SUB - Registered Nurse- Client Services

The Substitute Registered Nurse is responsible for nursing oversight of community based programs where individuals with developmental disabilities and/or mental health needs are receiving supportive services. The nurse also helps with coordinating the medical needs of clients in some program, reconciles orders from internal and external medical providers, and monitors documentation for accuracy and compliance.  The successful candidate will be able to integrate knowledge, skills, and clinical experience to meet the needs of the clients in many different programs.  The nurse must enjoy teaching others and advocating for clients to ensure their health and safety.  The nurse is flexible, open-minded, and has excellent attention to detail and organizational skills.  This nurse will be working independently in some aspects and as part of a team.


  • Completes nursing assessments, contributes to interdisciplinary care planning, and evaluates progress to ensure effective outcomes
  • Reconciles medications, obtains orders, and oversees medical documentation to ensure adherence to internal policies and procedures as well as state regulations
  • Provides medication and health care education to clinicians and staff
  • Delegates medication administration to staff
  • Provides support to psychiatry providers, including medication refill requests and prior authorizations
  • Collaborates with health care providers, case managers, and direct support staff to ensure client's care needs are met
  • Contributes to the development of protocols, procedures, client education, and training
  • Participates in peer review, quality assurance, and other committees as related to promoting client's health and wellbeing.
  • May provide some direct care, including injections and/or phlebotomy, however the nurse is not the primary caregiver in any program


  • Associate's Degree
  • State of Vermont License: Registered Nurse
  • 1-2 years of nursing experience
  • Capable in the use of applicable computer software including electronic medical records and basic Microsoft products.


  • This is a substitute position- hours and schedule will vary
  • Exempt
  • Union position

Click the link below to hear from Individuals currently in this role:

Perks & Benefits:

  • Employee Assistance Program
  • Employee referral program with financial payment
  • Discounted online undergraduate/graduate courses through Champlain College truED
  • Award-winning workplace wellness program HC4ME including physical fitness groups for staff, financial wellness incentives, and ongoing workplace wellness advocacy and education
  • Voluntary benefits from local/international businesses: discounted gym memberships, mobile phone service, ski/snowboard passes, auto/home insurance, and more!

Howard Center is proud to be an Equal Opportunity Employer.  The agency's culture and service delivery is strengthened by the diversity of its workforce.  Minorities, people of color and persons with disabilities are encouraged to apply.  EOE/TTY. Visit "About Us" to review Howard Center's EOE policy.