Full-Time RN or LPN – NOC Shift – 3,000 Sign-On Bonus

Fora Health•Portland, OR

48d•$43 - $59•Onsite

About The Position

The withdrawal management/urgent care nurse joins a dynamic, interdisciplinary team of providers, CMAs, techs & case managers to provide inpatient care to patients withdrawing from drugs and alcohol. This position provides experience in dual diagnosis care and acute stabilization. Nurses have the opportunity to gain specialized skills in the assessment and treatment of substance use disorders; skills that have become highly valued and critical to a wide variety of health care settings. We prioritize evidence-based care & loving kindness. Come be the change with us. The withdrawal management/urgent care nurse is the heart of an interdisciplinary team of providers, CMAs, techs & case managers who provide inpatient care to patients withdrawing from drugs and alcohol. The Withdrawal Management Nurse provides nursing support, assessment and care for patients withdrawing from drugs and alcohol. This position is the first line support for patients, staff, Nurse Practitioners and the Medical Director on service specific clinical issues. The mission of Fora Health is to work with individuals, families and communities to create freedom from addiction. We are committed to providing a wide range of accessible, coordinated and well‑integrated services that benefit the community and support our patients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports the mission, each employee will, at a minimum: Have a basic knowledge of substance use disorders Recognize the importance of family, social networks, and community systems in the treatment and recovery process. Respect the diversity and uniqueness of each person and organization we serve. Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care. Uphold the highest standard of customer service to patients, referents and all community partners. The withdrawal management Nurse assures that this mission is the foundation for the delivery of services and carrying out job duties.

Requirements

Current Oregon Registered Nurse or Licensed Practical Nurse license.
Current BLS CPR & 1st Aid Certification
Have basic knowledge of substance use disorders.
Recognize the importance of family, social networks, and community systems in the treatment and recovery process.
Demonstrate an understanding of and compliance with best treatment practices related to matters of self-awareness, diversity and ethics.
Recognize the importance of individual differences which influence patient behavior and will develop and use strategies to maintain one’s physical and mental health.
Proficient in the competency and standards developed for the Lead Nurse.
Understand the regulations that govern nursing care and abide by those regulations.
Knowledge of nursing theory and practice.
Knowledge of chemical dependency and treatment methods or interest in learning.
Application of knowledge in nutrition, sanitation, and personal hygiene.
Ability to follow verbal and written directions and to apply techniques for specific needs.
Knowledge of community resources.
Knowledge of de-escalation methods or ability to be trained in de-escalation methods.
Ability to work in an environment where people may be hostile or abusive.
Ability to manage time and meet deadlines.
Ability to maintain accurate records and necessary paperwork that meets industry standards.
Ability to learn and apply training instruction.
Proficient in Microsoft Office applications.
Communicate information effectively in writing and verbally.
Strong organization and attention to detail skills.
Maintain confidentiality of sensitive information and documents.
Initiative and problem solving skills.
Social perceptiveness and service orientation.
Team development skills.
Verification of Sobriety, per Oregon Administrative Rules (OAR) standards
DHS Background Check Approval
Successful completion of Drug Test upon hire
Documentation of Tuberculin test and/or evaluation with negative results or evidence of non-communicability

Responsibilities

Cares for patients in the withdrawal management program according to staffing ratios determined by the Oregon Administrative Rules.
Collaborates and communicates issues/concerns with the treatment team on clinical and non-clinical issues.
Supports admission & medical staff in screenings for potential admissions for medical appropriateness.
Reviews newly admitted patients’ medical histories and obtains additional medical information as necessary.
Reviews risk assessments and provides further evaluation and referral as needed.
Completes comprehensive nursing assessment as medically indicated on newly admitted patients.
Provide on-going, accurate assessment, including: obtaining & monitoring vital signs, drawing blood, urinalysis, performing CIWA-Ar & COWS scales, and performing other physical and social assessments as appropriate and necessary.
Screens ongoing patients' medical symptoms or concerns to determine level of medical intervention needed.
Provides nursing interventions as appropriate with available facilities, following medical policies, procedure & protocols safely & accurately.
Review medication and orders and enter prescription orders safely and accurately.
Administers medications as indicated by LMP ordered protocols and orders in a safe manner.
Evaluate diagnostic tests to identify and assess patient's condition and notify provider of any abnormalities.
Maintain up to date documentation in patient’s hard chart.
Maintain accurate controlled medication storage, disposal and count as indicated by policy.
Educates patients on general health guidelines and preventative measures to improve over-all health and decrease risk factors, including continuum of care in A&D treatment and withdrawal symptoms.
Arrange or assist patients in following through with referrals to other appropriate resources to meet medical needs and exchange relevant information with the agency or professional to whom the referral is being made.
Collaborate with outside providers and facilities as needed in order to optimize continuum of care.
Documents assessment, planning, implementation and evaluation in the patient record.
Documentation is thorough, timely and in accordance with industry standards. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes provider orders accurately and in a timely manner.
Provides care based on the best evidence available. Interacts and participates in the education and orientation of medical support staff, withdrawal management nurses, patients and staff. Promotes/supports growth of others through precepting and mentoring when appropriate.
Role model healthy styles of communication and behavior, by using non-violent communication, verbal de-escalation, and demonstrating appropriate physical and emotional boundaries. Maintain professional boundaries with the patients at all times.
Regularly attend medical withdrawal management staff meetings.
Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to Fora policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
Perform related tasks as assigned.
Maintain and strengthen good working relationships with members of the clinical teams.
Coordinate admission of residential and withdrawal management patients with admissions and milieu staff.
Request and obtain medical records to ensure that Fora receives the necessary paperwork to provide a proper continuum of care.
Collaborate with the pharmacy and laboratory to ensure accurate orders and adequate supplies to perform nursing duties.
Works with the patient, medical and clinical staff to ensure transition is safe and supported to another level of care.

Benefits

Kaiser medical insurance
Comprehensive dental and vision insurance
Employer-paid basic life and accidental death & dismemberment insurance
Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance)
Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs
401K plan with Employer Matching up to 6%
4 weeks paid vacation, one floating holiday & sick leave
10 observed holidays, paid bereavement and paid jury duty days
Flexible schedules
Employee Assistance Program
Discounted 24 Hour Fitness membership from $6.99/month
One free employee meal on days worked at our Cherry Blossom location
Online education tools for CEUs
Critical shift compensation up to double hourly pay rate and shift premiums for certain positions
Employee referral bonus
Education grant program reimbursement for continuing education expenses after 90 days of employment
Loan forgiveness for eligible medical and clinic positions
Free parking at our two facilities
Employees may be eligible for education grants: National Health Service Corps (NHSC) NURSE Corps Public Service Loan Forgiveness (PSLF)