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Registered Nurse (RN) On Call

at Challenge Unlimited. Inc. in Alton, Illinois, United States

Job Description

Who We Are:

At Challenge Unlimited, our vision is to become a national leader in providing employment services to people with disabilities that empower them to reach their full potential. We intentionally provide opportunities for individuals with disabilities which will assist them to live, work, and participate in the community.

Challenge Unlimited is driven by its core values: community, helpfulness, abilities, leadership, learning, ethics, innovation, growth, and effective outcomes. It is these values that have powered Challenge Unlimited to its success and has helped over 600 disabled individuals find meaningful work across all of our locations.

Position Summary:

Reporting to the Director of Nursing, the Nurse is responsible for providing on call nursing services to up to 135 Residents with developmental disabilities or mental illness living in group homes which provide opportunities for them to live in a home-based environment—achieving the highest level of independence possible. Coordinates medical services and supplies with employees and medical providers. Reviews and maintains medical documentation. The Nurse trains staff, administers medications as needed, conducts assessments and documents health services.

  • Shift: On call every other week evenings/overtime /weekend and company holidays
  • Pay Rate: $37.85 per hour
  • Location: Alton, Illinois 
Key Responsibilities: 

1. Resident Relations: Promote a culture of person-centered services that advances the Company’s mission to provide quality care and services in a community-based setting to individuals with disabilities. Ensure a high rate of resident satisfaction. Ensure the health and safety needs of all residents are met by providing nursing services to residents. Participate in the screenings and interviews of prospective Residents as requested. Attend all Resident PP/ITP/IHP staffing meetings or send medical summary prior to the meeting.

2. Provide Nursing Services and Oversee the Health and Safety Needs of Residents: Plan, organize, and supervise the delivery of care to residential residents. Complete annual nursing assessment, quarterly nursing assessment, TD, self-medication assessment and monthly observations, admission, NSP’s, TB signs and symptoms check list, ensure annual influenza immunization and other immunizations are up to date, tetanus, pneumococcal, and hepatitis series. Visit assigned Residents no less than bi-weekly to evaluate their current condition and assist in healthcare planning. Review all labs and forward to the prescribing physician for review. Communicate effectively with physicians & service providers regarding Resident care. Order medical supplies as needed.

3. Maintain and Review Documentation, Audit for Compliance: Maintain records of assigned Residents for medication charts, vaccinations, and annual assessments accurately and timely. Review all Physician Order Sheets and Medication Administration Records prior to being placed in the Resident’s chart in a timely manner (at least monthly). Review and sign incident reports in assigned homes with follow up as needed. Review all medication error reports. Ensure that each facility meets state, federal, CARF (Commission on Accreditation of Rehabilitation Facilities) and any governing agency’s regulatory guidelines.

4. On-Call Services: Provide on-call services to assigned group homes from 3pm to 7am Monday through Friday and scheduled weekends/evenings. Respond to calls within fifteen (15) minutes. Answer calls in a



Equal employment opportunity, including veterans and individuals with disabilities.

PI281943610

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Job Posting: 13254875

Posted On: Jan 30, 2026

Updated On: Jan 30, 2026

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