The nurse is responsible for the nursing assessment plan and overseeing the medical and/or psychiatric management of the patient coordination with the attending physician. This position also provides input into the development of the Master Treatment Plan. The nurse functions under the guidance of their State Licensure w in accordance of State and Federal regulations. The nurse oversees the medical care of clients and will be responsible for performance improvement activities. The nurse will participate in activities during and in preparation for all accreditation, licensing, or other surveys. The nurse must have an understanding of poly substance abuse, insurance documentation, and utilization review management. Must have current state licensure and have in-depth knowledge of the residential concept of treatment.
DUTIES AND RESPONSIBILITIES:
- Responsible to administer treatment for and oversee client’s medical needs.
- Ensures clear and accurate documentation of significant medical events.
- Ensures CARF and industry standards are met by nursing department.
- May facilitate patient lectures on health related topics
- After-hours availability to provide direction to staff
- Meet deadlines established by supervisor(s)
- Maintain good customer service with patients and employees
- Other duties as assigned.
- Generate a detox treatment plan in the client's chart, and the medical provider will sign it (at admission, prior to the client going on the unit).
- MA assigned to the client will make sure that the Medical Director has signed both the diagnosis/medical necessity document and detox treatment plan documents within 24 hours, and will contact the Medical Director if the signature is still missing from the chart.
- MA will write a progress note about the client's previous 24 hours in treatment.
- MA will complete a discharge summary for the detox episode within 24 hours of completing detox.
The following generally describes the knowledge and ability required to enter the job and/or be learned within a short period of time in order to successfully perform the assigned duties.
- Strong clinical/medical skills.
- Must be detail oriented.
- Able to work under pressure and meet deadlines as well as be flexible and dependable.
- Strong interpersonal, organizational and analytical skills.
- Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- Principles and processes for providing patient services. This includes patient needs assessment, meeting quality standards for services, and evaluation of patient satisfaction.
- Exceptional patient service with the ability to resolve service issues.
- Knowledge of CARF standards.
- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Considering the relative costs and benefits of potential actions to choose the most appropriate one.
- Ability to handle multiple priorities with a sense of urgency.
- Excellent interpersonal communication (verbal and written) and presentation skills.
- Motivating, developing, and directing people as they work.
- Being aware of others' reactions, understanding why they react as they do, and adjusting one’s own actions in relation to others.
- Bringing others together and trying to reconcile differences.
- Promote a positive response to change, with clients as well as other staff members
- Listen to and understand information and ideas presented through verbal and written words and sentences.
- Communicate information and ideas verbally and written so others will understand.
- Apply general rules to specific problems to produce answers that make sense.
- Combine pieces of information to form general rules or conclusions; including finding a relationship among seemingly unrelated events.
- Identify/recognize when something is wrong or is likely to go wrong and know who to involve for resolution.
- Generate various ideas about a given topic.
PHYSICAL DEMANDS AND WORKING ENVIRONMENT:
The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Environment: Work is performed primarily in a standard medical environment with extensive patient contact and frequent interruptions. Due to the nature of the work, the associate may be exposed to bodily fluids and odors on an occasional basis.
Vision: Close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
Physical: Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight (up to 40 pounds); to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard; and to verbally communicate to exchange information.
Hearing: Hear in the normal audio range with or without correction.
EDUCATION AND EXPERIENCE:
- Bachelor’s degree from an accredited college or university in Nursing or a related field; Master’s degree preferred (degree may be waived in lieu of years of nursing experience).
- At least two (2) years of experience in the behavioral health field.
- Must have acquired all required state licensures.
- Must have valid driver’s license and proof of insurance.
- Must maintain CPR and First Aid certifications.
This job description does not list all the duties of the job. You may be asked by managers to perform other instructions and duties. This job description may be revised from time to time and does not constitute a contract for employment.