Registered Nurse - Substance Use Disorder/Outpatient Behavioral Health

Denver Health•Denver, CO

5d•$36 - $54•Onsite

About The Position

The Outpatient Behavioral Health Services (OBHS) Nurse plays a crucial role in supporting and advocating for individuals undergoing treatment for opioid use disorders. Working closely with healthcare providers, the OBHS Nurse helps implement and manage medication-assisted treatment plans, ensuring the safety, well-being, and recovery of patients. This role requires a deep understanding of opioid addiction, pharmacology, crisis intervention, behavioral health, medical comorbidities, and nursing principles. Nurses work within a free-standing facility delivering care to a patient population diagnosed with severe opiate use and the co-occurring factors of social impairment, high risk behavior, and both physical and psychological concerns. OBHS employs a high level of security, which impacts daily working conditions, including both personal and institutional safety and clinical operations. Environmental awareness, independent, critical thinking, and decisive, decision-making skills are required in the OBHS ambulatory care setting. Nurses are trained in trauma and therapeutic response, verbal de-escalation, addictions medicine, and Motivational Interviewing to provide whole person care. Under general supervision, the professional nurse adheres to the American Nurses Association (ANA) standards of professional nursing and performance, and the ANA Code of Ethics to provide care to all healthcare consumers. Applies critical thinking, evidence-based practices, and competence to collaborate with the health care team to promote excellence in healthcare consumer safety and quality outcomes. Utilizes the Theory of Human Caring and Caritas in daily practice. "Jean Watson, PhD, RN, AHN-BC, FAAN, Founder / Director, Watson Caring Science Institute."

Requirements

Completion of an accredited nursing education program that satisfies the licensing requirements of the Colorado State Board of Nursing for Registered Nurses required.
1-3 years experience in a direct patient care setting required.
RN-Registered Nurse - DORA - Department of Regulatory Agencies required.
BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association required.
Psychiatric Nursing: Understanding of psychiatric disorders, including substance use disorders, and the ability to assess and manage mental health issues.
Pharmacology: In-depth knowledge of medications used in MAT, such as methadone, buprenorphine, and naltrexone, including their mechanisms of action, side effects, and potential interactions.
Addiction Medicine: Knowledge of evidence-based practices in addiction treatment, including behavioral interventions, counseling techniques, and harm reduction strategies.
Crisis Intervention: Understanding of crisis intervention techniques and the ability to respond effectively to emergencies, including overdose situations.
Trauma-Informed Care: Familiarity with trauma-informed care principles to create a safe and supportive environment for individuals who may have experienced trauma.
Cultural Competence: Awareness and sensitivity to cultural factors that may influence a person's experience with behavioral health issues and substance use disorders.
Legal and Ethical Considerations: Knowledge of relevant laws, regulations, and ethical guidelines related to behavioral health and addiction treatment.
Collaborative Care: Ability to work collaboratively with a multidisciplinary team, including physicians, therapists, social workers, and other healthcare professionals.
Empathy and Compassion: Ability to empathize with individuals facing behavioral health challenges and demonstrate compassion in providing care.
Adaptability: Flexibility and adaptability in responding to the dynamic needs and challenges of individuals in recovery.
Problem-Solving: Ability to assess complex situations, identify problems, and develop effective solutions to support individuals on their recovery journey.
Resilience: Emotional resilience to cope with the emotional demands of working with individuals facing behavioral health and substance use disorders.
Advocacy: Advocacy skills to ensure individuals have access to appropriate resources, treatment, and support services.

Nice To Haves

Work in outpatient clinics, psychiatric emergency services, mobile narcotic units, or triage department preferred.

Responsibilities

Conduct thorough assessments of patients to determine eligibility and appropriateness for medication-assisted treatment. Collaborate with the healthcare team to obtain comprehensive patient histories, including substance use, medical, and psychiatric history. (30%)
Develop individualized medication-assisted treatment plans in collaboration with physicians and other healthcare providers. Educate patients on the benefits, risks, and expectations of medication-assisted treatment. (5%)
Administer and monitor medications used in medication-assisted treatment, such as methadone, buprenorphine, or naltrexone. Monitor and manage potential side effects, adverse reactions, and drug interactions. (20%)
Regularly assess and document patient progress, including changes in physical health, mental health, and substance use. Maintain accurate and up-to-date electronic health records, ensuring compliance with confidentiality regulations. (5%)
Provide education to patients and their families about opioid use disorders, medication-assisted treatment, and recovery. Offer counseling and support to help patients navigate the challenges of recovery. (10%)
Collaborate with physicians, therapists, social workers, and other healthcare professionals to ensure coordinated and comprehensive care. Communicate effectively with patients, addressing their concerns and fostering a supportive and therapeutic relationship. (5%)
Respond promptly and effectively to crises or emergencies related to opioid use disorders. Implement crisis intervention strategies and coordinate with the healthcare team to provide appropriate care. (15%)
Participate in quality improvement initiatives to enhance the effectiveness of medication-assisted treatment programs. Stay informed about the latest research and developments in opioid addiction and medication-assisted treatment. (5%)
Assists in the creation, evaluation, and ongoing review of existing clinical practices and policies. Monitors and reports on changing internal or external critical incidents and diversion that impact OBHS and Denver Health policy. Recommends and implements changes to practice and policy based on those observations. (5%)

Benefits

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer