Medical Foster Care Nurse Supervisor

Annual Salary: $120,000 - $127,000 year

Position Summary

Under the direct supervision of the Medical Foster Care (MFC) Nursing Administrator, the Nursing Supervisor is responsible for supervising Nurse Case Managers who manage nursing caseloads of medically fragile children and children with special needs residing in foster homes, supporting the delivery of quality medical home services at Children's Aid.

The Nursing Supervisor utilizes principles of supervision, reflective practice, and staff development to provide guidance, professional support, and appropriate oversight to Nurse Case Managers while modeling a trauma-informed, strengths-based, and client-centered approach to care. Additional responsibilities include providing health education and skills development to foster and biological parents, advocating for the medical needs of children in the program, and maintaining a direct nursing caseload.

Children's Aid Mission

To help children in poverty to succeed and thrive. We do this by providing comprehensive support to children and their families in targeted high-needs New York City neighborhoods. Children's Aid annually serves children and their families at over forty sites in New York, as well as through three national program models. Children's Aid is concentrating its efforts on creating cradle-through-college pathways in high-need neighborhoods, with a focus on children's health, family stability, education, and social and emotional development.

Culture and Values

We put children, youth, and families first: We listen to and incorporate the voices of children, youth, and families in all that we do.

We seek equity and transformation in our communities: We courageously work within and outside systems to create opportunities for children, youth, and families.

We strive for excellence: We hold ourselves to the highest standards and are committed to continuous learning and improvement.

We are powered by collaboration: Our work is stronger when we trust, partner, and respect each other and the communities we serve.

We are driven by compassion: We lead with kindness, care, and empathy and believe in the endless potential of the people we serve and our team.

Essential Duties and Responsibilities

Supervision and Administration

• Understand and promote Children's Aid's Mission, Vision, and Core Values, ensuring alignment with organizational policies and procedures.
• Provide weekly supervision to 7-9 Nurse Case Managers, including monthly individual meetings conducted virtually or in person.
• Provide appropriate orientation, professional development opportunities, and dedicated study time to address identified gaps in nursing knowledge and skills.
• Assign cases based on tier designation to ensure manageable caseload distribution.
• Supervise the daily management and coordination of medical appointments, supplies, and medications for children assigned to supervised Nurse Case Managers. Serve as a resource to other staff involved in patient care.
• Oversee specialist referrals and clinic appointment scheduling, including well-child examinations (WCE) and dental appointments.
• Ensure medical reports are entered into the medical record within two weeks following appointments.
• Review home visit documentation and training sheets monthly.
• Ensure Nurse Case Managers maintain timely communication with interdisciplinary team members, including social workers, foster parents, biological parents, psychiatrists, and pediatricians, regarding missed or rescheduled appointments and special assistance needs, such as translation, transportation, or culturally appropriate support.
• Review school forms, medical reports, rate forms, and summaries prepared by supervised Nurse Case Managers.
• Monitor Nurse Case Manager performance to ensure compliance with program requirements, organizational policies, and job expectations.
• Maintain ongoing communication with Nurse Case Managers regarding complex cases and demonstrate working knowledge of high-risk patients, particularly Tier 1 and Tier 2 patients.
• Support the professional growth of Nurse Case Managers through coaching, constructive feedback, skills development, and identification of additional training needs.
• Assist Nurse Case Managers in analyzing complex problems and developing appropriate responses to challenging case situations.
• Provide supervision and performance evaluation of Nurse Case Managers and administrative support staff, including oversight of time and leave, performance evaluations, and disciplinary matters.
• Collaborate with the Nursing Administrator to address performance concerns and engage Talent Management and Human Resources (TMHR), as appropriate, regarding performance improvement plans and progressive discipline.
• Collaborate with the Nursing Administrator to plan staff training events and attend all department-wide training sessions.
• Review and approve time-off requests and biweekly timecards for supervised staff.
• Conduct monthly reviews and analyses of nurse home visits, psychotropic medication consent, compliance documentation, and other Nurse Case Manager responsibilities.
• Prepare monthly reports on nursing caseloads and activities in collaboration with the Nursing Administrator for review by the Medical Director.
• Review and approve appropriate medical equipment and supply requests for foster children.
• Provide supervisory coverage in the absence of another Nursing Supervisor and coverage in the absence of the Nursing Administrator.
• Provide direct nursing coverage during Nurse Case Manager absences, including home visits and roster support.
• Demonstrate effective verbal and written communication, time management, adaptability, and the ability to manage competing priorities in a demanding clinical environment.
• Utilize Windows-based digital platforms, including Microsoft Word, Microsoft Teams, and Microsoft Excel, to support administrative, supervisory, and reporting responsibilities.
• Support and coach staff in the effective use of Electronic Health Record (EHR) systems, including Children's Aid's E-Clinical Works platform.

Program Intake

• Provide backup support to the Nursing Administrator for program intake, including assigning incoming cases to Nurse Case Managers.
• Screen and assess the appropriateness of placement requests received from OPA.
• Collaborate with the Home Finder and Intake Team to identify and match appropriate resources for foster home placement.
• Introduce foster parents to foster children prior to placement.
• Ensure assigned Nurse Case Managers provide timely initial health education and skills development to foster parents.
• Create, implement, and maintain a care plan addressing each identified problem at intake.

Nursing Assessment and Patient Care

• Maintain a direct caseload of 4-6 children enrolled in Children's Aid's MFC program, usually tier 3 and 4, lower acuity cases at the time of placement.
• Conduct mandated monthly home visits jointly with the Case Planner, providing complete, purposeful, accurate, and detailed assessments of the home environment, including follow-up on findings from previous visits.
• Provide initial health education and skills development to foster and biological parents regarding each child's medical condition, proper medication administration, safety precautions, responses to medication side effects, universal precautions, age-appropriate anticipatory guidance, and additional training identified in the care plan.
• Demonstrate competency in nursing practices, including appropriate nursing techniques, medical equipment use, medical terminology, and current nursing protocols and procedures.
• Apply the nursing process to develop comprehensive assessments using each child's birth, developmental, medical, immunization, and social histories.
• Maintain accurate, organized, legible, and up-to-date electronic medical records, documenting medication, feeding, and therapy changes in real time.
• Assist Nurse Practitioners and Physicians (NP/MD) with well-child care, follow-up appointments, and sick visits for foster children enrolled in the program.
• Administer immunizations as directed by the NP/MD.
• Triage daily telephone calls and periodically serve as an emergency on-call nursing resource.
• Participate in 24-hour on-call coverage for at least four weeks annually.

Professional Development

• Maintain current professional nursing knowledge through formal and informal learning opportunities, including actively pursuing continuing education units through accredited organizations.

Interdisciplinary Collaboration and Program Support

• Attend Program-Based Health Center meetings, weekly nursing case conferences, monthly foster care staff meetings, Family Team Conferences, and other Children's Aid site meetings.
• Collaborate with social workers, administrative staff, clinicians, and community healthcare providers to support coordinated care for children in the program.
• Implement and uphold the philosophy and objectives of the Medical Foster Care program.
• Coordinate with office staff at health centers and the 29-I exam room to ensure appropriate coverage of clinical spaces by the MFC team.
• Perform other duties as assigned.

Minimum Qualifications

• Current New York State Registered Nurse (RN) license required.
• Minimum of three (3) years of pediatric nursing experience required.

It is the policy of Children's Aid to provide equal employment opportunity to all employees and applicants for employment and is dedicated to maintaining a work environment that is free from harassment and discrimination. Children's Aid will not tolerate discrimination, harassment, or retaliation on any basis, including race, creed, color, national origin, ethnicity, alienage or citizenship status, gender/sex (including pregnancy), disability, religion, source of income, sexual orientation, gender identity or expression, age, familial status, caregiver status, military status, marital or partnership status, status as a victim of domestic violence, sexual violence or stalking, predisposing genetic characteristics, arrest or conviction record, credit history, unemployment status or any other characteristic protected by federal, state or local law. Children's Aid is committed to complying with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Children's Aid will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner and will take appropriate corrective action, if and where warranted. Children's Aid prohibits retaliation against employees who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy.

The incumbent is expected to work a schedule, whether in-person or hybrid, as determined by the department's needs to facilitate effective collaboration with the team. This flexibility is essential for maintaining seamless communication, fostering teamwork, and ensuring the smooth operation of the department's processes. The position's requirements are subject to periodic review and adjustment based on organizational needs and changes in work dynamics.