Registered Nurse - 0104 / HIDPA Clinical Governance
Support Nest Disability Services
Melbourne, VIC (community, SIL and complex 24/7 support settings)
Competitive contractor rates or employment arrangement negotiable
Contractor (ABN) or employee engagement
AHPRA Registered Nurse
About Support Nest
Support Nest is a registered NDIS provider delivering Supported Independent Living (SIL), in-home support, community participation and complex care across Victoria. We support people with complex disability, psychosocial, neurological and health-related needs.
About the Role
We are seeking a Registered Nurse (RN) to support our 0104 / HIDPA clinical governance. HIDPA means High Intensity Daily Personal Activities. This role helps ensure high-risk supports are delivered safely, clearly documented, and aligned with NDIS requirements.
The RN will work with management, case managers, care coordinators and support workers to strengthen care plans, medication safety, worker competency, escalation pathways and audit readiness.
About You
You are a practical RN who can give clear clinical direction to non-clinical workers. You understand that support workers must follow the approved plan, stay within their training, and escalate when something changes. Knowledge of NDIS 0104, HIDPA or HISSD is preferred.
Key Responsibilities
Clinical Governance & Participant Care
- Review and support participant-specific clinical documentation for 0104 / high-intensity supports.
- Confirm which tasks can be delegated to trained support workers and which require RN or clinical review.
- Help build clear escalation pathways for medication, choking risk, seizure activity, pressure care, manual handling, behavioural escalation and participant deterioration.
Medication & Clinical Risk Safeguards
- Review medication plans, MAR charts, medication authorities, Webster packs and medication storage controls.
- Support safe processes for PRN medication, psychotropic medication, Schedule 8 medication and overdose-relevant medication where applicable.
- Guide the team when there is a medication refusal, missed dose, medication error, unexpected reaction or change in presentation.
Worker Training & Competency
- Train and assess support workers in participant-specific clinical risks and support routines.
- Complete observed competency sign-offs per worker, per participant and per task.
- Reassess competency annually, after a 3-month gap in the task, or after a change in the participant’s condition, equipment or care plan.
Documentation, Audit Readiness & Quality Improvement
- Review high-risk documentation including MAR charts, shift notes, food/fluid records, seizure logs, skin charts and incident records.
- Maintain training records, clinical delegation letters and competency matrices in an audit-ready format.
- Support internal audits, incident reviews, clinical risk reviews and continuous improvement actions.
Essential Requirements
- Current AHPRA registration as a Registered Nurse.
- Minimum 2 years post-registration nursing experience.
- Experience in disability, community nursing, aged care, mental health, SIL, complex care, rehabilitation or high-dependency support settings.
- Strong understanding of medication management, MAR charts, clinical documentation and clinical governance.
- Ability to train support workers and complete practical competency assessments.
- Clear written communication and ability to write simple clinical instructions for support workers.
- Current NDIS Worker Screening Clearance or willingness to obtain before commencement.
- Current CPR / First Aid and valid driver licence.
- For contractor engagement: active ABN, insurance and ability to invoice Support Nest.
Preferred Knowledge
- NDIS Registration Group 0104 - High Intensity Daily Personal Activities.
- High Intensity Support Skills Descriptors (HISSD) and observed competency requirements.
- The boundary between 0104 delegated supports and 0114 Community Nursing Care.
- Dysphagia, IDDSI, mealtime management and choking response.
- Seizure management, pressure care, manual handling and complex medication routines.
- Behaviour support, restrictive practice awareness and psychotropic medication safeguards.
What Success Looks Like
- Support workers have clear instructions and do not deliver high-intensity tasks without the correct sign-off.
- Clinical plans, medication records, escalation steps and competency evidence are current and easy to audit.
- High-risk notes are objective, detailed and linked to the participant’s care plan.
- Clinical risks are identified early and escalated before they become incidents or audit findings.
Privacy and Confidentiality
This role requires strict confidentiality. Participant names and personal information must only be used when required for direct care, clinical documentation, consented communication or audit evidence. Recruitment material must not include participant names or identifiable details.
Mandatory Requirements
- NDIS Worker Screening Check
- Working with Children Check (VIC)
- National Police Check
- Right to Work in Australia
- Valid Driver’s Licence
- Completion of NDIS Worker Orientation Module
Pay: $60.00 – $70.00 per hour
Work Location: In person
