Behavioral Health Nurse Clinician/case Manager - Emergency & Crisis Care

Location
Community Services Board, Virginia
Salary
$66,148.16 - $110,247.07 Annually
Posted
Oct 09, 2021
Closes
Oct 23, 2021
Ref
21-02159
Hours
Full Time
Job Announcement

Exciting opportunity to join state of the art multi-disciplinary team at Wellness Circle Crisis Stabilization Unit, a 16 bed, short-term residential crisis stabilization unit that serves individuals with mental illness and co-occurring disorders or developmental disabilities who are in psychiatric crisis. Services include: crisis intervention, individual, group and family counseling, case management, medication management, social and medical detoxification and linking individuals to ongoing behavioral health, substance use, or co-occurring services.

Provides direct nursing services including but not limited to, medical/nursing assessments, medication administration, addressing acute medical issues and referring individuals to area hospitals and clinics. Monitors the detoxification process and intervenes as necessary per medical protocols. Trains and educates multidisciplinary staff and individuals being served about medical issues. Responsible for program intakes, assessments, treatment planning, individual, group and family treatment and providing crisis intervention/crisis stabilization services under clinical supervision. This position involves shift work, including awake overnights and weekends.

$2,000 nurse bonus paid to full-time new hire!

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

Note: Position located at Wellness Circle Crisis Stabilization Unit (formerly Woodburn Place Crisis Care Program) 4110 Shirley Gate Road, Fairfax.

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 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;
  • 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

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

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.
  • Driver's License (Required)
  • MANDT (Required within 3 months)
  • CPR/First Aid (Required within 3 months)
  • Qualified Mental Health Professional - Adult (QMHP-A) (Required within 6 months)

Some positions within this classification will require additional certifications and licenses, as defined by the position description and posted in job announcements.

UNDERFILL REQUIREMENTS:
This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S25, $63,213.07 - $105,355.12). 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.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, driving record check, and sanction screening o 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 will still be subject to the 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.

PREFERRED QUALIFICATIONS:
  • At least two years of experience working with adults who suffer from serious mental illness and co-occurring disorders in an intensive treatment group home, hospital emergency department or psychiatric unit, community-based behavioral emergency services, and/or crisis stabilization setting.
  • Currently certified as Qualified Mental Health Professional-Adult (QMHP-A) by the Commonwealth Board of Counseling.
  • Must have current pre-exposure rabies vaccination and tetanus vaccination. The appointee to this position must submit to a criminal background check and a credit history check as a condition of employment and periodically thereafter. Completion of a "Statement of Economic Interest" form is required at the time of hire and annually thereafter.

PHYSICAL REQUIREMENTS
Ability to provide medical supervision and services to sick residents. Provide care/assistance, including physically assisting large adults in activities of daily living; sit; walk; stand; bend; climb stairs. Ability to lift up to 20lbs. Ability to o bserve client behavior & appearance, transport clients and supplies in agency vehicles. Ability to read/write notes in electronic health record and chart; communicate in person/on phone; and work 12.5-16 hour shifts to include awake overnights, weekends and holidays. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel interview and may include a medication 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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