About The Position

DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. The Registered Nurse (RN) works primarily with clients in need of psychiatric and other medical attention. This position will share responsibility for coordinating the medication services with the team. Work is done under the supervision of the Medical Director and ARNP Supervisor and in full cooperation with other clinical supervisors.

Requirements

  • Registered Nurse, licensed in the State of Washington with the Department of Health in good standing.
  • Knowledge of psychiatric medications, side effects and methods of administration.
  • Interest or experience in working with clients who are difficult to engage and maintain in traditional mental health programs.
  • Ability to work flexible hours as required by program and staffing needs.
  • Valid Washington state driver’s license and insurable driving record.
  • Be able to pass a Washington State Criminal background check.
  • Knowledge of Harm Reduction strategies.
  • Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve homeless, mentally ill clients.
  • Ability and interest in providing case consultations with a multi-disciplinary staff.
  • Ability to remain open and receptive to constructive feedback.
  • Ability to communicate with and coordinate with staff from diverse backgrounds.
  • Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior.
  • Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

Nice To Haves

  • Knowledge and skill in working with co-occurring mental health and substance abuse disorders; with homeless or formerly homeless individuals; and crisis intervention and stabilization experience.
  • Familiarity with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices.
  • Bachelor of Nursing degree.
  • Bilingual in Spanish/English.
  • Strong applicants are able to demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; have the potential to acquire the necessary knowledge, attitudes and skills of an effective crisis worker; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and potentially stressful environment.

Responsibilities

  • Coordinate client care with a multidisciplinary team of social workers/case managers, chemical dependency professionals, peer support specialists, psychiatric nurses and other mental health staff.
  • Under the guidance and direction of the ARNP Supervisor, coordinate medical aspects of care, including monitoring and administration of medications in a manner that meets the unique needs of clients.
  • Provide education to clients regarding their treatment, medical and mental health condition.
  • On-going assessment of mental status and the positive impact and side effects of current treatment.
  • Provide specialized training and consultation to other staff members on medical/mental health issues relating to clients and their care.
  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for team clients.
  • Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance reviews.
  • Comply with applicable program research and evaluation procedures.
  • Assess clients for range of health care needs and facilitate linkage and on-going connection to relevant urgent, primary and specialty health services.
  • Advocate for clients’ access to community resources and services, especially primary health care services, ensuring that clients’ needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
  • Participate in the planning, organizing and facilitating of group treatment services for consumers served by the CSC.
  • Coordinate services closely with CDF, CDIS and MCT supervisors and case management staff.
  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for clients on caseload.
  • Promote and maintain positive relationships with the surrounding neighborhood.
  • Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.
  • Other duties as assigned.

Benefits

  • Dental
  • Life
  • Long-term Disability
  • Medical (no premiums/payroll deductions for employee coverage)
  • Employee Assistance Program (EAP)
  • Flexible Spending Account (FSA)
  • ORCA card subsidy
  • Paid Time Off (34 days per year)
  • Retirement Plan
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