Residential Nurse (RN) (Mental Health Services)

Vinfen•Methuen, MA

3d•$94,300 - $94,300•Onsite

About The Position

The ACCS Residential Nurse is a Registered Nurse (RN) who promotes community integration and functioning of adults living with mental health conditions and complex medical needs. Working in a comfortable residential group living environment, the ACCS Residential Nurse will coordinates access and manage health care for residents in conjunction with Care Coordination entities and all associated medical and behavioral health providers. The ACCS Residential Nurse monitors and consults with Medical staff regarding the medical and psychiatric conditions of each resident. In addition, the Registered Nurse develops and oversees the delivery of health promotion strategies for modifiable risk factors by staff and oversees Medication Administration Program (MAP) compliance for the residence.

Requirements

Nursing school education required
Registered Nurse in Massachusetts required
Experience working with people with psychiatric disability and/or co-occurring disorders preferred
Strong commitment to the right and ability of people served by ACCS to live, work, have meaningful relationships and receive the clinical treatment, resources and supports needed to thrive in their community of choice
Knowledge of Nursing treatment principles and modalities, best practices and evidence-based practices.
Knowledge of health risks of psychiatric disability
Ability to adhere to the standards of Motivational Interviewing; Harm Reduction; Screening, Brief Intervention, Referral and Treatment (SBIRT); Housing First; Stages of Change; and Cognitive Behavioral interventions
Knowledge of PS engagement strategies
Knowledge of medical crisis prevention, crisis intervention, and risk management strategies.
Knowledge of recovery-oriented, person-centered and strengths-based values and principles.
Knowledge of trauma-informed and culturally competent services. Sensitivity to the cultural, religious, ethnic, disability and gender issues of PS
Knowledge of the effects of prejudice including internalized negative attitudes about oneself, discrimination, and oppression of people with psychiatric disorders, and effects of poverty.
Knowledge of human, legal, and civil rights of PS
Knowledge of medical and psychiatric emergency services and acute care systems
Knowledge of community based mental health, health care, care coordination and other services and resources available to PS
Skills and competence to formulate effective Treatment Plan interventions, and to train paraprofessional staff to implement aspects of plans
Ability to collaborate effectively with other staff members to address the needs of PS in the Treatment Plan
Ability to form supportive, trusting relationships with PS
Knowledge of Nursing assessment practices
Knowledge and use of different communication and learning styles
Ability to make independent judgments and decisions
Ability to work in a professional and confidential capacity
Knowledge of personal computer applications and equipment
Extensive knowledge of documentation standards and requirements
Must have access to an operational and insured vehicle and be willing to use it to transport PS.
CPR required within first two weeks of hire

Nice To Haves

Bachelor's degree preferred
Preference given to bilingual/bicultural applicants and applicants with lived experience of psychiatric conditions.

Responsibilities

Promote the engagement, housing permanency, community tenure, achievement of greater self sufficiency and successful completion of tenure for all PS living at the site.
Oversee management of medical conditions of residents to proactively address the complex medical conditions of the PS, including diabetes; kidney, pulmonary, mobility, physical safety and end of life issues; medical consequences of HIV/AIDs virus, and incontinence, etc.
Oversee nursing service delivery to all assigned PS, including participation in services, treatment and support skills planning and implementation of recovery goals, readiness for discharge, and transitions to and from acute care settings as needed.
Meet with and conduct regular Nursing assessments of each PS in the residence. Update assessment when significant medical status changes occur.
Coordinate support services, including hospice and the involvement of religious and spiritual supports for PS and their families/other supporters.
Develop, train staff on, and maintain all residents’ Treatment Plans and Care Plans for residents.
Supervise and direct the nursing support practices of the residence’s Certified Nursing Assistants.
Oversee MAP policies, protocols, audits and compliance for residence. Ensure that medications for PS are stored, administered, and disposed of in accordance with MAP requirements and company policies.
Train and monitor staff’s hands-on assistance to PS for grooming, showering, dressing, etc.
Educate and train direct service staff on pertinent health matters regarding PS’s condition, diagnosis(s), medication and signs and symptoms of chronic, acute and urgent physical health issues (e.g. Diabetes, HTN, CHF, COPD, Vital signs management).
Monitor and communicate PS needs for, and coordinate PS access to, health care with Care Coordination entities and all associated medical and behavioral health providers as needed.
Facilitate referrals to community providers as needed with Care Coordination entities.
Attend hospital discharge meetings when significant medical issues are present, advocate for rehabilitative stay if needed, and obtain hospital discharge summaries at time of discharge.
Educate and support PS families and friends (following HIPAA authorization protocols) regarding PS needs and preferences as they relate to health issues and care.
Engage PS in personal health promotion activities targeted at modifiable risk factors. Use recovery oriented, person-centered, motivational interviewing, harm-reduction, trauma-informed, culturally competent, and strengths-based approaches to help PS think through their current health circumstances, consequences and interest in change.
Design, facilitate and oversee health promotion interventions to address modifiable risk factors for early morbidity and mortality of residents.
Design, facilitate and oversee health promotion interventions and day activities to address overall health and wellbeing of PS.
Record relevant information following established protocols.
Train/ tutor staff to prepare for MAP certification and recertification. Teach MAP at least once per year. Attend State mandated MAP Consultant meetings twice a year.
Monitor receipt of physical, dental and other medical documentation; work with Care Coordination entities and care providers to obtain as needed. Provide thorough and thoughtful documentation of PS needs and services.
Support the provision of evidence-based practices and best practices to PS, including Motivational Interviewing; Harm Reduction; Housing First; Stages of Change; Wellness Recovery Action Plans (WRAP); Seeking Safety and Cognitive Behavioral interventions.
Promote healthcare and employment services access for PS.
Advocate with medical providers for simple, effective medication regimens and for the reduction of poly-pharmacy.
Promote engagement, safe housing, community tenure, achievement of greater self sufficiency and successful completion of service for all PS.
Provide on-call clinical coverage as scheduled.
Engage as Member of ACCS Nurse Community of Practice, facilitated by Vinfen’s Director of Nursing, to support and improve role competency and professional development.
May serve, on a limited basis, as LPHA for PS with identified high risk medical needs to facilitate Care Coordination with external parties.
Perform other related duties, as assigned.

Benefits

A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
First-rate Medical, Dental and Vision plans that are open all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance!
Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance (no cost to you!)
Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
Flexible Spending Reimbursement Accounts (Health and Dependent care)
Voluntary Term, Whole Life, Accident and Critical Care Insurance
Generous paid time off (Employees scheduled to work 20 hours or more per week): 15 days of Vacation per year, 11 Paid Holidays, 10 Sick Days per year, 3 Personal Days per year
Educational Assistance and Remission Programs
$500 Employee Referral Bonus with no annual cap!
Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more!