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Job Title: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Organization: Courage Worldwide
Location: Courage House Nevada
Position Type: [Full-Time / Part-Time / PRN – specify]
Reports to: Clinical and Program Director
Position Summary
The RN/LPN provides direct nursing care, medication management, and clinical support for residents (NRS 449) at Courage Worldwide’s Psychiatric Residential Treatment Facility (PRTF), Courage House Nevada, serving survivors of child sex trafficking and severe trauma. This role ensures delivery of trauma-informed, medically appropriate nursing services in compliance with Nevada licensing (NRS/NAC), Medicaid requirements, and CMS PRTF regulations (42 CFR Part 483 Subpart G).
The Registered Nurse (RN) practices within the full scope of professional nursing as defined by Nevada law, including assessment, care planning, clinical judgment, and supervision of nursing care.
The Licensed Practical Nurse (LPN) practices under the direction of an RN or licensed physician, providing nursing care consistent with Nevada scope of practice laws and facility policies.
This position integrates evidence-based nursing practice with trauma-informed, survivor-centered care, reflecting Courage Worldwide’s mission to restore dignity, safety, and long-term healing.
Qualifications
Registered Nurse (RN)
Current RN license in Nevada, in good standing
CPR/BLS certification (required)
Minimum 2+ years relevant experience
Licensed Practical Nurse (LPN)
Current LPN license in Nevada, in good standing
CPR/BLS certification (required)
Minimum 1+ year relevant experience
Nevada Scope of Practice Alignment
Registered Nurse (RN)
In accordance with NRS Chapter 632 and NAC 632, the RN:
Performs comprehensive nursing assessments and ongoing evaluation of health status Develops, implements, and modifies nursing care plans
Exercises independent clinical judgment in nursing care delivery
Delegates and supervises nursing tasks consistent with Nevada regulations
Provides patient education and care coordination
Administers medications and treatments as prescribed
Licensed Practical Nurse (LPN)
In accordance with NRS 632 and NAC 632, the LPN:
Provides nursing care under the direction of an RN or licensed physician Performs focused assessments and contributes to data collection
Implements established nursing care plans
Administers medications and treatments within scope and facility policy Reports changes in patient condition to the supervising RN or provider Does not independently perform comprehensive assessments or develop care plans
Core Responsibilities
1. Nursing Care & Clinical Support
RN Responsibilities:
Perform comprehensive nursing assessments and reassessments
Develop and oversee nursing care plans
Provide clinical oversight and supervision of LPNs and staff
LPN Responsibilities:
Deliver direct care based on established plans
Monitor and report changes in condition
Assist in implementation of nursing interventions
2. Medication Administration & Monitoring
RN:
Oversee medication administration systems
Evaluate effectiveness and safety of medications
LPN:
Administer medications per orders and scope
Document and report medication effects
3. Crisis Response & Safety
RN:
Lead clinical decision-making during crises
Provide assessment and intervention direction
LPN:
Assist in crisis response under supervision
Implement interventions as directed
PRTF Staffing & Coverage Requirements (Nevada + Federal Alignment)
To ensure compliance with CMS PRTF requirements (42 CFR 483.354) and Nevada licensing expectations:
Nursing Coverage Expectations
Nursing services must be available 24 hours per day, 7 days per week At least one licensed nurse (RN or LPN) must be on-site or immediately available at all times
RN Availability Requirements
An RN must be available for supervision of nursing services, either: On-site, or
On-call and able to respond within required timeframes
The RN is responsible for:
Oversight of nursing care delivery
Supervision of LPNs
Clinical decision-making and escalation
Staffing Ratios (Best Practice + Survey-Ready Language)
While Nevada PRTF regulations may not prescribe fixed ratios, Courage House Nevada maintains staffing consistent with acuity, safety, and CMS expectations, including:
Sufficient nursing staff to meet:
Resident medical and psychiatric needs
Medication administration schedules
Crisis response requirements
Increased staffing during:
High-acuity periods
Admissions and discharges
Medical or behavioral instability
Clinical Oversight Requirement
All LPN-provided care must occur under RN or physician supervision The RN ensures that care delivered meets:
Medical necessity
Safety standards
Regulatory compliance
Regulatory Compliance (Nevada + Federal)
Ensure compliance with:
Nevada Revised Statutes (NRS) Chapter 632 (Nursing Practice Act)
Nevada Administrative Code (NAC) Chapter 632
CMS PRTF regulations (42 CFR Part 483 Subpart G)
Medicaid documentation and billing requirements
Summary of Critical Compliance Functions
RN:
Clinical oversight of all nursing services
Compliance with Nevada scope of practice and supervision requirements
Ensuring adequate staffing and safe care delivery (NRS 449)
LPN:
Practice within directed scope under RN/physician supervision
Safe medication administration and monitoring
Accurate documentation and timely reporting
PRTF Compliance Requirement
All duties of this position shall be performed in compliance with applicable Psychiatric Residential Treatment Facility (PRTF) regulations, federal and state laws, licensing requirements, accreditation standards, and Courage House policies and procedures.
Employees are expected to support resident safety, resident rights, confidentiality, non-discrimination, trauma-informed care, mandated reporting, documentation standards, infection control practices, required trainings, and overall readiness for audits, inspections, and accreditation reviews.