Registered Nurse

Pivotal Solutions is seeking a Registered Nurse to manage medical care coordination and oversight for individuals in a community-based setting in Portland. You would serve as the clinical bridge between clients, their healthcare providers, pharmacies, labs, and hospitals—attending appointments to advocate for appropriate treatment, ensuring medication management is accurate and timely, and developing individualized nursing plans of care. The role also involves training support staff on medication administration, maintaining comprehensive medical records, and handling on-call telephone triage services on weekday evenings.

This position requires a current New York State nursing license and at least one year of RN experience. A bachelor's degree is preferred, as is familiarity with OPWDD regulations and experience in intellectual or developmental disability services. You'll need a valid driver's license and the ability to carry a cell phone for on-call coverage, including emergency notification responsibilities. The work is full-time and based in-office in Portland.

This role suits an RN comfortable with care coordination, regulatory compliance, and direct advocacy work in a community health setting rather than a traditional hospital environment.