Registered Nurse (RN) Job Description
JOB TITLE : Nurse/Direct Care
REPORTS TO : Clinical Director, Clinical Program Director, Director of Corporate Compliance, Consulting Psychiatrist, Nursing Supervisor, and Psychiatric Mental Health Nurse Practitioner
SUPERVISES : N/A
EMPLOYEE STATUS: Non-exempt
SUMMARY OF POSITION RESPONSIBILITIES:
The Nurse is responsible for nursing assessments, monitoring and support of Creative Care, Inc. clients, assisting the Consulting Psychiatrist/Psychiatric Mental Health Nurse Practitioner with consultations, and collaborating with other nursing staff on continuation of client care. Follow facility nursing protocols and duties.
ESSENTIAL DUTIES:
- Conducting nursing assessments of clients, screening for mental health needs and other health-related concerns.
- Follow new client intake protocols and procedures, as well as provide a complete and comprehensive orientation for new clients.
- Based on preliminary assessment and/or diagnosis, recommends the next level of treatment and liaisons with appropriate staff to ensure continuity of care.
- Maintain licensing and renewal responsibilities.
- Implements facility protocols and monitors self – administration of medications and assists with processing laboratory requests consistent with Consulting Psychiatrist orders.
- Evaluates and documents the efficacy of treatments and/or medications taken.
- Functions as a member of the multidisciplinary treatment team, making appropriate referrals, advocating for patient needs, coordinating care delivery, and maintaining/improving quality standards.
- Orders, receives and distributes pharmaceuticals and medical supplies as necessary.
- Assists in the development of nursing policies, practices and procedures as related to the Nursing department.
- Collaborates with the treatment team.
- Coordinate with medical staff in assisting in scheduling appointments.
- Facilitate new admission intake protocols.
- Works closely with Consulting Psychiatrist/Psychiatric Mental Health Nurse Practitioner to ensure a continuity of care coverage for all clients, including telephone discussions of medication orders.
- Perform other duties as assigned.
- Administer Urine Analysis (UA); perform proper storage of the sample; accurately complete information on the appropriate UA form; assure proper transferring of UA sample to the appropriate testing authority.
- Complete nursing notes during the assigned shift and chart on all clients in EMR and Communication Binders.
- Perform receptionist duties and relay telephone messages promptly to various staff members and clients.
- Complete and document rounds on all clients.
- Transport clients to appointments as needed.
- Send client records in accordance with HIPAA regulations and company policy and procedures.
LEVEL OF EDUCATION/TRAINING/QUALIFICATIONS:
Minimum one (1) years of experience providing nursing care in a similar setting preferred.
Demonstrated leadership and adaptive problem solving skills.
Knowledge of confidentiality guidelines and practices.
Strong oral communication skills; excellent interpersonal communication skills.
Ability to work within a multidisciplinary team, in a multi-cultural/multi-lingual environment.
REQUIRED CERTIFICATION/LICENSE: Valid and current RN license to practice nursing in the state of California. BLS Certification.
PHYSICAL DEMANDS: Regularly walk, stand or stoop; occasionally lift, carry, push, pull or otherwise move objects weighing up to 25 pounds; and regularly drives a motor vehicle.
WORKING CONDITIONS: Work is performed in an office or other environmentally controlled room; Work exposes incumbent to contagious or infectious diseases; Work may expose incumbent to dangerous and volatile situations; and Work exposes incumbent to possible bodily injury.