Registered Nurse — House Lead
Direct Support, Clinical Oversight & Operational Leadership
Location
Telarah, NSW
Employment Type
3-month casual contract, with a view to permanency
Classification
SCHADS Level 3.1–3.4 on commencement
Yellowbird Enterprises is seeking an experienced and compassionate Registered Nurse to join our team as House Lead. This hands-on role supports a client living in their own home with 24/7 support who is a full-time PWC user with complex health and daily support needs.
Working jointly with another House Lead, you will combine direct support, high intensity clinical care, clinical oversight and day-to-day operational leadership to keep the home safe, well organised and consistently delivering high-quality, person-centred support.
Flexible 24/7 roster: The usual base hours are Monday to Wednesday, 6:00 am–2:00 pm, but this is not a fixed roster. Flexibility is required for other shifts, weekends, evenings and public holidays, with occasional after-hours responsiveness for urgent roster or health matters.
Availability is required across the pre-Christmas, Christmas and New Year period, including 24, 25, 26 and 31 December, and 1 and 26 January.
Read the full position description
About the Role
The House Lead is responsible for the day-to-day operational leadership of the client’s home. The role ensures safe, compliant and person-centred service delivery while supporting staff performance, team stability and service continuity during organisational growth.
You will provide direct support to the client while leading and supporting the wider care team. This includes clinical monitoring, high intensity support, staff supervision, competency assessment, care planning, documentation, incident management and roster coordination.
Direct Support and Clinical Care
- Provide direct, hands-on support to the client in their home and community
- Deliver high intensity clinical supports, including catheter changes, suprapubic catheter changes, continence management, complex wound care, health monitoring and clinical observations
- Support the client with personal care and activities of daily living
- Provide safe manual handling, positioning and transfer support for a full-time power wheelchair (PWC) user
- Deliver respectful, dignified and person-centred care
- Monitor the client’s health status and clinical presentation
- Identify and escalate changes or concerns promptly to GPs, allied health professionals, emergency services or other healthcare providers
House Lead and Operational Leadership
- Provide day-to-day operational leadership within the client’s home
- Help ensure the home is safe, organised, compliant and operating consistently
- Support the implementation of routines, task lists, care plans and clinical procedures
- Provide practical guidance to support workers during shifts
- Support staff performance, confidence and stability during a period of organisational growth
- Respond calmly and effectively to operational issues, staff concerns and changes in the client’s needs
- Promote consistent, high-quality and person-centred service delivery
- Support team communication, handovers and regular meetings
- Help maintain continuity of care across the 24/7 service
Joint House Lead Responsibilities
- Work collaboratively with the other House Lead to provide consistent leadership
- Share responsibility for communicating clinical updates, roster changes, staff concerns, incidents and emerging risks, and operational requirements
- Maintain clear communication between shifts and leaders
- Support joint decision-making and consistent implementation of care practices
- Assist with roster gaps, staff absences, cancellations and urgent changes
- Ensure the other House Lead is kept informed of relevant clinical and operational matters
- Provide clear guidance to support workers about escalation requirements
Training, Supervision and Competency
- Provide High Intensity Daily Personal Activities training and competency assessment/sign-off for support workers and NDIS providers
- Provide clinical supervision and support to workers delivering high intensity supports
- Conduct inductions, buddy shifts and ongoing competency assessments
- Train and support workers in catheter and suprapubic catheter care, complex wound care, manual handling, medication assistance, continence management and clinical routines
- Monitor staff practice and provide constructive feedback
- Promote safe, capable and consistent support across the team
Care Planning and Clinical Governance
- Develop, review and update clinical care plans and health support documentation
- Support plans relating to catheter care, continence, skin integrity, wound care, medication and other health needs
- Support clinical risk assessments relating to high intensity supports
- Assist with incident management, follow-up and corrective actions
- Maintain accurate, timely and audit-ready clinical documentation
- Ensure case notes, reports and incident records meet professional and organisational standards
- Monitor compliance with NDIS Practice Standards, duty of care obligations and organisational policies
- Identify opportunities to improve safety, quality and service delivery
Communication and Coordination
- Liaise with the client’s family, support coordinator, allied health professionals, GPs and other providers
- Coordinate health-related appointments, follow-up actions and clinical communication
- Support hospital liaison and discharge planning when required
- Provide clear updates to the Director and joint House Lead
- Communicate changes in the client’s health, support needs or risk profile promptly
- Ensure the client’s preferences, choices, dignity and independence remain central to all decisions
Roster and Service Continuity
- Contribute to the management of the entire 24/7 roster
- Support safe staffing coverage and continuity of care
- Assist with roster changes, illness, cancellations and unplanned vacancies
- Roster yourself appropriately to support operational coverage and client consistency
- Help identify when an issue requires urgent escalation or after-hours involvement
- Work with leadership to maintain a stable and reliable support team
Digital Systems and Continuous Improvement
- Maintain accurate electronic records and clinical documentation
- Use rostering, communication and care management systems confidently
- Contribute to improvements in SuiteCare workflows, rostering processes and digital documentation
- Test new features, identify system gaps and help improve clinical and operational functionality
- Support the organisation’s continued growth and development of improved systems and processes
Essential Requirements
- Current AHPRA registration as a Registered Nurse
- Demonstrated experience delivering high intensity or complex clinical care
- Experience with catheter care, suprapubic catheter management and complex wound care
- Experience supporting people with significant physical disability and complex health needs
- Experience working with clients who use a power wheelchair full-time
- Experience training, assessing or supervising support workers
- Sound understanding of the NDIS High Intensity Daily Personal Activities framework
- Strong clinical assessment, escalation and risk management skills
- Strong clinical documentation and incident reporting skills
- Current First Aid and CPR certification
- Current NDIS Worker Screening Check clearance
- Working with Children Check, where applicable
- Completion of the NDIS Worker Orientation Module
- Current driver’s licence
- Strong understanding of duty of care, safeguarding and person-centred practice
- Excellent communication, organisation and problem-solving skills
- Confidence using electronic record systems, rostering software and online platforms
- Ability to work flexibly across weekends, evenings, varied shifts and public holidays
Desirable Experience
- Experience in disability, community nursing, aged care or complex home care
- Experience supporting people with neurological, physical or complex health conditions
- Previous House Lead, Team Leader, Clinical Lead or senior support role experience
- Experience with dementia care or behaviour support
- Experience with hospital liaison and discharge coordination
- Experience using electronic care management and rostering systems
- Experience contributing to service growth, quality improvement or software development
Why Join Yellowbird Enterprises?
- Make a direct difference in the life of a client with complex support needs
- Take on a meaningful House Lead role combining clinical care and operational leadership
- Work within a supportive and collaborative joint leadership structure
- Receive dedicated non-face-to-face time for care planning, documentation, training and quality improvement
- Help build staff capability, performance and team stability during organisational growth
- Contribute to improved clinical systems, rostering processes and digital documentation
- Work for a values-led organisation committed to safe, compliant and person-centred services
- Opportunity for permanency following the initial three-month contract
How to apply
Email your resume and a short cover letter to hr@yellowbird.au. Your cover letter should outline your experience in:
- Direct support and complex physical disability
- Supporting full-time power wheelchair users
- Catheter and suprapubic catheter management
- Complex wound care
- High intensity support training and competency assessment
- Clinical leadership and staff supervision
- House Lead, Team Leader or operational leadership responsibilities
- Care planning, clinical documentation and incident management
We are seeking an RN who is confident providing direct support, leading within a home environment and working collaboratively as part of a joint leadership team.
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