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District proposes nurse‑supervisor role to oversee LPN pairs and pursue Medicaid billing

3768821 · June 10, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Board received a new job description proposal for a nurse‑supervisor to oversee LPN pairs who serve students with significant medical needs; staff said Medicaid billing tied to the position could increase revenue by an estimated $360,000–$500,000.

The board reviewed a proposed job description for a new "nurse supervisor" position intended to oversee licensed practical nurse (LPN) pairs who support students with intensive medical needs.

District staff explained that LPN pairs (one‑to‑one staff required by individual education plans for students with tracheostomies, feeding tubes and similar needs) currently require supervision and documentation oversight by registered nurses. The proposed nurse‑supervisor would oversee documentation, provide training and enable the district to bill Medicaid for services provided by LPN teams. Staff said their Medicaid vendor estimated the district could "increase revenue at minimum to 360 to $500,000." (quote in transcript)

The presentation said next year the district expects to have seven LPN pairs on staff, up from three this year, creating greater supervision and documentation needs. The district said the position could be funded through special services and Medicaid reimbursements; the RNs housed in buildings would continue to provide nursing care directly to students.

Trustees asked about the proposed dual supervision model (nurse supervisor reporting to special services and also coordinating clinical supervision with Tammy [title not specified in the transcript]). Administrators replied the dual‑supervision language was intended to clarify both the operational (payroll/funding) and clinical (nursing practice/training) oversight; trustees requested clear language on performance appraisal responsibilities and reporting lines before finalizing the job description.

No formal board action was taken; administration said it will clarify supervisory responsibilities, finalize the job description and return to the board.