WESTCARE INC-posted 4 days ago
$95,000 - $95,000/Yr
Full-time • Mid Level
Onsite • Miami, FL
1,001-5,000 employees

The BSN/RN Lead is responsible for the clinical and operational oversight of the Mobile Medication-Assisted Treatment (MAT) Program, delivering addiction treatment services to individuals with opioid use disorder (OUD) and other substance use disorders in the community. This position provides leadership to a multidisciplinary mobile care team, ensures high-quality nursing and medication administration practices, and facilitates coordination of care across behavioral health, primary care, and recovery support services. The BSN/RN Lead plays a key role in ensuring compliance with all applicable regulatory and clinical standards, promoting harm reduction principles, and providing compassionate, person-centered care in a mobile, field-based setting. Mobile MAT program is a healthcare service that delivers addiction treatment directly to individuals in their communities using mobile units, such as vans or specialized vehicles. These programs provide medication assisted treatment, which typically includes medications, combined with counseling and support services, to help individuals with opioid use disorder manage cravings, reduce withdrawal symptoms, and support long-term recovery. These units are designed to reach underserved or remote areas, offering greater accessibility to individuals who may face barriers like transportation issues, limited access to healthcare facilities, or social stigma. In addition to providing medication, the mobile MAT program offers a range of supportive services, such as mental health counseling, case management, risk reduction education, and referrals to additional healthcare or social services. By bringing these resources directly to communities in need, mobile MAT program aim to increase access to comprehensive addiction treatment, improve patient outcomes, and reduce overdose deaths.

  • Oversee day-to-day operations of the Mobile MAT Program, including staffing, scheduling, program operations, and clinical service delivery.
  • Supervise and support mobile team members including LPNs, Case Manager, Peer Recovery Specialists, and other support staff.
  • Serve as a liaison between mobile team and internal departments
  • Coordinate with external partners including local health departments, shelters, community clinics, and outreach programs to support integrated care.
  • Administer and monitor medications used in MAT provider orders and standing protocols.
  • Provide patient education on MAT, harm reduction, overdose prevention, and safe medication practices.
  • Identify and manage adverse reactions, side effects, and other urgent patient needs in the field.
  • Continually assesses patients’ medication needs; focusing on detoxification, PRN psychotropic, side effects and documenting such findings in progress notes per policies and procedures
  • Complete nursing assessment, initial treatment plan (including any nursing/medical problems) and the Individual Treatment Plan to establish treatment needs according to the standards of care as needed
  • Complete nursing assessment for every assigned client including Mental Status Exam on all new admissions as needed
  • Demonstrates the ability to identify and evaluate an individual’s strengths, barriers, problems, and needs for the development of Preliminary/Initial Wellness and Recovery Plan
  • Initiates assessment of patient needs and provides appropriate treatment/medical care utilizing MD when appropriate
  • Initiates emergency screening protocol and decides when to consult on-call staff in accordance with on-call procedures
  • Participates in reports highlighting client behavior, medical condition, medication status and client census
  • Participates in Treatment Team and the development or revision of patient Individual Treatment Plan
  • Participates in familiarizing self with treatment plans/case reviews and implementing all features
  • Responds promptly per treatment plan and policies and procedures to inappropriate, withdrawn, agitated, or vegetative client behavior
  • Applies TACT techniques properly and effectively in response to client aggression
  • May need to facilitates scheduled therapeutic and educational groups at least once per week
  • Participates in staff meetings, client conferences, and treatment teams to coordinate management of medical and nursing client care at least weekly or as assigned by Unit Director
  • Communicates pertinent client information to medical staff, unit coordinator, and other disciplines when appropriate.
  • Responds to client questions and requests in a timely fashion
  • Implements behavior modification plans as required
  • Provides nursing interventions appropriate to patient medical and psychosocial needs, i.e., health education, STD, HIV, First Aid, DM, injury, other chronic or acute illness per individualized treatment plan and nursing assessment
  • Reviews MD’s orders and documents as per policy and procedure
  • Documents the following on all patients; patient insurance status and precertification, patient admission assessment, insurance identifying problems, established priorities for treatment and care, initial treatment plan for each client.
  • Maintain accurate and timely documentation in the Electronic Health Record (EHR) and other reporting systems.
  • Transcription of medication orders, discharge summary, progress note per policy and procedure manual
  • Participate in internal audits, quality improvement initiatives, and data reporting for grant or regulatory compliance.
  • Maintain proper inventory control, storage, and transport of medications in accordance with agency protocols and DEA regulations.
  • Assures that informed consents for medication for each client are signed and in chart prior to administering medication
  • Administers medication without error to unit clients per policy and procedure
  • Administers PRN and OTC medications per physician orders, documents and observes effects
  • Shows flexibility and is responsive to requests from supervisor.
  • Works independently with minimal supervision.
  • Is courteous to clients, staff, and all others.
  • Demonstrates tact at the appropriate time.
  • Works well with supervisor; accepts direction and supervision.
  • Maintains a positive attitude toward work.
  • Ensures and maintains a safe working environment.
  • Work area is clean and orderly.
  • Verbalizes, understands and adheres to Center safety procedures.
  • Demonstrates appropriate use of Unusual Incident Reports, in accordance with the Center’s reporting procedures.
  • Presents a positive personal image.
  • Dresses and maintains a professional demeanor
  • Performs other duties as requested.
  • Miscellaneous duties are performed according to instruction.
  • Participates in discharge plan for all assigned clients as part of multidisciplinary team (including client’s family) and documents discharge summary as per policy and procedure
  • Reviews and evaluates effectiveness of interventions and implementation of nursing care
  • Applies knowledge of the inter-relationship among substance abuse disorders, mental health disorders, and chronic medical conditions
  • Demonstrates the ability to evaluate the impact of substance use, mental health problems, and chronic medical conditions on the client’s functioning in major life areas
  • Documents and reports client outcomes and responses resulting from nursing interventions, treatment procedures, interpersonal interactions, and patient/family education
  • Evaluates and documents client progress towards goals and objectives
  • Updates and revises patient care problem list and individualized client care standards based on client and family responses, progress toward goals, and/or change in medical and mental status
  • Evaluates progress of other RNs, Peers or staff persons being oriented as assigned
  • Acts as a role model and resource person for colleagues
  • Participates in required staff development / training activities.
  • Maintains up-to-date knowledge of clinical area of practice. Participate in trainings on trauma informed care, assessing and treating victims of domestic violence, trauma-focused cognitive behavioral therapy, motivational interviewing and Seeking Safety
  • Completes all orientation and mandated training activities, including E-Learning Courses, within required timeframes, and in accordance with the criteria established for this position.
  • Demonstrates a high degree of dependability.
  • Maintains a good attendance record.
  • Observes working hours.
  • Exhibits characteristics of good workmanship and integrity on the job.
  • Work time is always productive.
  • Establishes and maintains effective and positive working relationships with clients, co-workers, and other job-related representatives.
  • Readily develops and maintains therapeutic relationships with clients.
  • Effectively interacts with client’s family and significant others.
  • Proficient in performing nursing physical assessment and mental status exams
  • Demonstrates the ability to use DSM V diagnostic criteria to provide substance use, mental health, and behavioral diagnoses
  • Demonstrated knowledge of theoretical and practical concepts of individual, group and family behavior
  • Demonstrated ability to deal with crisis situations
  • Knowledge to deal with difficult people
  • Demonstrated ability to handle a client concern/grievance according to agency protocol.
  • Demonstrated ability to establish and maintain effective working relationships with clients, co-workers, external partners, and regulatory agencies
  • Demonstrated ability to manage change and achieve results
  • Demonstrated ability to expedite a voluminous flow of detailed work
  • Demonstrated ability to prepare clear and precise reports
  • Demonstrated ability to follow and interpret instructions
  • Demonstrated ability to appropriately and efficiently identify, prioritize and follow through on assignments
  • Maintains confidential files and records
  • Working knowledge of behavioral health terminology
  • Knowledge of WestCare Mission, goals and values
  • Knowledge of Incident Reporting
  • Knowledge of HIPAA, Professional Ethics, Consumer Rights and Confidentiality
  • Familiarity with WestCare services and programs
  • Provide clinical supervision and mentorship to nursing and support staff.
  • Assist in onboarding and ongoing training of mobile team members, including clinical competencies and safety procedures.
  • Promote trauma-informed and recovery-oriented practices that reflect respect for all individuals’ values and lived experiences.
  • Active and unencumbered RN license in Florida
  • Graduation from an accredited four-year college with a Bachelors of Science in Nursing field is required;
  • Two (2) years of experience in Detox and Office Base Suboxone/Subutex Induction required
  • Must possess experience in basic office management skills
  • Demonstrates ability to work effectively with staff and populations
  • Ability to use trauma informed care principles including ensuring consumer safety, preventing/avoiding re-traumatization, maximizing trustworthiness, enhancing consumer choice, maximizing collaboration, and emphasizing empowerment
  • Ability to identify and describe key signs, symptoms, impact and manifestations of trauma
  • Aware of the differences between trauma informed and trauma-specific services
  • Understands the bidirectional relationships among substance use and mental disorders and trauma
  • Ability to read, analyze, and interpret agency and grant required documents
  • Ability to respond effectively to the most sensitive inquiries or complaints
  • Ability to collect data, establish facts, and draw valid conclusions.
  • Understands, communicates (both verbally and in writing), and collaborates effectively and with precision, given the time constraints of each task.
  • Understands the differences among various kinds of abuse and trauma.
  • During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and/or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you.
  • CPR Certification, First Aid Certification and an annual Tuberculosis test.
  • Ability to provide an Affidavit of Good Moral Character
  • Ability to meet insurance requirements for driving an agency vehicle
  • Clearance in Pre-Employment Drug Testing and Criminal Records Checks, as required.
  • Possesses sufficient means of independent mobility.
  • Excellent communication skills;
  • Bilingual -English/Spanish preferred
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