RN-Intensive Mobile Team

Registered Nurse-Intensive Mobile Team-Full Time

Intensive Mobile Treatment (IMT) is an innovative, creative, trauma-informed mobile practice model designed to provide treatment, rehabilitation and support services to individuals whose needs have not been met by traditional services. IMT participants interact with homeless services, criminal justice, and behavioral health service systems. IMT teams are hired, trained and funded to maximize flexibility and continuity of care for persons who historically have been poorly served.

IMT teams are multi-disciplinary and include psychiatry, nursing, social work, peer specialists and other staff members offering rehabilitation, treatment and recovery support services. The team provides expertise in the areas of housing, substance use and harm reduction, criminal justice, peer support and behavioral health recovery. Based on their area of expertise, team members collaborate to deliver comprehensive, integrated and flexible services that are responsive to a participant's choices, needs and goals. With a small staff to participant ratio, services are brought to the participant and offered in natural settings, 24 hours a day and seven days a week.

The Registered Nurse (RN) functions as a primary practitioner who assesses and monitors IMT participants' clinical health and response to treatment. The nursing approach of assessment, planning, intervention, implementation and evaluation is used to assist individuals in their achievement of mental health, rehabilitation and recovery goals. Core Principles The job responsibilities of all staff extend to understanding and incorporating certain principles into their work and into their relationships with program participants. These principles are:

• Program participants' right to self determination;
• Respectful communication;
• Services that support recovery and healing consistent with and nurturing each participant's cultural background, experience, identity, and values.
• Clear professional boundaries to support the limits and possibilities of services.

Essential Job Functions

• Develop, implement and maintain IMT program nursing standards.
• Guide the development of policies and procedures and identification of resources essential to delivery of nursing services.
• Conduct psychiatric, physical health and other assessments with a special focus on conducting assessments and evaluations with individuals using substances or experiencing street homelessness.
• Develop, or consult and coordinate with team to develop, plans to address participant health needs.
• Monitor and modify treatment plans as indicated by participant responses and conditions.
• Use online databases and portals e.g. PSYCKES, Healthix, MAPP, and others to support assessment and treatment planning.
• Order, interpret and evaluate medical diagnostic tests to identify and assess participant conditions.
• Provide management and administration of medication in conjunction with the psychiatrist.
• Provide a range of treatment, rehabilitation, and support services.
• Utilize motivational interviewing techniques and a trauma informed approach when delivering individual and group based health services.
• Administer IMs and vaccines, plants and reads PPD's, and performs phlebotomy as per orders
• Monitor vital signs and side effects of medications and reports findings to team, and within annual health assessments.
• Collaborate with psychiatrist and other medical personnel to schedule appointments and coordinate care.
• Make referrals to community physicians and work jointly with hospital and institutional staff.
• Intervene and advocate on participant's behalf with, for example, collaterals, agencies, facilities and family members; assist with problem solving to help participant access needed supports.
• Provide consultation to IMT team regarding participant medical issues; serves as a resource to the team on medical concerns.
• Maintains accurate, detailed reports and records including required documentation, progress notes and health related data, in AWARDS.
• Evaluate and establish system for reporting on nursing intervention and expected outcomes.
• Attend and participate in supervision, meetings and training sessions as required.
• Provide 24-hour crisis intervention services on rotating basis.

Job Qualifications

• Commitment to person-centered treatment strategies, upholding participants' rights, and self-determination in service provision.
• Currently licensed as a registered professional nurse by the New York State Education Department.
• Minimum two (2) years' experience working as an RN.
• Minimum two (2) years' experience working with persons with mental health condition in health or social services setting.
• Excellent written, verbal and interpersonal communication skills.
• Ability to synthesize and summarize information and make judgments regarding care.
• Eligible for full and unconditional participation in the Medicaid and Medicare programs.
• Computer proficiency in Windows operating systems and programs, such as MS Word, Excel, PowerPoint, as well as comfort with learning new electronic systems.
• Comfort providing treatment in non-traditional settings, including but not limited to the street, community spaces, and shelters.
• Must be able to work in the community, including use of public transportation
• Bilingual Spanish-speaking, preferred
• Must be fingerprinted and cleared by the New York State Justice Center