JOB SUMMARY:

In accordance with agency Mission, Vision, Values, and Goals, this position serves as nursing support staff within the residential programs which serve individuals who are in need of substance use treatment. Responsibilities include admission assessments, education regarding general health, monitoring and/or administration of medication and physical/medical assessment and testing, under the direction of a Physician, medicated assisted treatment and telehealth services. Responsibilities also include maintaining infection control records.

PRIMARY FUNCTIONS:

Conducts health assessments/screening for clients in assigned programs as outlined by program regulations. Integrates nursing care into the treatment plan, addressing information obtained during the health assessment. Coordinates with intake to ensure these are completed within 48 business hours of admission.

Provides case management including monitoring and making phone calls for clients in order to schedule medical care appointments and reviewing the EMR to anticipate upcoming laboratory and procedure needs.

Manages medications as delegated by insurance requirements and provider requests, including preparing and administering injections, preparing sample medications and prescription assistance medication, and obtaining prior authorizations. Verifies and monitors medication orders and ensures the medication logs are accurately maintained.

Conducts medication counts of any controlled substances allowed into the program and conducts audits for discrepancies between medication log and actual medication counts.

Disposes of medications left by clients after discharge, ensuring that the disposal is appropriately handled by most current recommendations/guidelines.

Provides patient education and support regarding health issues and concerns as needed and facilitates health related groups. Provides education around prescribed medications as needed.

Prepares client for physician visits, obtaining vital signs, weight, height, and BMI, metabolic screenings and other interventions delegated.

Practices the medication first model, works with the physician whether in person or via telehealth and is educated on all MAT medications.

Performs TB skin tests on all residential clients as well as HIV, STD and TB risk assessment on all other clients as appropriate.

Ensures appropriate documentation, according to agency standards, for all interactions and/or treatment activities provided.

Follows all agency policies and procedures including emergency and corporate compliance policies/procedures 100% of the time.

SECONDARY FUNCTIONS

Acts as primary contact for agency infection control: tracking monthly temperature logs, documenting clients and employees diagnosed with infectious disease, maintains agency first aid kits.

Monitors and records urinalysis for drug screens as needed

Assists with:

Inventory of supplies

Maintaining client files

Chart audits

Infection Control

Quality Assurance

If you are innovative and thrive on Challenging employment opportunities, consider joining the dedicated treatment team at Montana State Hospital to share in our commitment to provide quality inpatient psychiatric services for our citizens.

https://www.linkedin.com/company/montanastatehospital/?viewAsMember=true

https://www.linkedin.com/company/montanastatehospital/?viewAsMember=true

Montana State Hospital (MSH) is a 209-bed state psychiatric hospital located in Warm Springs, Montana. MSH is the only state hospital in Montana. The Hospital averages 600 admissions per year. Procedures for hospital admission are specified in state law. Montana State Hospital is in the Deer Lodge Valley between Butte and Missoula. This location is ideal for individuals or families seeking to locate in a smaller community with good schools. Easy access to local airports and the interstate freeway system make travel convenient. Nearby outdoor recreation opportunities abound and include hiking, downhill and cross-country skiing, snowmobiling, fishing, hunting, golf, rafting, kayaking, and wildlife watching.

**Registered Nurses earn additional differential pay of $2.00 per hour for evening shifts and $1.50 per hour for weekend shifts. **

Job Overview: Montana State Hospital provides acute care psychiatric inpatient treatment for adults with serious mental illness.  This position performs nursing assessment, planning, interventions, and evaluation for adult clients in the facility.  Responsibilities include assigning work and providing direction and training to subordinate nursing personnel.

Do you have a passion for working with under served population? Do you thrive working in high stress situations? Are you ready to focus on patient care and not JCAHO scores? The Travis County Sheriff's Office offers an opportunity for you to work in an environment that offers safety and exposure to a wide range of patient problems, diagnoses, and treatment management. We offer a Retirement Plan, Paid Time Off, Personal Holidays, Sick Time, free Employee Health Clinic, Tuition Reimbursement and much more. This position is located at the Travis County Sheriff's Correctional Complex in Del Valle, Texas. Under clinical and administrative supervision, evaluates total health care needs of patients and develops plans to meet those needs. Provides or arranges for medical treatment for patients. May provide clinical supervision to Certified Nursing Assistants.

DISTINGUISHING CHARACTERISTICS:
This is the second in a series of five nursing-related job classifications within the Medical job family. This classification practices under the supervision of a Physician, Registered Nurse, or other similarly licensed supervisory health care practitioner and performs direct patient care functions within the scope of the vocational nurse licensure. Incumbents perform nursing duties of moderate complexity that require a moderate degree of initiative and independent judgment. This classification is distinguished from the Registered Nurse I and Registered Nurse II in that incumbents have not graduated from an accredited Registered Nursing program or do not coordinate the medical treatment of patients. This classification may require work in secure facilities. This classification may require a flexible work schedule in order to meet the needs of the department.
Duties and Responsibilities

• Responds to patients' medical needs. Provides and/or arranges for treatment according to protocol and/or direction from authorized medical staff.
• Consults with clinical and administrative staff about patient health care issues.
• Responds to and assesses certain categories of emergent patient illnesses and injuries.
• Provides direct health care to patients, including wound care, medication administration, monitoring of vital signs, and laboratory procedures.
• Assists other medical staff, as required.
• Practices safety, environmental and/or infection control methods.
• Documents patient's condition and maintains patient medical files and records in computer. Performs other administrative duties.
• Inventories medications on a daily basis.
• Assists in dental, STD and other clinic settings.
• May answer medical questions from staff, patient's relatives and others as appropriate.
• May process patients into the facility by screening and evaluating their medical and mental histories.
• May assist patients with activities of daily living, including bathing and feeding.
• Performs other job-related duties as assigned.

Minimum Requirements
Education and Experience:
Graduation from an accredited Licensed Vocational Nursing program AND one (1) year of Licensed Vocational Nursing experience.

Licenses, Registrations, Certifications, or Special Requirements:
Current license to practice as a Licensed Vocational Nurse in the State of Texas.
Current Cardio-Pulmonary Resuscitation (CPR) Certification.

**Please attach your resume to the on-line application**

Knowledge, Skills, and Abilities:

Knowledge of:

• Standard nursing and other healthcare practices.
• Policies, practices, procedures and terminology related to nursing and healthcare.
• Federal, State, Local and County nursing and other healthcare laws and requirements.
• Treatment of a variety of diseases and injuries.
• Proper dosages and expected results of medication.
• Proper infection control techniques, mental health procedures and protocols.
• Principles and procedures of medical documentation and record keeping.
• Computer equipment to include word processing, spreadsheets, databases, presentations and a variety of software packages.
• Knowledge of and adherence to HIPAA and other federal and state laws requiring the confidential handling of certain health information.

Skill in:

• Administering daily patient care, including use of stethoscope, blood pressure cuff, thermometer and other medical instruments.
• Administering Cardio-Pulmonary Resuscitation (CPR) and First Aid.
• Performing medical tests and recording results accurately.
• Assisting mental health patients.
• Problem-solving and decision-making.
• Both verbal and written communication.

Ability to:

• Work efficiently both independently and as part of a medical team.
• Recognize and identify health symptoms.
• Exercise sound judgment and react quickly in emergency situations.
• Manage time well and perform multiple tasks.
• Understand and precisely follow both verbal and written instructions and communicate in a concise and effective manner.
• Work in a secure environment.
• Track use of medications and inventory procedures.
• Chronicle medical histories and enter data into computer.
• Work effectively and courteously under high pressure circumstances.
• Deal effectively with mentally disturbed, hostile and aggressive individuals.
• Establish and maintain effective working relationships with patients, medical and other County employees and officials, and the general public.

Work Environment & Other Information
Physical requirements include the ability to lift/carry up to 35-100 pounds occasionally, visual acuity, speech and hearing, hand and eye coordination and manual dexterity necessary to operate a computer and office equipment. Subject to standing, walking, sitting, repetitive motion, reaching, climbing stairs, bending, stooping, kneeling, crouching, crawling, pushing, pulling, balancing, client/customer contact, squatting to perform the essential functions. Subject to contact with communicable diseases, radiation, hazardous waste, human fecal matter and foul odors.

Travis County employees play an important role in business continuity. As such, employees can be assigned to business continuity efforts outside of normal job functions.

This job description is intended to be generic in nature. It is not necessarily an exhaustive list of all duties and responsibilities. The essential duties, functions and responsibilities and overtime eligibility may vary based on the specific tasks assigned to the position.

Work Hours: Works various shifts
***$3.00/HR SHIFT DIFFERENTIAL FOR B&C SHIFT ASSIGNMENTS. SHIFT ASSIGNMENT WILL DEPEND ON AVAILABILITY AT TIME OF HIRE.***
Works some holidays, nights and weekends
Shift assignment will depend on availability at time of hire.

Department: Sheriff

Locations: 3614 Bill Price Road, Del Valle

Drug and Alcohol Test Required
Criminal, Credit, Driving, Education and Employment Background Check Required.

• Current status as a registered nurse in the State of Michigan.
• Graduate from an accredited school of nursing, or a graduate of an accredited university with a Bachelor’s degree in Nursing (preferred).
• Three to five years of staff management experience in a psychiatric setting.

• Speaking: Able to articulate goals and objectives of the Center and to effectively present information to management, committees, staff, patients, families, and licensing and regulating agencies.
• Hearing: Hearing acuity sufficient to perform job functions.
• Vision: Normal visual acuity.
• Writing: Excellent written communication skills needed to prepare reports, write policies and procedures, document in patient records, prepare agenda and minutes for department meetings and carry out Performance Improvement planning and monitoring.
• Other: Problem solving, organizational, leadership, writing, crisis resolution, patient education, and basic computer skills.

• Physical:                 Lifting 40 lbs.                                       
• Pushing up to :        150 lbs.
• Manual Dexterity:    Average
• Average % of time during regular shift devoted to:

• Adult Population:     Age 18 and up
• Sufficient knowledge of Growth and Development in order to facilitate patients through the Development Tasks of Young Adulthood (i.e. Intimacy vs. Isolation), Middle Adulthood (i.e. Generativity vs. Stagnation) and Late Adulthood (i.e. Integrity vs. Despair).

• Assumes responsibility in cooperation with the DON for the administration of the nursing services.
• Serves as a role model for quality clinical care.
• Participates in the development, interpretation and implementation of the Center’s philosophy, objectives, standards, policies and procedures.
• Participates in the budgeting process, maintaining a cost effective, quality clinical program within the Center.
• Maintains clinical staffing patterns for the Center that address continuity of care and acuity.
• Responsible for reviewing monthly nursing staff schedule and signing off on it.
• Coordinates the Performance Improvement Program for clinical services within the Center.

• Strives to strengthen the role of the nurse in the Center milieu.
• Supports an environment conducive to professional growth.
• Investigates unusual incidents and complaints from patients, personnel and other departments and reports to the CNO/irector of Nursing.
• Makes rounds at the Center daily as needed.
• Responsible for maintaining a therapeutic milieu and assuring that unit staff maintain patient rights, the nursing process, safety, and patient participation in their own care.
• Possesses current BLS/CPR certification; proficient in Non-Violent Crisis Intervention.

• Participates in staff development programs and orientation of new employees and communicates staff education needs to CNO/Director of Nursing; insures nursing staff maintain staff development program expectation.
• Participates in intra-departmental activities directed at improving communication, coordination and quality of patient care.
• Takes call after hours for unit issues on a rotating schedule according to the monthly calendar.
• Manages the clinical orientation of new staff nurses as follows:
  • Appoints the Charge Nurse or a specific designee to act as primary clinical preceptor.
  • Responsible for preparing all pertinent staff on the unit for new staff nurse training expectations and support required to assist and incorporate new staff nurses.
  • Assures completion of department orientation and competency assessments for new orientees.  Evaluates orientee at completion of department orientation and sends documentation to Human Resources for inclusion in employee file.

• Assumes responsibility for the successful integration of professional staff.
• Plans and provides for department in-service presentations on a regular basis.
•           Assures completion of Performance Evaluations for staff in writing on a yearly basis.
• Coaching and teaching staff on an ongoing basis, for nursing skills development, providing feedback and disciplinary action when needed.
• Delegates duties as necessary to nursing management.
• Conducts regular nursing and other milieu meetings.
• Performs other duties in a willing manner or as requested by the CNO/DON, including assisting the Charge Nurse, Staff Nurses, LPNs, MHTs and other non-professional staff, as required.

Major highlights of the position requirements are noted below. Additional responsibilities may be assigned as required.

• Provides routine nursing care to all children/youth as assigned
• Administers prescription medication to children/youth in accordance with Agency policy and procedures
• Provides first aid to children and staff in the event of an injury
• Provides and/or coordinates emergency medical care in accordance with Agency policy and procedures
• Completes all medical documentation in accordance with Agency policy and procedures. Insures that medical personnel document medical services provided in accordance with Agency policies and procedures.
• Insures medical supplies are kept up to date as assigned.
• Provides medical education to children/youth and families as assigned.
• Serves as member of the treatment team and develops and implements individual medical service plan as assigned.
• Monitors the need for medical services and coordinates the provision of needed medical services as assigned.
• Completes health assessments as assigned
• Insures that all medical records meet federal, state, local regulations and practice standards as well as Carson Valley Children’s Aid policy and procedures.
• Performs other duties as assigned by direct supervisor.
• Facilitates professional, respectful and positive working relationships with team members, residents, families and community resources.
• Participates in the agency’s continuous quality improvement process.
• Provides training to team members as requested.
• Maintains continuing education credits as required to comply with professional licensing regulations and agency training requirements.
• Participates regularly in the supervisory process.
• Responsible for timely, periodic submission of all required clearances and physicals.

Safe Residential Care LLC is a new and growing agency that provides residential services for adults diagnosed with developmental disabilities and/or autism. Our program homes are all located in Cumberland County.

We are looking for a Nurse Practitioner (RN) to join our team. The candidate will provide supervision of residential staff to ensure that clients receive appropriate treatment and services and that such is documented in accordance with agency policy and regulatory standards.

The candidate will work closely with program staff, providing consultation on medical and medication administration issues, including quality assurance, policy review and development, adherence to CRMA rules, and collaboration with other providers as needed. There will be some travel to residences in the Greater Portland area.

Job functions include client treatment coordination, development of drug control procedures, environmental health, and oversight of residential program medication-related services and medical records.

The Nurse Practitioner (RN) will provide staff training for CRMA certification, for diabetes and seizure procedure, and other medical/ health related training as needed.

Other duties may be assigned in accordance with overall program goals.

REQUIREMENTS

· Candidates must be licensed as a Registered Professional Nurse (RN) by the Maine State board of Nursing.

· Nursing experience in a behavioral health or mental health setting is preferred.

· Certified as a CRMA instructor

· Excellent communication skills.

· Working knowledge of health care laws and regulations.

· Knowledge of Therap documentation systems preferred.

• Active and current registered nurse license in the state of residence/practice. (South Carolina)
• Highly effective interpersonal and communication skills.
• Proven leadership ability and hospital operational ability.
• Ability to serve as role model and advocate for the professional discipline of nursing
• Our client offers a competitive benefits package including:
• Our client and all employees share an ongoing commitment to uphold our Standards of Conduct and Ethics code.
• This role provides leadership and support to the senior executive position (CNO) responsible for all nursing and other designated patient care functions/services within the hospital organization.

• EDUCATION
  • Required: Academic degree in nursing
  • Preferred: Bachelors or Masters degree

• EXPERIENCE
  • Required: 2 Years of progressive management experience in a hospital environment as a manager or full time charge nurse/related position

• CERTIFICATIONS
  • Required:
    • Must be currently licensed, certified or registered to practice profession as required by law, regulation in state of practice or policy
    • CPR

• Medical/vision/dental/life insurance after 31st day of employment
• A 401(k) savings plan
• Income replacement
• Paid time off program
• Online educational program
• Tuition reimbursement
• Employee stock purchase plan