Registered Nurse (Journy to Recovery)

Definition : Under the supervision of the JTR Nurse Supervisor and Manager primarily assigned to the Journey to Recovery Substance Abuse Detox, Crisis Stabilization and Residential Treatment Center. Provides services on the assigned inpatient or residential unit and provides nursing services to adult JTR Members with the goals of assisting patients to support and managing psychiatric crisis, substance abuse withdrawal and medication assisted treatment (MAT). Works in conjunction with JTR Medical Physician of SRPMIC JTR. Assists in all levels of care to include: Withdrawal Management/Detox Unit, Residential Unit, Crisis Stabilization and Office Based Opiate Treatment Outpatient Care Facility. This job class is treated as FLSA Non-Exempt.

Essential Functions : Essential functions may vary among positions and may include the following tasks, knowledge, abilities, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

1. Patient Interaction: Performs JTR nursing duties, including obtaining health histories and performing physical assessments and withdrawal management protocol standards to include assistance with administration of medication, medication assisted treatment (MAT) protocols, CIWA Protocols and COW Protocols and Crisis Observation.

• Initiates preventative health measures within the scope of practice for a professional Registered Nurse (RN).
• Evaluates and carries out medical providers' orders for substance abuse patients in JTR WM Unit. Also assists with nursing duties on Crisis Unit and Residential Unit.
• Initiates appropriate interventions according to health care priorities identified in assessments.
• Adheres to established policies and procedures and standing orders.
• Coordinates programs, services and other activities to implement targeted health promotion and disease prevention activities.
• Maintains patient confidence and protects operations by monitoring confidential information processing.

2. Administration: Assures adherence to established policies, procedures and standing orders.

• Assists as needed with the coordination of all health related appointments and referrals.
• Coordinates health care aspect of patients if they transition to another facility, hospital, treatment center or other.
• Documents accurately, legibly and completely in Electronic Health Record (EHR), patient charts. Includes subjective and objective data, treatment provided, evaluation of treatment effectiveness and patient education provided.
• Develops and documents nursing care plans and interdisciplinary treatment plans.
• Establishes and maintains documentation and communication flow between staff at Salt River Clinic
• Appraises quality and effectiveness of documentation, education materials and equipment periodically and makes recommendations to clinic leadership for change when necessary.
• Follows through to ensure that agreed upon changes are implemented and maintained.
• Maintains program data.
• Prepares and submits required reports as needed.
• Participates in case staffing as required.

3. Patient Documentation, Care & Treatment Plans: Documents patient charts which includes subjective and objective data, treatment provided, evaluation of treatment effectiveness and patient education.

• Develops and documents nursing care plans and interdisciplinary treatment plans.
• Establishes and maintains documentation and communication flow at each program site.
• Appraises quality and effectiveness of documentation and education materials and equipment as needed.
• Recommends changes when necessary and follows through to ensure that agreed upon changes are implemented and maintained.

4. Case Management: Participates in case management meetings with all programs servicing assigned clients.

• Works with families, Community programs and medical personnel to arrange for additional services including convalescent and rehabilitative care as well as medical specialty services.
• Participates as a member of multi-disciplinary consultation and review teams including case assignments.
• Attends staff meetings as requested.

5. Medication Administration/Clinical Duties: Monitors efficacy of medication, side effects and drug interactions.

• Provides medication education to clients.
• Facilitates medication administration.
• Coordinates directly with contracted physician of WM Unit and trains all medical and clinical staff on unit to ensure monitoring of all medications.
• Completes all clinical duties on unit to include assessment, lab work/orders, point of care testing, responding to medical emergencies and other duties as needed.

6. Coordination of Care: Oversees care coordination for individuals and families including coordination of all health-related appointments.

• Provides referrals for clients with social and emotional problems or any other needs, beyond the scope of the RN, to other community agencies and services for assistance, as needed.
• Oversees all client transitions to other facilities, programs or homes.

7. Data Collection/Analysis: Collects comprehensive data pertinent to the health status of the population and community served.

• Maintains and analyzes program data to make suggestions for program enhancements.

• Prepares and submits required reports as necessary.

8. Health Education/Facilitation: Leads, teaches and facilitates health education and health skills training opportunities for the Community and employees of the Community, including CPR, MAT, diabetes education, and bloodborne pathogens.

• Collaborates with representatives of the Community, service organizations and HHS professionals in providing for, and promoting, the health of the population.
• Actively reaches out to all who might benefit from an intervention or service.
• Identifies and investigates health risks to the Community by working with other health professionals as assigned.

9. Miscellaneous: Performs other duties as assigned to maintain and enhance the health care program and Department of Health and Human Services service operation.

• Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, training and conferences, etc.

Knowledge, Skills, Abilities and other Characteristics:

• Knowledge of theory, principles and scope of practice for a professional registered nurse.
• Knowledge of federal, state, and agency laws and regulations governing professional nursing practice.
• Knowledge of health systems.
• Knowledge of current and emerging issues in Public Health.
• Knowledge of disease processes.
• Knowledge of data collection and analysis.
• Knowledge of theory and practices of management in nursing services.
• Knowledge of assessment, preventative and therapy procedures in a correctional setting.
• Knowledge of counseling theory and techniques plus learning principles and strategies.
• Knowledge of medical, public health and social service resources available to Native Americans including, but not limited to, Indian Health Service, Medicare, Medicaid, ALTCS, SSI, etc.
• Knowledge of public health practices and concerns.
• Knowledge of history, culture, laws, rules, customs and traditions of the Salt River Pima-MaricopaIndian Community.

• Skill assessing client needs and developing care plans.
• Skill observing, assessing and documenting patient behavior and progress.
• Skills with Opiate Use Disorder/Alcohol MAT Treatment and medically managed withdrawal.
• Skill in assessing patients in substance use withdrawal or psychiatric crisis.
• Skills in monitoring patient stability psychiatrically and medically on higher level of care units.
• Skill with verbal and written communication and ability to communicate effectively with a wide range of people and health professionals.
• Skill maintaining accurate records and compiling timely reports.
• Skill performing emergency medical procedures including first aid and Basic Cardiac Life Support.
• Skill applying professional nursing methods and techniques.
• Skill applying and interpreting federal, state, and agency laws and regulations governing professional nursing practices.

• Ability to establish and maintain positive working relationships with colleagues, subordinates, supervisors, health care professionals, Tribal officials and representatives of resource agencies.
• Ability to work as a member of a team.
• Ability to incorporate cultural differences, health beliefs and learning styles.
• Ability to identify and address programmatic problems.
• Ability to collect, analyze, report and use data.
• Ability to develop and implement program protocols.
• Ability to maintain confidentiality and meet HIPPA requirements
• Ability to operate a variety of standard office equipment including cellular phones, photocopiers, FAX machines, calculators and personal computers.

Education and Experience : An Associate Degree or Bachelors in Science Degree in Nursing from an accredited college or university and certification as a Registered Nurse (RN) required.

• Arizona Registered Nurse license required.
• Experience working with Native American Communities preferred.
• Experience working in a health clinic as a Registered Nurse preferred.

Equivalency: Any equivalent combination of education and experience that will allow the applicant to satisfactorily perform the duties of the job may be considered.

Underfill Eligibility : An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill

• Must have current certification in First Aid and CPR prior to working with patients.
• May be required to work beyond normal business hours including nights, weekends and holidays.
• New hires in clinical roles must present valid BLS certification (Healthcare Provider BLS for clinicians) prior to the first day of patient care.
• Exception For all Journey to Recovery direct care employees, valid CPR/BLS certification and First Aid certification must be provided on the first day of employment or within 7 days of hire.
• Ensures all patient information is kept confidential and complies with Health Insurance Portability and Accountability Act (HIPAA) regulations and SRPMIC HHS policies and procedures.

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check.

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified : Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.

In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).

Documents may be submitted by one of the following methods:

1) attach to application

2) fax View phone number on click.appcast.io

3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date.

The IHS/BIA Form-4432 is not accepted .

Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.

INITIATIVES