Lead Registered Nurse

Closing date: November 11, 2026

Job Code: 29-1141

Salary: $27.29 - $41.03

Status: Non-Exempt, Full-time, Permanent

Department: HS-A/CDP

Location: Partridge House

Reports To: Inpatient Coordinator

Telecommute: No

Fleet: Yes

Mandated Reporter: Yes

Background: PL 101-630

SUMMARY: The Lead Registered Nurse (RN) is a core member of the Partridge House Inpatient Program Clinical Treatment Team and provides comprehensive nursing care to support client safety, stabilization, and recovery. The Lead RN is responsible for medical assessments, medication administration, coordination with medical providers, supervision of assigned nursing staff, health education, and medical case management.

The Lead RN collaborates closely with clinical, medical, and program leadership to ensure appropriate level‑of‑care determinations, continuity of care, and compliance with nursing standards and regulations. This position participates in a rotating on‑call schedule to provide after‑hours medical triage coverage in support of program operations.

Essential Duties and Responsibilities

Clinical & Program Functions

• Functions as a member of the Partridge House Inpatient Program Clinical Treatment Team.
• Reviews medical histories, medication lists, and available lab work to determine appropriateness for inpatient admission.
• Provides medical consultation on prospective referrals with the Inpatient Coordinator and/or Clinical Director prior to admission.
• Performs initial and ongoing medical assessments and documents in accordance with program and regulatory standards.
• Coordinates and schedules Complete Physical Exams (CPX) with the Family Nurse Practitioner and/or SRMHS Health Clinic providers.
• Schedules and manages daily medical related client activities and ensures accurate documentation.
• Provides medical case management and coordinates transportation for medical appointments as needed.
• Provides educational lectures on public health topics (e.g., diabetes, HIV, Hepatitis C, and medication education).

Medication & Medical Oversight

• Ensures safe medication storage, administration, and self‑administration practices.
• Conducts monthly inventory of medications and medical supplies.
• Maintains First Aid kits and AED equipment, including inspections, restocking, and battery replacement.
• Communicates as needed with physicians, nurse practitioners, pharmacies, and healthcare partners.

On‑Call Responsibilities

• Participates in a rotating on‑call schedule shared among health services nursing staff.
• Provides after‑hours and weekend medical triage consultation by phone and/or in‑person as clinically indicated.

Professional & Administrative Responsibilities

• Participates in morning meetings, weekly case consultations, and interdisciplinary care planning.
• Monitors nursing quality indicators and participates in quality improvement initiatives.
• Maintains required licensure, certifications, and continuing education.
• Adheres to confidentiality standards, mandated reporter requirements, and ethical nursing practice.
• Represents the Partridge House Inpatient Program in a professional and culturally responsive manner.
• May provide nursing services at the SRMHS clinic or outreach programs as assigned.
• Performs other nursing‑related duties consistent with scope of practice and program needs.
• Ensures compliance with Tribal, State, and Federal nursing standards as applicable.

Mandated Reporter

Must become a mandated reporter prior to having contact with children in a job-related capacityand maintain that status throughout employment. This includes completing any necessary training and adhering to all reporting obligations as defined by applicable laws and tribal policies.

SUPERVISORY RESPONSIBILITIES

Nursing Staff Supervision

• Provides direct clinical supervision and professional oversight of an assigned Program Nurse (LPN and/or RN).
• Supports orientation, training, competency development, and adherence to nursing standards for assigned nursing staff.
• Reviews medication administration practices and Medical Administration Records (MARs) and addresses errors through coaching and corrective action as appropriate.
• Collaborates with leadership to support adequate nursing coverage and continuity of care.

Education and/or Experience:

• Current NYS license to practice as a Registered Professional Nurse, in good standing
• Minimum of (3) years professional nursing experience
• Experience in behavioral health, substance use disorder treatment, residential treatment, or community health PREFERRED
• Previous supervisory experience PREFERRED

OTHER SKILLS and ABILITIES: Strong oral and written communication skills required. Must have excellent computer skills, including Word, Excel, and experience with varying databases.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Must have and maintain a valid driver’s license in accordance with the Saint Regis Mohawk Tribe’s Fleet Policy

The successful candidate must pass a drug test and background check prior to employment.

Applicants must submit letter of interest, resume, and supporting documents (certificates, degrees, licenses). Applicants that are eligible for native preference must include Tribal Identification Card, Status Card or letter to be eligible for Native Preference.

All submissions can be emailed to [email protected] or by mail to Human Resources, Saint Regis Mohawk Tribe, 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655. Due to our network security, we are unable to open hyperlinks. Applicants will need to attach their documents as a PDF or WORD files if emailing.

Applicants must clearly outline that they meet the qualification requirements on their resume.

NATIVE PREFERENCE POLICY

The Saint Regis Mohawk Tribe strives to be an equal opportunity employer dedicated to the policy of nondiscrimination based on race, sex, marital status, sexual orientation, religion, national origin, age, physical disability, veteran status or any other non-job-related factor. Among qualified applicants, the SRMT will give preference to the qualified native applicant.

DRUG TESTING POLICY

All positions require the successful candidate to pass a drug test for illegal substances prior to employment being confirmed.

BACKGROUND CHECK

Some positions require candidate(s) to successfully pass a criminal background check prior to beginning employment, used solely for employment related purposes. Depending on the position there maybe multiple background checks.

INTERVIEW

Testing in the applicable skills may be required as part of the interview process.

EMPLOYEE COVID VACCINATION POLICY

Effective July 3, 2023, the Saint Regis Mohawk Tribe no longer requires the COVID-19 Vaccination for any positions within the organization, to include Health Services.