Behavioral Health Nurse (bhn) Clinician/ Case Manager - Assisted Community Residential Services

Location
Fairfax, Virginia
Salary
$66,148.16 - $110,247.07 Annually
Posted
Jan 22, 2022
Closes
Feb 05, 2022
Ref
22-00275
Hours
Full Time
Job Announcement

Assisted Residential Community Services (ARCS) program provides both residential services and Medicaid assistance to adults with intellectual disabilities (ID) and developmental disabilities (DD). We are proud of our person-centered care model and our ability to work with individuals with varying behavioral presentations and diagnoses. ACRS believes all of our individuals can be active, contributing members of society living their best life. We focus on community habilitation services as well as evidence-based strategies, focusing on the needs of each of our unique residents.

The ID/DD Registered Nurse oversees compliance with regulatory agencies, medical protocols and supervises staff assigned to the ID/DD sites. The work includes such services as participating in care conferences, health teaching, health counseling, referrals and providing care supportive to or restorative of life and well-being. Provides staff training in medication administration and basic health and medical policies and procedures. Work is performed under the supervision of the Behavioral Health Nursing Supervisor. Performing comprehensive nursing assessment, skilled nursing care plans, and health protocols and staff training. Coordination and attendance of specialist consultations and coordination and communication of baseline information and changes to the primary care physician and other healthcare providers. Managing hospitalizations and ensuring safe discharge process. Performs nursing audits.

Bonus: This position includes a signing bonus for fully qualified new employees into the BHN Clinician/Case Manager classification only, in the amount of $2,000 (full-time).

Note: 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

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.
  • CPR and First Aid certifications (required within 3 months)
  • Valid driver's license.
  • MANDT (required within 3 months)
  • Qualified Intellectual Disability Residential Specialist (QIDRS)-Required within 1 month of hire

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

NECESSARY SPECIAL REQUIREMENTS:
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 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:
  • Experience working with ID/DD population for at least 1 to 2 years
  • Experience in Medical/Surgical or ICU for at least 1 year

PHYSICAL REQUIREMENTS
Ability to communicate effectively in person, in writing and on phone; travel to various locations throughout county; use/demonstrate appropriate use of medical equipment; observe/assess individual behavior/medical condition; review/document information in paper or electronic health record, provide training. Must be able to lift up to 35 lbs. 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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