Bhn Clinician/case Manager- Icm North

Reston, Virginia
$72,190.56 - $120,316.98 Annually
Feb 04, 2023
Feb 18, 2023
Full Time
Job Announcement

$5,000 Sign-On Bonus*

The Intensive Case Management (ICM) program is designed to deliver comprehensive and effective services to individuals who are diagnosed with severe mental illness and whose needs have not been well met by more traditional service delivery approaches. The ICM Behavioral Health Nurse (BHN) clinician/case manager delivers community-based treatment as a member of an interdisciplinary team providing rehabilitation, clinical and medical case management, crisis intervention and stabilization, support services, as well as supportive counseling to persons with serious and persistent mental illness. Under the supervision of a ICM supervisor, the ICM BHN delivers comprehensive medical nursing and mental health assessments as well as direct clinical treatment to persons with severe psychopathology, compromised physical health, and poor follow through with treatment recommendations. The Behavioral Health Nurse on the team provides therapeutic medical and rehabilitative interventions as well as consultation about medical issues to non-medical team members. Documents all services provided in a timely manner and ensures a tightly coordinated rehabilitation service plan by collaborating with the individual, natural supports, other team members, primary care providers, and other stakeholders in the individual's recovery.

Recovery-oriented services are provided by the ICM team members via individual, side-by-side, family, and group modalities in mostly non-traditional community/outreach venues (e.g., unsheltered settings, homeless shelters, jails, hospitals, homes, job sites, etc). Services are provided in partnership with individuals and their natural supports, in a variety of community settings with a strong emphasis on person centered planning, strength-based approach to recovery, empowerment, self-determination, and independence. Knowledge of CSB, county and community resources, and ability to outreach and engage both in office and community-based services is necessary.

This position is based out of NWC Reston but will provide services to two ICM Teams, Reston and Annandale areas of Fairfax County. Program hours are from 9a-5p Monday through Friday.

Position may be underfilled as a BHN Clinician/Case Manager in Residence; the underfill requirements are stated below in the Employment Standards section.

The population of Fairfax County is very diverse where 39.8% of residents speak a language other than English at home (Spanish, Asian/Pacific Islander, Indo-European, and others) and CSB recognizes that staff competence speaking a variety of languages is necessary to meet client needs. We encourage candidate’s bilingual in English and a foreign language to apply. A foreign language skills stipend of up to $1,300/year (full-time) may be given for qualified bi-lingual employees.

Note: *The BHN Clinician/Case Manager position includes a signing bonus for fully qualified new merit county employees in the amount of $5,000 (full-time). The BHN Clinician/Case Manager in Residence underfill position is not eligible for the bonus.

To learn more about careers that make a difference, watch our video "CSB Celebrates 50th Anniversary of Providing Care."

Illustrative Duties

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)
  • Provides nursing services to clients, including administering injections, collecting vital signs, administering tests and interfacing with other nursing staff;
  • Provides nursing support to psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness;
  • Administers, schedules and coordinates medication clinics/medical services, including delivery of medication, monitoring medication room, and inventorying medications;
  • Complies with state pharmacy guidelines in ordering, storage, and disposal of medications;
  • Monitors client responses to psychobiological and nursing interventions, medications and other treatments;
  • Performs quality assurance review;
  • Performs physical/mental health assessments, including laboratory testing of new clients at intake and to clients on an ongoing basis as case manager;
  • Monitors and assesses clients to identify contributing or co-occurring mental health issues;
  • Monitors and assesses clients for risk of harm to self and/or others;
  • Coordinates client plan of care to assure interventions are consistent, safe, timely and appropriate.
  • Assess continuity of care and evaluates coordination of interventions by interdisciplinary team to ensure consistency with the plan of care;
  • Provides nursing assistance and information to clients through the telephone "nurse of the day" service;
  • Manages medical needs and urgent care needs of clients;
  • Monitors and assesses medical status of clients in the process of detoxification;
  • Develops a therapeutic relationship with clients, provides supportive counseling, psycho-education, and health teaching for both individuals and groups;
  • Serves as case manager for clients for whom medication compliance is essential for remaining out of the hospital;
  • Participates on inter-/intra-agency case management teams, providing nursing consultation and effective integration between clinical and psychopharmacology services; as well as primary care services;
  • Documents assessments, treatment plans and quarterly reports on clinical status of clients;
  • Plans, develops and leads group and individual psycho-education, health education and wellness programs;
  • Provide teaching on disease, management strategies, emergency care and drug information when appropriate;
  • Researches available community, private and government resources to support patient self management of disease, recovery and relapse prevention

Required Knowledge Skills and Abilities

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)
  • Knowledge of nursing standards, theories, principles, practices, methods, processes, and procedures;
  • Knowledge of federal and state pharmacy and medication clinic regulations and guidelines;
  • Knowledge of documentation, nursing diagnosis, and quality assurance;
  • Knowledge of human growth and development, anatomy and physiology, pharmacology (e.g., side effects, contraindications), preventive medicine, epidemiology, and nutrition;
  • Knowledge of psychiatric, psychological, and/or sociological terminology and concepts;
  • Knowledge of substance use disorders and addiction signs and symptoms, assessment techniques, treatment interventions and approaches;
  • Knowledge of available community resources for referral or the ability to rapidly acquire such knowledge;
  • Ability to perform technical and complex nursing procedures (e.g., injections, venipuncture, blood pressure screening, STD check, tube feeding, nebulizations), administer treatments and medications, and use medical equipment in delivering services to clients;
  • Ability to perform emergency treatment(s), with limited supervision, for life threatening conditions;
  • Ability to manage a caseload;
  • Ability to perform mental and physical health assessments and apply treatment approaches/modalities;
  • Ability to assess and monitor the effects of medications;
  • Ability to assess level of risk for harm to self or others;
  • Ability to develop and implement treatment plans/programs for individuals and groups;
  • Ability to work as case manager in a multi-disciplinary team;
  • Ability to maintain effective working relationships with co-workers, public and private organizations, community groups, and the general public;
  • Ability to communicate effectively, both orally and in writing;
  • Ability to maintain records and prepare reports.

Employment Standards

Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for “Any combination, experience, and training equivalent to”)
Graduation from an accredited college or university with an associate degree in nursing; plus two years of post-licensure experience as a nurse.

  • Possession of a current license to practice as a Registered Nurse in the Commonwealth of Virginia or a multistate licensure privilege to practice as a Registered Nurse in Virginia.
  • Valid driver's license
  • MANDT certification (within 3 months of hire)
  • CPR/First Aid certifications (within 3 month of hire)

This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S26, $68,800.78 - $114,667.90). The employment standards for the BHN Clinician/Case Manager in Residence is:
  • Any combination of education, experience, and training equivalent to the following: Graduation from an accredited college or university with an associate degree in nursing.
Click here to view the complete details and KSAs for the B HN Clinician/Case Manager in Residence . Upon completion of an underfill agreement (which will require that the employee meet the employment standards stated above in addition to obtaining competencies and licensures defined by the hiring agency) the employee will be elevated to the level of BHN Clinician/Case Manager.

The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, a driving record check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter.

This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies).

All newly hired employees are required to be fully vaccinated against COVID-19 (two weeks after the last required dose) as a condition of employment or obtain approval of a medical or religious exemption prior to their start date. Proof of an exemption or vaccination status will be required during the pre-employment onboarding process. New employees who obtain an exemption from the vaccine mandate for medical or sincerely held religious beliefs may be subject to a weekly testing requirement. Vaccinated employees and employees with a medical or religious exemption will complete the attestation online on their first day of employment or shortly thereafter.

  • Master’s degree in nursing or related field.
  • At least two years of clinical experience providing services to SED/SMI/SUD adult individuals.
  • Prior outreach, case management, and engagement experience with individuals with SMI and/or Co-occurring disorders in jails, homeless shelters, hospitals, and other non-traditional community settings is strongly preferred.
  • Knowledge of and experience with community based resources and treatment services and ability to collaborate with agencies and services.
  • Experience and ability to formulate diagnosis for clients with acute, chronic, severe mental illness and substance use disorders.
  • At least three years' experience of Registered Nurse experience.

Ability to drive car, transport clients, make home/community-based visits, use personal computer and cell phone, for communicating both by text and voice, provide injectable medications, accurately perform tactile and auditory pulse, blood pressure and respiratory assessments. Ability to communicate with clients and staff in a timely and effective manner; observe and report on client appearance, mental status medical status and behavior. All duties performed with or without reasonable accommodations.

Panel Interview and may include a practical exercise.

Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact 703-324-4900 for assistance. TTY 703-222-7314. EEO/AA/TTY.

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