LPN Jobs in Haverhill, MA

LPN Manager/Supervisor Full-time
Benchmark Senior Living

LPN - Care Nurse Supervisor Traditional

Benchmark Senior Living Chelmsford, MA
Job Title: Care Nurse Supervisor, LPN Department: Resident Care Date Revised: August 2024 Reports To: Resident Care Director FLSA Status: Non-Exempt Job Code:7105 Harbor 7006 Trad Job Summary: The Care Nurse Supervisor (CNS) manages the successful operation of the Resident Care Department, under the leadership of the Resident Care Director (RCD). The CNS is responsible for the oversight, coaching, and direct supervision of all resident care service providers in the community. The CNS management scope includes direct supervision of resident care positions, resident assessment, and management as defined by the Resident Care Director. Principal Duties/Responsibilities: Demonstrates expertise in clinical skills and nursing judgement within their scope of practice. Identifies and assesses the clinical status of potential residents Obtains the medical information release form from primary care physician as needed Develops a plan of care (in collaboration with the RCD) based on the identified physical and psychological problems of the resident including: the identified problems; resident specific goals and planned program interventions. Successfully implements the plan of care Develops a service plan (in collaboration with the RCD) according to the requirements outlined in the state regulations Coordinates care needs with community providers via an effective case management process Measures and accurately records vital signs (temperatures, pulse, respiration, blood pressure weight and height) where appropriate as per state regulations Oversees ancillary health services as needed Provides ongoing supervision of residents’ health related activities, complies with health care instructions explained by health care professionals; promptly and appropriately seeks and obtains medical attention when needed. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations Conducts SAMM / MAR and RCA documentation audits bi-monthly Conducts assessments / reassessments per Benchmark standards Assesses risk in a proactive manner Facilitates weekly resident tracking meeting in absence of the RCD Assures resident information is communicated to the staff through a report process and calendar i.e. appointments, outings, etc. Communicates and documents residents’ material needs (i.e. briefs, clothing, toothpaste, pads, etc.) Notifies RCD of incidents in a timely manner. Accurately completes incident reports prior to the end of the working day Observes and reports any significant changes in resident behavior and health to the RCD, physician, family, RCAs, and Executive Director per state regulations Responds to emergencies and personal emergency response system and knows when to call for backup Compliance and Safety Ensures compliance with all resident care related regulations (e.g. medication management) Demonstrates infection prevention and control Demonstrates personal and resident safety Reviews and demonstrates fire, safety, and elopement procedures Ensures that a visit occurs following an incident, accident, injury Ensures physician and family notification per state regulations Actively participates in the QA process per assignment Direct Supervision Directs and supervises the daily work assignments of the Resident Care Assistants (RCA). Serves as first point of contact for RCAs regarding assignment questions or concerns. Provides input into performance reviews and disciplinary actions as required. Participates in the hiring and termination processes as they relate to resident care associates. Sources and screens new candidates and facilitate/co-facilitates terminations. Conducts or supervises the scheduling of all RCA staff Closely mentors, guides and directs the Lead Resident Care Assistants in all aspects of their job Participates in training / in-services as required by Benchmark and state regulations Core Competencies (People, Culture and Values) People Inspiration: Openly demonstrates respect for associates, residents, and families; understands the company’s purpose, mission, and values; actively shares across communities. Emotional Intelligence and Empathy: Actively listens to people, has residents and associate interests as priority; able to influence others. Interpersonal: Establishes positive rapport and maintains an organized communication process; actively pursues resident and peer interactions. Influences and engages: Recognize the accomplishments of others; expresses gratitude. Culture Innovation: Expresses ideas to improve the business and processes. Encourages others to present ideas and feel comfortable improving the Benchmark experience. Accountability: Self-aware of his/her words and actions. Demonstrates a strong sense of responsibility. Transparency: Open and honest communication with peers, associates, residents, and their families. Core Benchmark Beliefs and Values Transforming lives through human connection Called to care Better together Be the Benchmark Education/Experience/Licensure/Certification: Graduate of an approved L.P.N. program (per state requirements). Has a valid, unrestricted nursing license. Minimum 1 to 2 years of experience working as a nurse. Previous experience working with the elderly in a paid or volunteer position highly desirable. Required Skills/Abilities Demonstrates good supervision and management skills & behaviors Understands and can develop Resident Care Service Plan Understands advanced directives and end-of-life care Possesses knowledge about the assisted living philosophy Understands nursing function in assisted living Understands quality of care/life objectives Possesses current CPR, First Aid, and Heimlich certification, if required Demonstrates working knowledge of state regulations Possess knowledge of policies in the resident handbook Excellent verbal communication skills and the ability to relate in a positive and professional way to a diverse resident and employee population. Ability to be flexible and work in an environment that promotes teamwork and collaboration. Ability to maintain highest level of confidentiality regarding residents, staff and the Community. Demonstrated ability to set priorities, complete assignments in a timely manner while managing multiple duties and responsibilities. Demonstrate proficiency in documenting in an resident electronic health record (EHR). Proficient using MS office Proficient in using state audit compliance tool PHYSICAL JOB ANALYSIS JOB TITLE: Nurse The principal duties and responsibilities are listed in the formal job description. This form is intended to provide a summary of the physical demands of the job. Frequency Frequency Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) LIFT/CARRY (OBJECTS) EQUIPMENT Objects up to 10 lbs. X Transfer Devices/Gait Belts X Objects 11-20 lbs. X Kitchen Equipment X Objects 21-35 lbs. X Ladders X Objects 36-75 lbs.* X Maintenance Equipment X Objects 76-100lbs.* X Tablets/Computers/Office X *Weights in excess of 35 lbs. will be reviewed for 2-person or mechanical assist Vehicles/Driving X PUSH/ PULL FORCE ** ENVIRONMENTAL EXPOSURES Wheelchair with Resident 10-50lbs. X Indoors X Resident Lift Equipment 10-60 lbs. X Outdoors X 2 Wheel Dolly/ 4 Wheel Cart 5-35lbs. X Extreme Heat X Floor Cleaning Equipment 5-25 lbs. X Extreme Cold X **Push/pull force is measured as the peak force required to start object moving Dusty X POSTURES Excessive Noise X Sitting X RESIDENT MOBILITY ASSISTANCE Standing X One/two person manual transfer (up to 35 lbs. lifting force per person) X Walking on even surface X Bed positioning (lateral movement of resident in bed) X Walking on uneven surface X Chair boosting (assisting resident to sit up in a chair) X Climbing/Stairs X Assist Walking with Gait Belt X Bend/Stoop/Twist X ADDITIONAL CONSIDERATIONS Crouching/Squatting X Physical Exams or Health Screenings (as required by state) Kneel/Crawling X TB Test Reach Above Shoulders X Annual Flu Shot Reach Waist to Shoulders X COVID Vaccinations and Boosters Reach Below Waist X Personal Protective Equipment (nitrile gloves, gown, mask, etc.) Repetitive Arm Use X N95 Respirator (must be clean shaven such that any facial hair does not impact the respirator seal) Repetitive Wrist/Hand Use X Exposure to House Pets Hand grasping (power grip) X Exposure to Needles and Sharps Fine manipulation hands/fingers X When working with our resident population, you may on occasion be exposed to certain risks related to medical conditions or progressive diseases such as Alzheimer's disease. These risks include communicable diseases as well as agitation and/or aggressive behaviors which may be verbal or physical. Because you are working so closely with the resident, you may be the target of this aggression. Understanding that these behaviors are related to a medical condition and/or disease process and are not in any way personal, is key to maintaining dignity and respect for our residents in all avenues of care. Benchmark is committed to workplace safety, and to the extent there is any concern relating to safety hazards in the performance of the job, you should immediately report your concerns as directed in the Employee Handbook. Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. I ______________________________ have read this job description and understand the duties and responsibilities of the position of Care Nurse Supervisor, LPN_. I further understand that it is my responsibility to perform my duties consistent with the highest standards of Benchmark Senior Living. ________________________________ _______________ Employee Signature Date ________________________________ _______________ Supervisor’s Signature Date
LPN Full-time
Benchmark Senior Living

LPN Full Time 2nd Shift

Benchmark Senior Living Woburn, MA
$34.50 - $38.50 / hour
Join, stay, and grow with Benchmark. Connect with your calling. We are looking for a compassionate Licensed Practical Nurse (LPN) to join our team! As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Schedule : Full Time Second Shift, every other weekend included Hourly rate : $34.50/hr - $38.50/hr Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique.
LPN Full-time
The Oxford Rehabilitation & Health Care Center

Licensed Practical Nurse (LPN)

The Oxford Rehabilitation & Health Care Center Haverhill, MA
$38 - $43 / hour
Licensed Practical Nurse (LPN) - Full-time and part-time opportunities at The Oxford Rehabilitation & Health Care Center in Haverhill! As an LPN with our center, you will play a vital role in providing high-quality care to our residents and ensuring their overall well-being. Openings on 7a-3p and 11p-7a, and includes an every other weekend rotation. Hourly rate ranges between $38 and $43, depending on the shift. Overnights and weekends come with shift differentials. Responsibilities: Provide direct nursing care to residents under the supervision of the RN Supervise the day-to-day nursing activities performed by the nursing assistant to ensure high-quality care Meet the nursing and rehabilitation needs of each resident, maintain accurate resident care plans, and follow physician's orders Document comprehensive and complete nursing notes, review patient records daily, and visit each resident daily to evaluate resident needs Administer medication according to procedure, maintain accurate and safe control of all drugs, and initiate emergency procedures as necessary Requirements: Graduate of an approved LPN/LVN program CPR certified Current, unencumbered license to practice as an LPN/LVN in Massachusetts New graduates welcome! Preferred Qualifications: Prior experience in long-term care or rehabilitation setting Knowledge of nursing and medical practices and procedures Leadership and supervisory ability Ability to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures Excellent communication and interpersonal skills Benefits: Competitive and Weekly Pay Holiday & Overtime Pay Career Advancement Opportunities Exclusive Employer Discount Program 401(k) with Employer Match Available for Eligible Team Members: Employer-Paid Life Insurance Personal Days Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals are encouraged to apply. Our facility follows federal and state guidelines regarding staff vaccinations. Our policy requires all staff to be up to date with COVID and flu vaccinations, or acknowledge a declination of the vaccination(s).
LPN Other
Fallon Health

LPN Springfield

Fallon Health Lowell, MA
Overview About us: Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the nation’s top health plans for member experience, service, and clinical quality. Fallon Health’s Summit ElderCare® is a Program of All-Inclusive Care for the Elderly–PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55 and older continue living safely at home. At Fallon Health, we believe our individual differences, life experiences, knowledge, self-expression and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE— in the region. Brief Summary of Purpose: The SE Licensed Practical Nurse will be an active member of the Summit ElderCare Care Team to ensure participants receive high quality and timely care and support whether at the PACE center or in the community. The SE Licensed Practical Nurse will carry out nursing tasks as assigned by his/her direct RN Manager as well as SE Providers and will ensure appropriate follow through and documentation in a timely manner. Responsibilities Responsibilities : The SE Licensed Practical Nurse will be a generalized nursing role within the PACE center that will implement plans of care that have been formulated by the Provider and Primary RN in collaboration with the Interdisciplinary Team. This role will report to and be supervised by the respective RN Manager (Clinical Manager or Home Care Manager) depending on the PACE site. The SE Licensed Practical Nurse will carry out nursing tasks as assigned by their direct supervisor and in accordance with their license (i.e., receive calls from participants and their caregivers, appropriately triage each call and conduct appropriate follow up including timely documentation in the medical record, administration of prescribed medications to participants attending the PACE center, recording vitals, carrying out treatments and wound care as assigned for participants attending the day center, make frequent home visits in the community to evaluate the home environment, fill weekly medication packs, record vitals, administer prescribed treatments, deliver relevant health teaching for participants and their caregivers, and make recommendations to the IDT regarding unmet participant needs, etc.). The SE Licensed Practical Nurse will work closely with their respective supervisor as well as the other nursing staff to coordinate all care for SE participants. Assignments will require occasional or frequent travel throughout the service area to/from participants’ homes and contracted facilities. Qualifications Education: Graduate of an accredited school of nursing License/Certifications: Valid license to perform Practical Nursing in the Commonwealth of Massachusetts Access to reliable transportation to perform work throughout the PACE center’s service area (30-mile radius) when needed. Willingness to occasionally assist other SE PACE centers either in person or remotely, as appropriate, when there is an opening or a gap in coverage. Experience: At minimum, three years’ nursing experience in a primary care practice or long-term care facility or similar clinical setting At minimum, one year working in a nursing capacity with frail elders Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
LPN Full-time
Alliance Health at Rosewood

Registered Nurse/Licensed Practical Nurse RN LPN

Alliance Health at Rosewood Peabody, MA
$47 - $48 / hour
Are you a compassionate RN or LPN who wants to work in SNF/LTC? Do you want to join a fantastic team with strong leadership, and a booming employee culture? ALLIANCE AT ROSEWOOD is accepting applications for you to join our team. We have stable leadership at the Administrator level and new clinical leadership at the DON level. Unit Managers on all 3 units and excellent CNA staffing. We have recently updated our wage scale. Hiring for all shifts. Registered Nurse / License Practical Nurse / New Nurse Grads RN Pay is up to $48.00 per hour based on years licensed LPN Pay Range is up to $47.00 per hour based on years licensed **$7,500 Sign-On/Retention Bonus** Alliance Health at Rosewood is a non-profit skilled nursing facility located in Peabody, MA. As the backbone to our multidisciplinary care approach, you have an opportunity to make a real difference in an elder's life. Due to our continued growth, we are looking for team-oriented individuals to join our nurse team. Registered Nurses and License Practical Nurses are needed. Full-Time, Part-Time, and Per-Diem opportunities are now available. *New Nurse Grads Welcomed* Alliance health is a not-for-profit with (7) skilled nursing facilities throughout MA that offers competitive wages a comprehensive benefit package including health, dental, vision, tuition reimbursement, matching 401(k) and company paid life insurance! For immediate consideration apply today. *All openings require an active MA license and COVID-19 vaccination including booster* *Please mention this ad for up to a $7,500 Bonus* Job Types: Full-time, Part-time, Per diem Benefits: · 401(k) · 401(k) matching · Dental insurance · Disability insurance · Free parking · Health insurance · Life insurance · Paid sick time · Paid time off · Paid training · Referral program · Tuition reimbursement · Vision insurance Employee Assistance Program to include discounts on travel, car insurance, pet insurance, tickets, and MORE! Free mental health counseling through our Employee Assistance Program Medical specialties: · Geriatrics Physical setting: · Long term care · Nursing home Standard shift: · Day shift · Evening shift · Night shift · Overnight shift Supplemental schedule: · Extended hours · Holidays · Overtime Weekly schedule: · Rotating weekends · Weekend availability Ability to commute/relocate: · Peabody, MA, 1960: Reliably commute or planning to relocate before starting work (Required) Experience: · Skilled Nursing Facility: 1 year (Preferred) · Long-Term Care: 1 year (Preferred) License/Certification: · License Practical Nurse License (Preferred) ·Registered Nurse License (Preferred) Work Location: One location CULTURE Alliance at Rosewood maintains a supportive team culture in a caring and compassionate environment. We are so very proud of our staff. We strongly support Diversity, Equality, and Inclusion ( D E I ) with all candidates for all positions. We recently added the Employee Assistance Program to our list of benefits. It has been a huge hit! We look forward to showing and telling you more, as well as discussing your qualifications for this opportunity. Alliance at Rosewood. Careing and compassionate. (#AHMSHP 12/17/25)
LPN Full-time
The Brentwood Rehabilitation and Healthcare Center

Licensed Practical Nurse (LPN)

The Brentwood Rehabilitation and Healthcare Center Danvers, MA
Join our team at The Brentwood Rehabilitation and Healthcare Center as an LPN! Proudly supported by Marquis Health Consulting Services Full-time, part-time, and PRN opportunities available Same Day Pay!! $5 PIB Up to $3.50 Shift Diff $3,000 Sign-on Bonus for PT after 90 days $6,000 Sign-on Bonus for FT after 90 days $35-$45 an hour ( depending on years of experience, shift differentials, and benefit status) Responsibilities of LPN: Provide patient care in accordance with acceptable standards of nursing practice and the written plan of care, as well as physician’s plan of treatment Follow a plan of care designed by Nurse Manager Perform medication administration and treatments per plan of care (POC) Monitor residents’ conditions and report accordingly Maintain accurate documentation in accordance with orders provided Qualifications of LPN: A current, unencumbered active license to practice as an LPN in the state of Massachusetts or multi-state Ability to work with multiple patients at once Valid BLS Certification (CPR) Benefits for LPN: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company sponsored life insurance Employee assistance program (EAP) resources Join our team at The Brentwood Rehabilitation and Healthcare Center, a 159-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
LPN Full-time
Blueberry Hill Rehabilitation and Healthcare Center

Licensed Practical Nurse (LPN)

Blueberry Hill Rehabilitation and Healthcare Center Beverly, MA
$33 - $42 / hour
Join our team at Blueberry Hill Rehabilitation and Healthcare Center as an LPN! Proudly supported by Marquis Health Consulting Services Full-time and part-time opportunities available Same Day Pay!! 7 AM- 3 PM, 3 PM- 11 PM, 11 PM- 7 AM $5 PIB Up to $5 Per Hour Shift Diff $6,000 Sign-on Bonus for PT $12,000 Sign-on Bonus for FT $33-$42 an hour Responsibilities of LPN: Provide patient care in accordance with acceptable standards of nursing practice and the written plan of care, as well as physician’s plan of treatment Follow a plan of care designed by Nurse Manager Perform medication administration and treatments per plan of care (POC) Monitor residents’ conditions and report accordingly Maintain accurate documentation in accordance with orders provided Qualifications of LPN: A current, unencumbered active license to practice as an LPN in the state Massachusetts Ability to work with multiple patients at once Valid BLS Certification (CPR) Benefits for LPN: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company sponsored life insurance Employee assistance program (EAP) resources Join our team at Blueberry Hill Rehabilitation and Healthcare Center, a 132-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
LPN Full-time
Five Star Senior Living

Licensed Practical Nurse- LPN

Five Star Senior Living Winchester, MA
The Opportunity Pay Range: $28.40-35.00 The Wellness Nurse - LPN/LVN is part of the Health & Wellness Team responsible for providing high-quality care to our residents under the supervision of registered nurses and healthcare professionals. What You’ll Do Detail daily reports to Nurse, or designated charge person, at end of shift Observe and report on residents’ health, escalating any problems efficiently and effectively Helping residents with personal hygiene, including bathing, grooming, and dressing Supporting residents with medication. Repositioning residents in bed and escorting them around the community Toileting, incontinent care Take vital signs, such as blood pressure, heart rate and pulse Provide emotional support and serve as a source of comfort for residents and their loved ones Recognize abnormal changes in body functioning and report to a supervisor Perform nursing assessments, including vital signs monitoring, physical examinations, and health status evaluations, to identify and address resident needs promptly. Provide wound care and other nursing interventions as directed by the registered nurse or healthcare provider, following applicable state regulations, established protocols and infection control practices. Responsibilities include customer service, safety, resident care, and communication. What You’ll Bring POSITION REQUIREMENTS / QUALIFICATIONS: Must have a valid, unrestricted nursing license in the state. Must be at least 18 years of age. Must pass State and Company criminal background/drug screens. Demonstrates effective time management skills. High school graduate or equivalent. Current CPR certification. Maintain CEU requirements. Read, write, speak and understand the English language. Make independent decisions when circumstances warrant such action. Interpret and implement written or oral policies, procedures, and instructions. Staff supervision Assessment and resident care skills; Medication management principles and practice; and Written and verbal communication skills.