Registered Nurse (34196)

NEW NARRATIVE•Portland, OR

4d•$42 - $52

About The Position

The Registered Nurse (RN) delivers person-centered, team-based care across psychiatric, medical, and social domains. The RN conducts comprehensive assessments, develops and executes shared care plans with the multidisciplinary team, leads complex case management for individuals with multifaceted needs, provides wound care, coordinates hospital follow-ups and transitions of care, oversees medication processes, and advances health education and community integration. The RN also identifies operational gaps in workflows, documentation, medication systems, and care coordination—and partners with leadership and the care team to implement improvements that enhance safety, quality and efficiency of services provided.

Requirements

Team-based care and interprofessional collaboration, role clarity, closed-loop communication, and effective handoffs.
Advanced clinical assessment, clinical judgement, and documentation excellence.
Knowledge of medication and correct administration, including strategies to reduce medication errors.
Wound care fundamentals preferred, willingness to learn and integrate wound care skills required.
Experience supporting psychiatric clients, including behavioral interventions.
Ability to delegate, teach, and maintain confidentiality and professional ethics.
Adaptability, prioritization, and continuous improvement mindset.
De-escalation, trauma-informed and recovery-oriented practices.
Associate Degree of Nursing required.
Currently Licensed as a Registered Nurse (RN) in the State of Oregon
Current BLS for Medical Professionals.

Responsibilities

Team-Based Clinical Assessment & Nursing Care Perform holistic nursing assessments, document findings, and contribute to shared team-authored care plans with clear roles, goals, and timelines.
Provide direct nursing care including vitals, triage, injections, and blood draws; coordinate timely lab follow-up and closed-loop communication of results.
Provide wound care under provider orders, including assessment, cleaning, dressing changes, monitoring signs of infection, and communicating wound progress with care team, escalating concerns, and collaborating with providers/WOCN as needed.
Monitor chronic and emerging health conditions, surface risks in daily team huddles, and adjust care plans accordingly.
Review medication orders, oversee administration and timely scheduling to ensure continuity of care for participants.
Administers injections per licensed prescriber orders.
Performs blood draws as required per licensed medical providers and coordinates with MA and third-party lab to get results in a timely manner.
Monitor and follow up on identified health concerns such as chronic health conditions.
Complex Medical Case Management & Hospital Follow-Ups Leads the development and coordination of individualized treatment and medical care case management plans addressing medical needs.
Participates in appropriate case management regarding psychiatric, behavioral, and social needs.
Considers the importance of social determinants of health when developing treatment plans.
Provide advocacy and navigation support through healthcare systems, insurance, specialty care referrals, and community-based resources.
Ensure continuity of care through coordinated planning, communication, and documentation across multiple services and provider teams.
Coordinates and completes hospital follow-ups, including reviewing discharge instructions, reconciling medications, updating treatment plans, facilitating follow-up appointments and ensuring continuity of care.
Communicate post-hospitalization updates to multidisciplinary team and supports participants in connecting to community-based follow-up services.
Assess system or process gaps impacting client outcomes such as delays in service access, care transitions, or hospital discharge coordination and proactively address or escalate them to leadership to ensure continuity and quality of care.
Proactively advocate for transitions of care (pre-admission planning, discharge coordination, warm handoffs) ensuring continuity and adherence.
Collaboration with Multidisciplinary Teams Serve as a core member of an interprofessional team (medical, behavioral health, pharmacy, residential, peer support, skills training and intensive case management).
Actively engage with a multidisciplinary team to plan, coordinate, and evaluate care for participants with complex needs, contributing to clinical judgements and assessments during team collaboration.
Communicate collaboratively and regularly with treatment team members regarding participants’ medical and health status as appropriate for care planning.
Educate and train staff on disease processes, wound care basics, medical equipment and evidence-based practices.
Collaborate with team members to recognize system-level barriers or workflow challenges and participate in developing solutions that strengthen care coordination and service delivery.
Community Support & Participant Engagement Coordinate and support client access to community resources, including medical providers, behavioral health services, and residential support.
Encourage participation in community activities to support social skills and promote social integration.
Promote independence in ADLs/IADLs, facilitate community-based activities that support recovery and social connection.
Medication Management (Team-Based) Review medication orders, oversee administration, and ensure proper scheduling to maintain continuity of care.
Collaboration with internal pharmacy partners to monitor Licensed Medical Providers and external providers for medication orders, and reconciliation of medications from external providers as necessary.
Offer support to residential staff in medication names, doseas, uses, and side effects, including support for self-administration and delegation programs where applicable.
Encourages a healthy social environment, and client engagement and interaction.
Behavioral & Crisis Intervention Provide reality testing, conflict resolution, and de-escalation support during emotional or behavioral crisis.
Monitor and support a safe and healthy environment for all participants and staff members.
Assess, monitor and encourage participant independence in ADLs to support wellbeing.
Health Education & Wellness Promotion Provide education around nutrition, special dietary needs, exercise, and weight management to participants and team members as requested.
Facilitate health education and recovery-focused groups, including skills to prevent relapse of mental health symptoms and techniques to manage anxiety and depression.
Emergency Response & Safety Assist in developing, implementing, and monitoring emergency protocols and services for participants.
Document all critical incidents promptly and notify supervisor immediately.
Ensure participants receive the highest quality of care and maintain safety standards throughout the work environment.
Contribute to developement, training and periodic drills for emergency procedures.
Operational and Administrative Duties (Quality & Improvement) Manage and track medical and pharmaceutical supplies.
Monitor and maintain participant with durable medical equipment.
Delegate nursing tasks at supportive residences appropriately when needed.
Maintain documentation, adhere to confidentiality and ethics, protect PHI, follow all organizational policies, safety rules, and protocols
Identify operational gaps within clinical and residential workflows, documentation practices, medication systems, and care coordination processes, communicate recommendations to leadership to improve efficiency, safety, and quality of care.
Delegate tasks appropriately to Medical Assistants and support competency development.
Attend and positively participate in required meetings.
Participate in ongoing training in mental illness.
Follow all organizational policies, procedures, and protocols.
Comply with all New Narrative safety rules and regulations.
Report to your Supervisor for all workplace hazards, injuries, and illnesses, no matter how minor.
Adhere to confidentiality, Professional Ethics, and Dual Relationships per policy and administrative rule.
Maintain a clean workspace.
Seek out and attend training and in-service opportunities (8 hours required per anniversary date).
Attend initial complete MANDT training and annual updates.
Maintain current Oregon or Washington Driver's License.
Follow through on all directives and instructions conveyed by the Administrator.
Maintain the security of all corporate interests (i.e. security of keys, files, facilities, etc.)
Other tasks as assigned by Supervisor.