Behavioral Health Nurse Clinician/Case Manager

Fairfax County Government - Community, VA (30+ days ago)4.2


This job is being re-advertised. If you applied before you do not need to re-apply to be considered.

Working as part of an interdisciplinary team, Fairfax-Falls Church Community Services Board (CSB) nurses promote quality of life for people receiving mental health, substance use disorder and developmental disabilities services. Our treatment philosophy is comprehensive, dynamic, integrated and recovery-based. Our programs include outpatient, residential, day support, homeless shelters, detoxification and medication clinic settings. Under nursing and administrative supervision, cares for clients with substance use disorders, that may be medically compromised, with acute mental illness, and/or developmental disorders. Provides direct care, medication management, and case management services including biopsychosocial assessment, nursing diagnosis, supportive counseling, psychoeducation programming, nursing interventions, and crisis intervention treatment. Provides nursing support to medication clinic operation of assigned programs; and performs related work as required. BHN consistently provides safe, therapeutic care in a holistic and systematic way. Incorporates differences into the provision of care. Conducts all patient care in a patient-centered manner. Integrates knowledge, skills, and experiences to meet the needs of patients throughout the continuum, to include patient education. Communicates effectively and works cooperatively with others. Has respect for and understanding of other clinical disciplines. Uses an integrated approach toward patient outcomes. Serves as an empowering body to influence patient empowerment, and successful outcomes of clinical quality, through relationships and access-based knowledge. Utilizes standards, guidelines for care delivery. Determines process for delivery of care from direct patient communication, technology, and other healthcare team member collaboration. Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. Demonstrates leadership skills in decision making and problem solving. Administers medications and treatments. Works with interdisciplinary team/client to assist client to detoxify safely and meet treatment goals. This is an excellent position for the nurse who has a strong medical background along with knowledge and skills important in a behavioral health unit. Multiple positions at various locations throughout Fairfax County may be filled from this advertisement. Some positions may be designated emergency personnel and expected to report for duty even in cases of inclement weather.

Note: This position includes a hiring bonus for new hires of $2,000 for full time.

To learn more about careers that make a difference, watch our video "CSB: Making a Difference in Our Community".

Illustrative Duties
  • 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 psycho biological 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;
  • 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;
  • 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.

Required Knowledge Skills and Abilities
  • 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 REQUIREMENTS:
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.

PREFERRED QUALIFICATIONS:
Experience working in the field of psychiatric mental health nursing, substance use disorders, intellectual disabilities, medical surgical 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.

SPECIAL REQUIREMENTS:
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.

PHYSICAL REQUIREMENTS:

Ability to sit, walk, stand, bend and write as needed to complete duties of job. Ability to observe client's behavior/appearance & converse with coworkers. Some locations are not barrier free and may require the ability to climb stairs. Some positions require the ability to provide nursing care/assistance including physically assisting large adults in hygiene, personal care and elimination. TB test required. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel interview, may include written 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 711. EEO/AA/TTY.