ACT Nurse

HARRISONBURG ROCKINGHAM CSB; Harrisonburg (VA); On-site; USD 65,000 - 90,000; Full time

Job summary

HARRISONBURG ROCKINGHAM CSB seeks an ACT Nurse (RN or LPN) to provide in-home nursing services to clients with severe mental illness. The role includes medication administration, health assessments, and education, with day, evening, and weekend shifts, plus on-call rotation.

Qualified candidates will hold an active RN/LPN license and have at least two years of nursing experience in mental health or related fields. This is a full-time on-site position serving Harrisonburg, VA.

Qualifications

• Graduation from an accredited nursing program and current RN or LPN license.
• Two years of nursing experience, including mental health and/or substance use disorder clients.
• Knowledge of nurses' ethics and HIPAA requirements.

Responsibilities

• Administer and manage medications in client homes.
• Assess and monitor client vital signs and health status.
• Develop and implement treatment plans with ACT team.
• Educate clients about medications and symptoms management.

Skills

Nursing knowledge

Medication administration

Vital signs monitoring

Crisis intervention

Documentation accuracy

Education

RN or LPN license

Tools

eMAR

Medical records software

Job description

General Statement of Duties

• Assertive Community Treatment (ACT) Nurse (Registered Nurse or Licensed Professional Nurse) will provide in-home services to clients with severe and persistent mental illness. Position is responsible for meeting the nursing service needs of agency consumers by providing competent standards of care in direct and indirect care roles. The Nurse will assist clients with medical aspects of their care through administering and delivering medications, assessing for medication side effects, educating about medications taken to ensure patient’s informed consent, and providing education about symptoms management. The Nurse will work in conjunction with others on the ACT Team to provide comprehensive services for clients in their homes and community settings. This position involves a rotation of day, evening and weekend shift coverage including overnight and weekend rotation of on-call coverage.
• This position includes assessing service needs, developing treatment plans and providing assistance with access to community resources. Incumbent assists in obtaining medication and monitors response to prescribed medications and ensures that the medical staff has accurate information about the consumer’s response and/or difficulties related to the medication. The incumbent is expected to exercise a high level of confidentiality regarding clients and services. Receives regular direct supervision from ACT Supervisor, however, direct oversight of medical duties is performed by ACT Psychiatric Care Provider. Assures compliance with agency policy, client rights, confidentiality, licensure regulations and Medicaid regulations as applicable.
• This position is classified as non-exempt under provision of the Fair Labor Standards Act.

Major Essential Functions

• Assist in the obtaining, safe storage, handling, and administration of IM and oral medications in compliance with state and federal law, departmental guidelines, and Community Services Board policy and procedure, as well as safe storage and handling of necessary medical supplies.
• Prepares medication for regular delivery to clients, checking medication orders for accuracy. Records medication delivery on eMAR in accordance with written procedures.
• Practices good venipuncture techniques and administers intramuscular injections under the direction of the medical prescriber;
• Provides basic medical assessment to consumers, including monitoring client vital signs.
• Monitors clients for the development of side effects of medications, reporting this to the prescriber and documenting such in the client case record.
• Assists with calling in medication ordered by prescriber to pharmacies as authorized by Psychiatric Care Provider.
• Assists psychiatric care provider with managing indigent programs and use of sample medications, as needed for clients.
• Assists with arranging and coordinating laboratory testing as ordered by Psychiatric Care Provider.
• Assists with obtaining prior authorizations from insurance companies for client medications as ordered by the Psychiatric Care Provider.
• Assists in providing therapeutic interventions in both individual and group settings to persons who are in crisis due to their mental health status.
• Assists with admission process for individuals being admitted to the program.
• Responsible for the cleaning and upkeep of the medication room and other program areas on a routine basis.
• Provides medication, health, and wellness education on an individual and group basis to clients.
• Provides training and support with activities of daily living, performs crisis intervention, and facilitates prescreening/hospitalization when necessary. Assists and participates in all hospital diversion, hospital care coordination, and hospital discharge/re-integration services.
• Documents client contacts and maintains client records in accordance with established Board policy and procedure;
• Assists with discharge planning and process; including to ensure that consumers are discharged with adequate supplies of medication and resources to obtain continued supplies.
• Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
• Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;
• Participates in team meetings, clinical staffing and supervision (individually and in group).
• Participates in professional development training, seminars, and conferences.
• Is responsible for other duties as assigned, consistent with established Board policy.

Required Knowledge, Skills and Abilities

• Thorough knowledge of the principles and practices of nursing.
• Adherence to the code of ethics of the nursing profession.
• Knowledge of principles, practices, and techniques involved in the diagnosis and treatment of individuals with mental health, and co-occurring disorders both individually and in a group setting.
• Knowledge of mental health, substance abuse and co-occurring, treatment interventions both individually and in a group setting.
• Ability to problem-solve and respond quickly to crisis situations. Ability to function calmly in stressful situations.
• Basic knowledge about mental illness and the use of psychotropic medication in its treatment.
• The ability to assess both general health problems and medication side effects.
• Ability to organize and attend to detail in the delivery of medication.
• Good interpersonal skills.
• Ability to deal positively and constructively with changes and new challenges.
• Demonstrated good judgment, and the ability to work with considerable autonomy. The ability to work comfortably with a wide diversity of both professional staff and clients is required.

Physical Requirements

• May be exposed to allergenic environments in client’s homes, including extreme heat, humidity, dust, smoke, pet contamination, cleaning supplies, etc.
• May be exposed to clients with infectious diseases.
• Must be able to drive for long periods of time to visit clients in and out of the catchment area as needed.
• Must be able to walk distances, climb and descend stairs, maneuver in and out of agency vehicles.
• Prolonged periods sitting at a desk and working on a computer; and
• Must be able to lift/push/pull up to 25 pounds at times.

Minimum Education and Experience

• Graduation from an accredited college or nursing school with a degree or diploma in practical nursing, current licensure as a Registered Nurse (RN) or Licensed Professional Nurse (LPN) in the Commonwealth of Virginia, plus two years of nursing experience which includes experience working with mental health and/or substance use disorder clients. Staff member is responsible for submitting proof of license renewal to the Human Resources office. Possession of a valid driver’s license and acceptable driving record as reported by the Department of Motor Vehicles are required for persons using a personal or agency vehicle in the performance of their duties.

Additional Requirements

• Mandt Training.
• CPR Certification and First Aid Certification.
• AED Training.

Other Information

• Equipment: Standard nursing equipment, telephone; computer hardware and software as required, misc. household appliances (i.e. washer/dryer, stove, dishwasher)
• Work Environment: Office setting with normal lighting levels, temperature, air quality, ventilation, and noise levels. Community settings including medical offices, client homes, stores, outdoor settings, etc.
• Work Location: 1241 N. Main St., Harrisonburg, VA 22802.
• Work Hazards: Standard hazards associated with a mental health treatment environment. Standard hazards associated with human service residential environment including hazards associated with problem behaviors; behaviors and hazards associated with necessary use of medical procedures. Use of universal precautions required. Use of protective equipment recommended.
• Work Schedule: ACT is a 24-hour program and flexibility is required in order to meet and respond to coverage needs and individual residents’ needs. Shifts will vary to meet the needs of the program. Full-time employees are required to work 40 Hours each week. Monday through Friday- day and/or evening shifts. Weekends and Holidays- evening shifts on a rotating basis with ACT team members. Overnight and weekend on-call on a rotating basis with ACT team members. Regular and reliable attendance is required.
• HIPAA Access Level 2: Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.