About The Position

The Behavioral Health Nurse Clinician/Case Manager works on the Substance Use Disorder Residential Services team, providing compassionate, evidence-based nursing and case-management care to people in residential treatment and detoxification. The role supports clients working toward stability and long-term wellness and collaborates with a multidisciplinary team. The position may be underfilled as a BHN Clinician/Case Manager in Residence; the employee may advance to the BHN Clinician/Case Manager level after completing an underfill agreement and meeting the applicable employment standards, competencies, and licensure requirements. The position provides nursing care, medication and medical services, physical and mental health assessment, detoxification monitoring, supportive counseling, psychoeducation, health teaching, care coordination, and case management. It also involves documentation, quality assurance, emergency response, and connecting clients with community resources. This is an emergency/essential services position requiring attendance during inclement weather and other emergencies. The appointee must complete criminal background, child-protection registry, driving-record, and sanction checks, and undergo TB screening upon hire and annually thereafter. Licensed providers may not opt out of Medicare provider participation.

Requirements

  • Associate degree in nursing from an accredited college or university, or equivalent combination of education, experience, and training.
  • Two years of post-licensure experience as a nurse.
  • Current license to practice as a Registered Nurse in the Commonwealth of Virginia, or a multistate licensure privilege to practice as an RN in Virginia.
  • CPR/First Aid certification within three months of hire.
  • Valid driver's license.
  • Ability to provide emergency treatment for life-threatening conditions with limited supervision.
  • Ability to manage a caseload and perform physical and mental health assessments.
  • Ability to apply treatment approaches and modalities, assess medication effects, and assess risk of harm to self or others.
  • Ability to develop and implement treatment plans or programs for individuals and groups and to work as a case manager on a multidisciplinary team.
  • Ability to maintain effective working relationships and communicate effectively orally and in writing.
  • Ability to maintain records and prepare reports.
  • Ability to provide nursing care and assistance to clients with varying needs; sit, walk, stand, bend, write, observe client behavior and appearance, converse with coworkers, and transport clients in a county vehicle, with or without reasonable accommodations.
  • Must complete criminal background, Child Protective Services Registry, driving-record, and sanction-screening checks to the employer’s satisfaction.
  • Must complete TB screening upon hire and annually thereafter.
  • Must report for duty during inclement weather and other emergencies as emergency/essential services personnel.
  • Licensed providers may not opt out of being a Medicare provider.

Nice To Haves

  • At least two years of experience working with adults with serious mental illness and co-occurring disorders in an intensive treatment group home, hospital emergency department or psychiatric unit, community-based behavioral emergency services, or crisis stabilization setting.
  • Experience working in a substance use disorder environment.
  • Experience providing services in a residential setting.
  • Experience administering medication using a Medication Administration Record System (MARS).
  • Bilingual English and another language; qualified bilingual full-time employees may receive a language-skills stipend of up to $1,600 per year.

Responsibilities

  • Provide nursing services, including administering injections, collecting vital signs, administering tests, and coordinating with other nursing staff.
  • Provide nursing support for psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness.
  • Administer, schedule, and coordinate medication clinics and medical services, including medication delivery, medication-room monitoring, and medication inventory.
  • Follow state pharmacy guidelines for ordering, storing, and disposing of medications.
  • Monitor client responses to nursing and psychobiological interventions, medications, and other treatments.
  • Perform quality assurance reviews.
  • Conduct physical and mental health assessments, including laboratory testing at intake and ongoing assessments as case manager.
  • Monitor and assess clients for contributing or co-occurring mental health issues and risk of harm to themselves or others.
  • Coordinate client plans of care and assess continuity of care to ensure interdisciplinary interventions are consistent, safe, timely, and appropriate.
  • Provide nursing assistance and information through the telephone nurse-of-the-day service.
  • Manage clients’ medical and urgent-care needs and monitor their medical status during detoxification.
  • Develop therapeutic relationships and provide supportive counseling, psychoeducation, and health teaching to individuals and groups.
  • Case-manage clients for whom medication compliance is essential to remaining out of the hospital.
  • Participate in interagency and intra-agency case-management teams, providing nursing consultation and integrating clinical, psychopharmacology, and primary-care services.
  • Document assessments, treatment plans, and quarterly reports on clients’ clinical status.
  • Plan, develop, and lead individual and group psychoeducation, health education, and wellness programs.
  • Teach clients about disease, management strategies, emergency care, and medications when appropriate.
  • Research community, private, and government resources that support disease self-management, recovery, and relapse prevention.

Benefits

  • Highly competitive wage and benefits package.
  • Extensive training and development.
  • Employee recognition programs and advancement opportunities.
  • Foreign language skills stipend of up to $1,600 per year for qualified bilingual full-time employees.
  • Annual reimbursement for job-related licenses and/or certifications.
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