Behavioral Health Nurse Clinician/Case Manager
Works with a multidisciplinary team at the Fairfax Detoxification Center, a community-based residential setting. Staff is being enhanced and expanded to provide integrated services, addressing substance use and mental health disorders as well as co-occurring primary care needs. Programming includes medical and clinically managed detoxification, acupuncture, and case management and referral services. The nursing staff is responsible for clinical, medical and primary care issues including serving as the liaison to community resource pharmacy and community medical providers. Provides clinical collaboration with physicians/medical staff and the mental health treatment team regarding medical support services to clients. Provides assessment, outreach, support services, crisis intervention, education, and life skills training to Fairfax county citizens who are seriously mentally ill or actively detoxing from substances and/or with co-occurring mental health and substance abuse disorders. Conducts and gathers relevant research information on medical services and educates program staff. Provides accurate and timely written documentation on clients and the program. Visually observes physical appearance of clients and monitors their behaviors. Encourages clients' compliance with program rules and expectations. Must be able to enter data in electronic health record and review data on computer monitor; ability to take vital signs (blood pressure, weight, abdominal girth, temperature, pulse, blood sugar finger sticks), wound dressings, and administer intramuscular injections and TB tests. Filling the position on a job-share basis will be considered.
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NOTE: This position includes a signing bonus of $2,000 for new hires.
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;
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;
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;
Researches available community, private and government resources and support.
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, 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.
Any combination of education, experience, and training equivalent to graduation from an accredited college or university with a bachelor's degree in nursing; plus two years of post-licensure experience as a nurse, in the specialty area of psychiatric mental health nursing, substance use disorders, intellectual disability, or relevant clinical specialty; or graduation from an accredited college with an associate degree in nursing; plus four years of post-licensure experience as a nurse in the specialty area of psychiatric mental health nursing, substance use disorders, intellectual disability, or relevant clinical specialty.
CERTIFICATES AND LICENSURES REQUIRED:
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.
The appointee to this position will be required to complete a criminal background check, driving record check, a Child Protective Services Registry, and a check with the Office of the Inspector General (OIG) to the satisfaction of the employer. Annual TB test.
This position serves as emergency personnel and is expected to report for duty in cases of inclement weather. Work schedule includes some evenings, weekends and holidays.
Able to work evening shift at least two shifts per week.
PHYSICAL REQUIREMENTS:The ability to sit, walk, stand, and bend. All duties performed with or without reasonable accommodations.
Panel interview and medication exercise.
It is the policy of Fairfax County Government to prohibit discrimination on the basis of race, sex, color, national origin, religion, age, veteran status, political affiliation, genetics, or disability 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.