Milieu Manager

AltaPointe Health•Daphne, AL

About The Position

The Milieu Manager supports the therapeutic milieu and day-to-day operations of a psychiatric treatment unit. The role helps orient newly admitted consumers, contributes to program planning and discharge planning, monitors consumer progress, facilitates participation in activities and groups, and supports consumers in carrying out activities of daily living. The manager works with nursing staff and the Nurse Coordinator to maintain consumer safety, follow unit schedules, address milieu challenges, and support clinical goals. The position supervises behavioral aides and certified nursing assistants in collaboration with unit nurses and nurse coordinators, assists with training and mentoring new employees, and monitors staff coverage, positioning, assigned duties, breaks, and compliance with ObservSmart rounds. The manager also supports discharge belongings procedures, environmental rounds, unit cleanliness, documentation, administrative tasks, and facility safety, infection-control, security, customer-service, ethics, and compliance standards. The role requires recognizing crisis situations and applying de-escalation and MindSet techniques according to AltaPointe policy. The position involves frequent standing, sitting, and walking, sometimes extended or at a quick pace. It may require occasional bending, kneeling, squatting, lunging, and maintaining positions on the floor; lifting up to 10 pounds occasionally and up to 50 pounds to assist with activities of daily living; pushing or pulling up to 25 pounds occasionally; and running up to 0.1 mile to assist coworkers. Some therapy activities may take place inside or outside the facility and may involve physical activity such as games.

Requirements

  • Minimum age of 23.
  • Valid driver license in state of residence, meeting applicable age requirements for driving, and proof of liability insurance.
  • Knowledge of psychiatric disorders.
  • Knowledge of consumer growth and development across intellectual, emotional, spiritual, and physical aspects.
  • Knowledge of cultural diversity.
  • Knowledge of behavior management, crisis intervention, and interventions for acute psychotic and non-violent consumers.
  • Knowledge of educational methods for consumers with severe and persistent psychiatric disorders.
  • Knowledge of psychiatric rehabilitation principles.
  • Subject matter expertise in MindSet and ability to demonstrate its techniques correctly.

Nice To Haves

  • Bachelor’s degree in a related mental health field preferred.
  • Previous relevant work experience in a mental health field, preferably with children or adolescents.
  • Previous supervisory experience preferred.

Responsibilities

  • Orient new admissions to the unit, including schedules, meals, activities, and facilities.
  • Participate in program planning by identifying consumers’ problems, needs, and strengths; recommend plan modifications based on observations; and contribute to discharge planning.
  • Monitor consumer progress and communicate relevant behavioral information to team members, consumers, families, and referral sources.
  • Co-facilitate educational, didactic, and community groups and encourage consumer participation in activities.
  • Supervise consumers to support safety and program participation, and provide input during shift report.
  • Supervise behavioral aides and certified nursing assistants in collaboration with unit nurses and nurse coordinators; assist with new-employee orientation and training.
  • Monitor staff compliance with ObservSmart rounds and notify the Nurse Coordinator of issues or technical difficulties.
  • Perform or oversee packing of patient belongings at discharge and accurate completion of belongings sheets, ensuring consumers receive all belongings.
  • Monitor and adjust staff positioning in the milieu to support consumer safety and report issues to the unit nurse or Nurse Coordinator.
  • Monitor staff adherence to breaks, lunches, and daily assigned duties; provide relief coverage as needed.
  • Conduct daily environmental rounds and address identified issues.
  • Attend mandatory training and meetings, or obtain information when unable to attend.
  • Help maintain a therapeutic milieu and provide appropriate positive reinforcement and natural or logical consequences.
  • Assist nursing staff with consumer treatment as assigned and supervised by an LPN or RN, and maintain a safe, orderly physical environment.
  • Collaborate with the Nurse Coordinator and others on milieu challenges, clinical goal attainment, and daily milieu management.
  • Assist consumers with activities of daily living consistent with their individual plans, needs, age, and developmental level.
  • Follow unit schedules and provide appropriate supervision at all times, including arranging coverage before leaving consumers unattended.
  • Recognize crisis states and use de-escalation and resolution techniques; apply MindSet according to AltaPointe policy and procedure.
  • Work with consumers and staff to maintain cleanliness in consumer rooms and common areas; supervise and delegate housekeeping duties as needed.
  • Provide input into daily staff delegation and support staff break and lunch coverage in collaboration with the unit nurse or Nurse Coordinator.
  • Complete assigned clerical and administrative duties and other duties assigned by the supervisor.
  • Seek supervision and consultation, accept suggestions, enhance skills, and provide feedback to the supervisor about work-related issues.
  • Document services and consumer problems and treatment goals in a timely, clear, concise, and legible manner according to AltaPointe policy.
  • Treat consumers, visitors, and coworkers with care, dignity, compassion, respect, and regard for privacy and confidentiality; assist consumers and visitors as needed.
  • Participate in performance-improvement activities and required committees; complete tasks on time and follow AltaPointe policies and procedures.
  • Attend appropriate in-service training and workshops and participate in activities that support professional growth and development.
  • Comply with facility safety, infection-control, and security programs and support customer-service, ethical, compliance, and service-excellence standards.
  • Maintain professional conduct and serve as a role model for other employees.
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