Registered Nurse IV

The Massachusetts Mental Health Center, a part of the Commonwealth of Massachusetts' Department of Mental Health is seeking a dynamic Registered Nurse IV, to oversee the daily operations of nursing staff and services at the Fenwood Inn. The RN IV acts as licensed supervisor for his/her shift providing clinical oversight, supervision, intakes, assessments/evaluations and implementation of emergency procedures. This position also provides medication teaching and oversees and documents self-administration of medication and shift activities of 40 adult clients and performs charge/supervisory duties for all shift staff and Mental Health Workers.

Note: The hours for this position are Monday through Friday 2:30pm to 11pm. Employees in this position will be required to perform mandatory overtime.


Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Provides direct nursing care including medication administration, taking vital signs, doing scheduled treatments and counseling the patients.
  
  
• Assesses and evaluates each client daily for any psychiatric or medical changes .
  
  
• Provides daily medication teaching to clients of the Fenwood Inn to help them become medication independent.
  
  
• Develops and maintains appropriate therapeutic relationships with clients demonstrating adaptability in response to client preferences and changing needs.
  
  
• Provides clinical oversight for clients and staff regarding all clinical and medication issues.
  
  
• Communicates with clinicians on clinically significant issues or changes and documents in shift report and client chart.
  
  
• Performs all charge/supervisory responsibilities for all staff (MHW's) for his/her assigned shift.
  
  
• Provides liaison and consultation with on-call CCS physician regarding client issues, both psychiatric and medical.
  
  
• Provides emergency assessment and evaluation of a client in crisis, develops a crisis intervention plan with staff, and, if necessary, consults with the B.E.S.T. team if he/she deems a client in need of a B.E.S.T. evaluation.
  
  
• Oversees and documents self-medication of 40 adult clients.
  
  
• Monitors/updates physician orders each shift and performs monthly order summary duties.
  
  
• Identifies staff training needs and provides programming to meet educational needs.
  
  
• Communicates to administration on all critical incidents including clients missing from Fenwood Inn for 24 hours.
  
  
• Responsible for updating and completing registration forms on client admission to and discharge from the Fenwood Inn.
  
  
• Facilitates implementation of Rehab option treatment plan with focus on medication compliance goals for identified Fenwood Inn clients.
  
  
• Acts as code blue and code green coordinator for his/her shift.
  
  
• Implements treatment plans using sound clinical judgement, demonstrated through the use of initiative, good decision making ability and follow through with goals/plans.
  
  
• Collaborates with other departments of MMHC, DMH, and other agencies community programs and social services. Provides case management services to facilitate least restrictive care, and promotes the highest level of functioning for clients in the community.
  
  
• Communicates with clients, families, significant others, and other professionals to advocate on behalf of the clients' treatment goals.
  
  
• Responds positively to changes in clinical priorities.
  
  
• Adapts positively to changes in response to change in procedure, responsibility, or assignment at the Fenwood Inn.
  
  
• Is punctual, and present at start of shift and monitors MHW punctuality.
  
  
• Recommend new equipment purchases.
  
  
• Seeks additional knowledge and skills to promote growth by attending conferences, giving conferences, etc.
  
  
• Provides supervision to other staff and trainees as assigned.
  
  
• Completes paperwork in a timely manner according to DMH, MMHC and third-party regulatory standards for quality assurance, utilization review and legal requirements.
  
  

Required Qualifications:

• Knowledge of the principles of physiological, psychological and emotional growth and development.
  
  
• Familiar with the types and characteristics of drugs used in treating physical and mental disorders.
  
  
• Aware of and uses of diagnostic procedures employed in nursing practice.
  
  
• Experienced utilizing interviewing and problem-solving techniques.
  
  
• Knowledge of psychotherapies and principles of psychosocial rehabilitation.
  
  
• Ability to understand and apply rules, regulations, and laws governing agency and unit and maintain accurate records.
  
  
• Adept at following and giving clear and precise oral and written instructions.
  
  
• Ability to read and interpret documents such as physician's orders and treatment plans as well as participate in a multi-disciplinary health care team.
  
  
• Able to exercise sound judgement, make decisions, and act quickly in emergency situations.
  
  
• Skilled in establishing rapport and dealing effectively with persons from diverse cultures, races and lifestyles.
  
  
• Ability to maintain confidentiality of client information.
  
  
• Accomplished motivating clients to participate in individual treatment plans.
  
  
• Experienced treating and interacting with persons who are under physical/emotional stress.
  
  
• Proficient assessing, analyzing, drawing conclusions, and determining the applicability of clinical data in order to make and/or take appropriate actions, recommendations, or referrals.
  
  
• Able to supervise and evaluate staff and trainees as well as plan and conduct nursing trainings.
  
  
• Skilled in preparing and implementing treatment plans.
  
  

Preferred Qualifications:

• Knowledge of the laws, rules, regulations, policies, procedures, specifications, standards and guidelines governing agency and unit.
  
  
• Familiar with the types and uses of agency forms.
  
  
• Knowledge of public and private community-based resources for clients.
  
  
• Experienced with safety practices and procedures followed by agency and unit.
  
  
• Educated about newer therapies, interventions and behavioral techniques.
  
  
• Experience with substance abuse.
  
  
• Spanish speaking preferred.
  
  

LICENSE AND/OR CERTIFICATION REQUIREMENTS:

Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing


DMH Mission Statement:

The Department of Mental Health assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research.


Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit

Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions regarding this requisition, please contact the Executive Office of Health and Human Services, Human Resources at View phone number on click.appcast.io Ext. #4

Qualifications:
First consideration will be given to those applicants that apply within the first 14 days.


MINIMUM ENTRANCE REQUIREMENTS:


Applicants must have at least (A) two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least one year must have been in a supervisory, administrative or managerial capacity or (C) any equivalent combination of the required experience and the substitutions below.


Substitutions:


I. A Graduate degree with a major in Nursing may be substituted for a maximum of one year of the required (A) experience.* No substitutions will be allowed for the required (B) experience.


*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.


SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing.*


*Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination. Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.


Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.


Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!


Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.


An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.


The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.