for unit staff.
• Delegates and coordinates daily tasks, nursing care activities, dining services needs, and ADLs for the care team.
• Maintains open lines of communication with staff to support teamwork and care continuity.

Resident Support & Advocacy

• Encourages residents’ independence in daily living activities whenever possible.
• Applies appropriate interventions for residents with cognitive impairments.
• Observes, documents, and reports changes in resident conditions or behaviors to physicians promptly.
• Advocates for resident safety, dignity, and wellbeing in all care activities.

Safety, Compliance, & Infection Control

• Follows and promotes infection control procedures and safety protocols.
• Participates in emergency preparedness drills and maintains awareness of hazard reporting.
• Ensures a clean, organized, and safe environment for residents and staff.
• Supports organizational efforts to prevent resident harm and enhance safety culture.

Documentation & Communication

• Accurately documents resident care, condition changes, medications, and treatments.
• Maintains medication carts, rooms, and refrigeration units according to policy.
• Reports unsafe equipment or environmental hazards to appropriate personnel.

Professional Development

• Demonstrates flexibility and adaptability in dynamic care environments.
• Participate in and complete all required ongoing training, including monthly online and in-person training, annual skills competencies education, and role-specific certifications, to ensure continued competence and adherence to organizational and regulatory standards.

Required Skills/Abilities:

• Patience, sensitivity, kindness and aptitude for working with elderly and/or cognitively impaired individuals.
• Demonstrated flexibility in adjusting to residents/clients’ specific needs and situations
• Ability to maintain accurate records and produce effective documentation
• Ability to adapt to changing needs
• Strong follow-up skills and ability to work with little or no supervision, exhibiting strong proactive and efficient work ethic
• Comfortable and agile working with technology; Proficient in MS Office and other applications
• Experience in and the ability to drive a performance-based culture
• Ability to function in a fast-paced environment, with competing priorities and deadlines
• Strong analytical, assessment, and problem-solving capabilities
• Strong relationship building and influencing skills
• Demonstrated interpersonal communication skills, verbal and written

Supervisory Responsibility

• The Registered Nurse provides direct supervision and oversight to Licensed Practical Nurses (LPNs), and Certified Nurse Aides (CNAs), ensuring quality care delivery, accurate documentation, and adherence to care protocols. The RN also serves as a clinical resource and role model, supporting LPN and CNA performance through coaching, collaboration, and accountability.

Core Values:

The Highlands’ Traditions (Customer Service Expectations):

Position Type/Expected Hours of Work:

• This position requires the ability to work during nonstandard hours including evenings (depending on shift assigned), weekends, holidays, and during inclement weather.

Hours and Benefits:

• Position is a per-diem position with no guaranteed hours or guaranteed shift assignment.
• Position is not benefits eligible.
• Position requires at least one summer and one winter holiday.
• Position is required to work across all levels of care on The Highlands at Wyomissing®

Education and Experience Requirements:

• High school Diploma or GED (Required)
• 1-3 years nursing experience
• 1-3 years’ experience in a role with supervisory responsibilities (Preferred)
• PA Registered Nurse License (Required)
• CPR Certification (Required)
• First Aid Certification (Required)
• Completion of the Highlands Hearthstone Ambassador training within 30 days of employment (Required)

Work Authorization/Security Clearances:

• Medical Screening
• Criminal History Clearance
• FBI Fingerprint Clearance (Only required if you have not lived in PA for the last 2 years)
• Immigration and naturalization (I-9) Clearance

Physical Requirements and Physical Demands:

• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to communicate clearly in person and over the telephone.
• Writing: Must be able to accurately document pertinent information either by writing or typing.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
• Continuously within shift (67-100%): Walking, Standing
• Frequently within shift (34-66%): Sitting
• Occasionally within shift (1-33%): Crouching, Squatting, Crawling, Kneeling, Pulling from floor level up, Reaching above head, Reaching above shoulder, Bending, Pulling with force, Push/Pull (up to 350 lbs.), Lift from floor level up, Lift from waist level up, Lift above shoulders/head, Lifting 50 lbs. maximum and occasionally lifting and/or carrying objects, Lifting 25 lbs. maximum and frequently and/or carrying objects weighting up to 25 lbs. Ability to lift, push, pull with assistance (mechanical or co-worker) the weight of the average resident specific to the department.

Safety Hazards and Physical Environment:

• May be exposed to blood borne pathogens - High Risk
• May be exposed to communicable diseases
• May be exposed to high noise levels
• May be exposed to moving mechanical parts
• May be exposed to potential electrical shock
• May be exposed to toxic, caustic, chemicals, and / or detergents
• May perform emergency care
• May be exposed to rare occasions during which it is necessary to interact with a resident exhibiting aggressive behavior.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.