Registered Nurse Case Manager - Treatment Center

ACH Child and Family Services•Fort Worth, TX

About The Position

The Registered Nurse Case Manager participates in treatment planning for clients with acute medical needs; schedules and coordinates medical appointments; reviews medical documentation; oversees medication ordering, refills, storage, and administration processes; communicates client medical needs to the team; and conducts routine audits of medication documentation. The role develops and implements processes and procedures where established systems may not yet be in place and ensures that clients are treated in accordance with the Psychotropic Medication Utilization Parameters for Children and Youth in Foster Care. The position observes clients and helps identify and manage medication side effects. The Registered Nurse Case Manager provides agency medical education to ensure medications and treatments for youth follow approved techniques, licensing standards, and physician instructions. The role maintains accurate medical records, logs, and appointment documentation in client files and performs medically related functions needed to meet government requirements for health and medication management. The position assesses and coordinates resident care, attends medical appointments, administers medications as needed, trains and supports staff and clients, collaborates with clinical, operational, and compliance teams, and participates in treatment meetings and 24-hour on-call rotations. The work involves exposure to bloodborne pathogens, bodily fluids, illness, and injury, as well as frequent standing, walking, bending, and movement. The employee must be able to respond appropriately in crises and use approved crisis intervention techniques. Strict confidentiality and compliance with agency policies, HIPAA, and applicable privacy regulations are required.

Requirements

  • Associate or Bachelor of Science in Nursing.
  • Current Registered Nurse license issued by the State of Texas.
  • At least one year of pediatric or psychiatric nursing experience.

Nice To Haves

  • Comfort with establishing and developing policies and procedures.

Responsibilities

  • Assess resident medical needs and coordinate appropriate treatment, follow-up care, and physician communication.
  • Schedule medical appointments for clients and coordinate transportation plans with the team.
  • Attend psychiatric and specialty medical appointments with clients.
  • Oversee medication ordering, refills, storage, and administration processes to ensure clients receive medication as ordered.
  • Administer medications as needed.
  • Review intake files for potential clients with documented acute or long-term medical needs.
  • Collaborate with program clinical, operational, and agency compliance teams to address clients’ medical needs and uphold agency and DFPS policies, procedures, and guidelines.
  • Participate in treatment team meetings for clients with acute, chronic, or specialized medical needs, or diagnoses requiring regular maintenance.
  • Train staff on how to meet clients’ medical needs.
  • Interpret physician instructions for direct care staff and ensure treatments are administered as ordered.
  • Train and support clients to improve their knowledge of medical diagnoses and understanding of their medications.
  • Conduct weekly audits of medication documentation, medical records, logs, and storage practices.
  • Use agency documentation systems to maintain accurate and timely clinical records.
  • Consult with staff regarding nutrition, dietary concerns, and wellness-related issues.
  • Participate in 24-hour on-call rotations to address medical concerns.
  • Develop and implement processes and procedures where established systems may not yet be in place.
  • Observe clients and help identify and manage medication side effects.
  • Provide medical education to the agency on medications and treatments in accordance with approved techniques, licensing standards, and physician instructions.
  • Maintain accurate medical records, logs, and appointment documentation in client files.
  • Maintain strict confidentiality and comply with agency policies, HIPAA requirements, and applicable privacy regulations.
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