Nursing Leadership / Medical Respite Nurse

LPN or RN | Role Level Flexible Based on Experience

About The INN Between

The INN Between is Utah’s only medical respite and end-of-life care facility for individuals experiencing homelessness. We provide a safe, supportive, and dignified environment where residents receive compassionate care, stability, and support during critical health transitions, including serious illness, recovery, and end-of-life care.

Position Overview

The INN Between is seeking a compassionate, clinically skilled nurse to join our medical respite and resident care team. This position is intentionally designed with flexibility and may be structured as a Director of Nursing, Nurse Manager/Lead Nurse, or Evening & On-Call Nurse, depending on the candidate’s licensure, experience, leadership abilities, and organizational fit.

The ideal candidate will be grounded in trauma-informed care, comfortable working with individuals experiencing homelessness, and able to balance clinical judgment with compassion, dignity, and respect. This role may include direct resident assessment, care planning, staff support, medical respite coordination, regulatory compliance, and/or nursing leadership.

The final scope, schedule, title, and compensation will be determined based on the selected candidate’s qualifications and the needs of the organization.

Potential Role Structures

Director of Nursing

For a qualified RN or experienced nurse leader, this role may include oversight of nursing services, clinical compliance, medication management systems, staff training, resident care planning, and coordination with external healthcare providers.

Nurse Manager / Lead Nurse

For a candidate with strong clinical skills and developing leadership capacity, this role may support day-to-day clinical operations, staff mentorship, resident assessments, care plan development, and coordination with the Executive Director, Administrator, and care team.

Evening & On-Call Nurse

For a candidate best suited to direct clinical support, this role may focus on evening onsite nursing coverage, overnight on-call guidance, resident assessments, staff support, emergency triage, and medical respite care coordination.

Key Responsibilities

Responsibilities may vary depending on the final role structure and candidate qualifications.

Resident Assessment & Care

• Respond to resident health concerns and provide clinical assessment, guidance, and follow-up.
• Conduct medical respite assessments and help develop, implement, and update individualized medical respite care plans.
• Monitor and evaluate changes in resident condition and communicate concerns to appropriate internal staff and external providers.
• Support care that aligns with Utah Department of Health regulations, Assisted Living Facility requirements, and the Utah Nurse Practice Act.
• Assist with Service Plans and ensure resident care reflects dignity, safety, and individualized needs.
• Provide calm, compassionate clinical judgment during emergencies, crises, and end-of-life situations.

Care Coordination

• Collaborate with the medical respite team to integrate medical, behavioral health, hospice, home health, and social service supports.
• Coordinate with hospitals, clinics, hospice agencies, home health providers, pharmacies, and other partners to support continuity of care.
• Participate in care conferences, discharge planning, and quality improvement efforts.
• Support residents in accessing ancillary, therapeutic, and community-based services.
• Help ensure communication between clinical staff, resident care staff, case management, and leadership is timely and effective.

Staff Support, Training & Supervision

• Provide clinical guidance and mentorship to CNAs, Resident Advocates, Death Doulas, medical respite volunteers, and other care team members.
• Serve as a resource for staff during resident health changes, behavioral health concerns, medication questions, and emergency situations.
• Support adherence to medication management, documentation, infection control, and emergency procedures.
• Depending on role level, assist with staff training, competency review, clinical workflows, and performance support.
• Promote a collaborative, respectful, trauma-informed team culture.

Nursing Leadership & Compliance

May apply more fully to Director of Nursing or Nurse Manager-level candidates.

• Provide oversight and support for nursing systems, clinical documentation, medication management, and resident care standards.
• Help ensure compliance with HIPAA, Assisted Living regulations, internal policies, and applicable nursing standards.
• Review incidents, medication errors, changes in condition, and clinical concerns, ensuring appropriate reporting and follow-up.
• Partner with the Executive Director and Administrator to strengthen clinical operations and resident care practices.
• Support survey readiness, policy implementation, quality assurance, and continuous improvement.

Evening & On-Call Support

May apply depending on final schedule and role structure.

• Provide onsite nursing support during evening hours, approximately 2:00 p.m. to 8:00 p.m., or another mutually agreed-upon schedule.
• Provide overnight on-call support to answer staff questions, assess urgency, guide decision-making, and determine when outside medical intervention is needed.
• Support CNAs and Resident Advocates in responding appropriately to resident needs after regular business hours.

Documentation

• Complete timely, accurate documentation in the EMR and other required systems.
• Document assessments, care plan updates, interventions, provider communication, and follow-up actions.
• Report incidents, medication errors, significant changes in condition, and other concerns to appropriate leadership.
• Maintain confidentiality and comply with HIPAA and organizational documentation standards.

Qualifications

• Current LPN or RN license in good standing with the State of Utah.
• RN strongly preferred for Director of Nursing-level responsibilities.
• Nursing experience in assisted living, hospice, home health, medical respite, behavioral health, public health, or similar settings preferred.
• Experience working with vulnerable populations, including individuals experiencing homelessness, preferred.
• Strong clinical assessment, critical thinking, communication, and documentation skills.
• Ability to remain calm under pressure and exercise sound judgment during emergencies.
• Ability to work collaboratively with interdisciplinary teams, external providers, and non-clinical staff.
• Commitment to trauma-informed, harm-reduction-oriented, compassionate care.
• Leadership experience preferred for candidates seeking Director of Nursing or Nurse Manager-level responsibilities.
• Ability to work independently while maintaining appropriate communication with leadership and team members.

Desired Qualities

The INN Between is seeking someone who is:

• Compassionate, grounded, and respectful of people with complex life experiences.
• Flexible and collaborative in a growing and evolving organization.
• Comfortable supporting both clinical needs and human dignity.
• Able to build trust with residents, staff, volunteers, and community partners.
• Culturally aligned with The INN Between’s mission and values.
• Skilled at balancing regulatory requirements with person-centered care.
• Willing to learn, teach, mentor, provide director care as well as administrative support, and contribute to a healthy team culture.

Schedule

Schedule may vary based on the final role structure. Options may include daytime leadership hours, evening nursing coverage, and/or overnight on-call availability. The INN Between is open to discussing a schedule that meets organizational needs while taking into consideration the candidate’s experience and availability.

Potential schedule needs may include:

• Onsite availability during afternoon/evening hours.
• Overnight on-call availability to support onsite staff.
• Participation in care conferences, trainings, and leadership meetings.
• Additional clinical leadership hours depending on final role and title.

Compensation and Benefits

Compensation will be based on licensure, experience, responsibilities, and final role structure.

Benefits include:

• Paid time off
• Employer-subsidized health insurance
• Dental & vision insurance
• Short- and long-term disability
• Life insurance
• 401(k) with 4% employer match
• Meaningful work that restores dignity and compassion to people in need

Health Requirements

• Health evaluation, including TB test and review of immunizations.
• Must be current on flu and COVID-19 vaccination, including booster, unless an approved exemption applies.

Employment Status

Employment at The INN Between is on an at-will basis, which means that employment may be terminated by the employee or by The INN Between at any time, for any reason or no reason, with or without notice, and without any procedure or formality. The at-will nature of employment is not affected by any of the guidelines of this job description and cannot be modified by any oral promise from any supervisor or by any other writing unless duly executed by the employee and the Executive Director. The INN Between reserves the right to change, replace, withdraw, or deviate from any of the guidelines contained in this job description without prior notice.

Equal Opportunity Employer

The INN Between is an equal opportunity employer. All qualified applicants are considered for employment without regard to race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.