Nursing Senior Manager

Description

Days Off: Saturday & Sunday

Shift: Office Day

Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage)
Other Benefits : Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

About DESC:

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions. Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.

DESC operates five shelter/emergency housing programs, 19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.

JOB OVERVIEW:

DESC outpatient clinical teams provide a wide range of services for eligible individuals with mental health and/or chemical dependency disorders within King County, with responsibility for providing on-going case management, psychiatric services and medical services to mentally ill and/or chemically dependent adults. The Outpatient Registered Nurse (RN) Manager has responsibilities for nursing participation in these several multi-disciplinary teams within which medical staff work in close collaboration, to provide appropriate and comprehensive outpatient behavioral health treatment services. These teams, which presently include HOST, SAGE, PACT, Opioid Medically Assisted Treatment, among others, provide the full range of mental health case management services to a clientele of largely or solely homeless and formerly homeless adults with severe mental health conditions. Outpatient nurses and nursing supervisors provide medication coordination/management, client education, health assessment, outreach and related services in collaboration with the multi-disciplinary teams.

The RN Manager will provide clinical and administrative direction and coordination of efforts to Nursing Supervisors, Registered Nurses and Licensed Practical Nurses within the several outpatient teams. The RN Manager will also be responsible for assuring compliance with all relevant Washington State Administrative Code (WAC), Revised Code of Washington (RCW), Department of Health, and King County contract and procedure requirements associated with the operation of a community mental health center. This position has administrative duties associated with planning, including implementation of state and county initiatives, hiring, and quality assurance/improvement, and the RN Manager will have responsibility for coordinating medical services with other team leadership. Work is done under the supervision of the Medical Director and in regular collaboration with other clinical managers and supervisors.

MAJOR DUTIES AND RESPONSIBILITIES

• Direct medical aspects of client care within multidisciplinary teams of social workers/case managers, chemical dependency professionals, peer support specialists, psychiatric nurses and nursing supervisors, psychiatric providers (MD and ARNP), pharmacists, employment specialists and other mental health and housing staff.
• Along with the Medical Director, oversee medical aspects of care, including monitoring and administration of medications in a manner that meets unique client needs.
• Provide clinical and administrative supervision of nursing staff. Establish and maintain practice standards and protocols. Assure compliance with all related licensing, DEA, and other regulations.
• Coordinate performance evaluations for nurses on a scheduled basis, and direct maintenance of supporting documentation in confidential supervisory and personnel files.
• Along with the nursing supervisors, conduct orientation and training for new nurses.
• Provide and direct education to clients regarding their treatment, medical and mental health condition.
• On-going assessment of mental status, and positive impacts and side effects of treatment.
• Supervise hiring and scheduling of nursing staff, including per diem staffing hours.
• Provide or coordinate specialized training and consultation to other staff members, including in housing programs, on medical/mental health issues relating to clients and their care.
• Direct nursing participation in psychiatric consultation, supervision, program meetings and in-service trainings; direct participation in clinical reviews and case conferences.
• Participate in the development and implementation of psychiatric procedures to assure consistent and appropriate clinical care. Recommend changes to client care activities as needed. Conduct or direct related QA & QI activities.
• Comply with the agency’s clinical accountability policies and procedures; supervise maintenance of current and complete clinical records; participate in quality assurance reviews.
• Comply with applicable program research and evaluation procedures.
• Assure implementation of program elements in congruence with principles of recovery-based services.
• Maintain knowledge of DESC personnel policies, procedures and collective bargaining agreement. Assure compliance with same.
• Supervise client assessments for the range of health care needs, including linkage and on-going connection to relevant urgent, primary and specialty health services.
• Advocate for clients’ access to community resources and services, especially primary health care services, ensuring that clients’ needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
• Participate in planning and organizing of group treatment services for consumers served by clinical programs.
• Coordinate services with clinical managers and supervisors.
• Ensure nursing participation in psychiatric consultation, supervision, program meetings and in-service trainings, including participation in clinical reviews and case conferences.
• Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.
• Other duties as assigned.

Requirements

MINIMUM QUALIFICATIONS

• Registered Nurse, licensed in the State of Washington with the Department of Health in good standing.
• Two or more years of experience in community-based behavioral health services providing MOUD and psychiatric care.
• One or more years of experience providing leadership and supervision in clinical services.
• One or more years of experience with development or oversight of a project or program.
• Experience working with adults experiencing homelessness, mental illness, and/or substance use disorders.
• Interest or experience in working with clients who are difficult to engage and maintain.
• Be able to pass a Washington State Criminal background check.
• Knowledge and endorsement of Harm Reduction strategies.
• Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve homeless, mentally ill clients.
• Ability and interest in providing case consultations with a multi-disciplinary staff.
• Ability to remain open and receptive to constructive feedback.
• Ability to communicate with and coordinate with staff from diverse backgrounds.
• Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior.
• Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

PREFERRED QUALIFICATIONS

• Knowledge and skill in working with co-occurring mental health and substance abuse disorders; with homeless or formerly homeless individuals; and crisis intervention and stabilization experience.
• Familiarity with Recovery Principles, Integrated Treatment of Co-occurring Disorders, Case Management, Illness Management, and relevant Evidenced based/Emerging best practices.
• Bachelor of Nursing degree.
• Bilingual in Spanish/English.

Strong applicants will have supervisory experience and be able to demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and potentially stressful environment.

PHYSICAL DEMANDS:

The physical demands described here 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 functions.

While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EQUAL OPPORTUNITY EMPLOYER:

DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.