Registered Nurse (Secure Residential)

Cascadia Health•Portland, OR

9d•Onsite

About The Position

The Registered Nurse works at Faulkner Place, a secure licensed residential treatment facility in Southeast Portland, Oregon. Secure Residential programs serve adults with severe and persistent mental illness who have a history of institutionalization in the state hospital system. These transitional programs provide intensive support to help residents become more independent. The RN coordinates treatment for the shift and implements medical interventions. The nurse makes treatment decisions within the scope of RN licensure and provides care prescribed by physicians and nurse practitioners while supporting a trauma-informed environment. The role includes direct nursing care, medication administration and monitoring, care planning, coordination with treatment and medical providers, documentation, resident education and group leadership, and participation in crisis response. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. The position includes a site and shift differential totaling $5.00 per hour in addition to the base compensation. Work is performed in a clinical outpatient or residential setting, with possible community transportation using agency vehicles. Breaks and meal periods may be interrupted, and the work may involve exposure to violence, disease, biohazards, noise, and contaminants. The role may also require remaining onsite for up to eight additional hours if the following shift is inadequately staffed.

Requirements

Active, unencumbered Oregon Registered Nurse license.
CPR and First Aid certification.
Demonstrated competencies to become credentialed as a QMHA or QMHP under OAR 309-016-0005.
For QMHP qualification: a bachelor’s degree in nursing from an accredited college or university.
For QMHA qualification: an associate degree in nursing from an accredited college and at least one year of mental health work experience.
Ability to perform CPR and First Aid and properly use AED equipment.
Ability to commute to various Cascadia sites and community locations as needed.
Ability to operate computer hardware and software and enter and retrieve data effectively.
Knowledge of medical conditions commonly encountered by people with severe and persistent mental illness and of the physiological basis for nursing care.
Ability to use Motivational Interviewing.
Ability to maintain a trauma-informed care environment.
Ability to assist the team in maintaining safety for clients and staff in potentially volatile situations.
Employees must obtain and maintain all licenses, certifications, registrations, and other credentials required for the position, keeping them active and in good standing.

Nice To Haves

At least two years of clinical experience providing inpatient or outpatient services is preferred.

Responsibilities

Provide quality nursing care, medical interventions, and appropriate documentation.
Develop Nursing Care Plans for medical and physical conditions.
Assess residents and administer PRN medications when appropriate.
Plan, implement, evaluate, and document direct resident care in accordance with psychiatric and program philosophies.
Coordinate with medical staff, pharmacies, and laboratory services to support continuity of resident care.
Administer psychotropic medications, interpret residents’ responses, and take appropriate action based on current psychopharmacology standards.
Collaborate with the treatment team to establish medical treatment plans and resident care.
Interact appropriately with residents, visitors, and community members, and advise residents on treatment rights, treatment refusal, and involuntary treatment procedures under applicable regulations.
Maintain accurate, compliant electronic health records and ancillary records.
Attend and participate in nursing meetings and resident case conferences.
Assist with crisis situations, follow emergency procedures, and coordinate trauma-informed interventions with the treatment team.
Support the safety of residents, staff, and property, including familiarity with fire regulations and evacuation procedures.
Follow mandatory abuse reporting laws, HIPAA requirements, compliance standards, and client-rights protections.
Communicate laboratory results to the Licensed Medical Practitioner.
Lead resident nursing groups.
Coordinate with the oncoming shift about resident concerns, program or building needs, and other operational issues.
Administer seclusion and restraint techniques in accordance with non-violent physical intervention training, agency policies, and Oregon Administrative Rules.
Participate in a rotation that may require remaining onsite for up to eight additional hours when the following shift is inadequately staffed.
Complete required annual facility and agency training on time.
Attend seminars, training, and other educational opportunities to develop professional skills.
Support community reintegration through rehabilitation programming, including therapy and skills-building groups, dual-diagnosis treatment, nutrition and exercise, vocational training, and staff-escorted community outings.
Perform other duties as assigned.

Benefits

Generous paid time off; full-time employees earn six weeks in their first year.
Medical and dental coverage beginning on the first of the month following the hire date.
VSP Vision Discount Plan.
403(b) retirement plan, eligible after 60 days, with immediate 100% vesting and a 1-to-1 company match up to 3% per pay period, plus the opportunity for an additional discretionary contribution of up to 5% at the end of the fiscal year.
Flexible Spending Account options for medical, dependent care, and transportation.
Short-term disability, long-term disability, and life insurance.
Paid bereavement and jury duty leave.
Length of Service Award.
Voluntary life insurance.
Supplemental insurance.
Student loan forgiveness options.
Employee Assistance Program.
Bike to Work reimbursement.