Nurse-LVN

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GULF COAST CENTER - JOB DESCRIPTION

Job Title: Nurse - LVN

Location: Brazoria and Galveston Counties

FLSA Status: Non-Exempt

Working Status: Full Time with Benefits

Summary:

Reporting to the onsite Program Manager with clinical oversight from the Chief Nursing Officer, the Licensed Vocational Nurse performs responsible healthcare administrative work within the behavioral health adult outpatient setting to include coordination of medication clinics, support to prescribing providers and follow-up of adult population diagnosed with severe & persistent mental illness receiving pharmacological management and psychiatric diagnostic evaluation services.   Duties include education & guidance about medication and possible side effects & other medication related services & psychosocial rehabilitative supports to facilitate recovery as outlined in the Texas Resiliency & Recovery service array.  Occasional irregular work hours.

Gulf Coast Center operates under a trauma-informed approach based on the six key principles of Safety, Trustworthiness & Transparency, Peer Support, Collaboration & Mutuality, Empowerment & Choice, and Cultural, Historical & Gender issues.

Job Duties: (To be performed with or without accommodation as based on ADA requirements)

The Nurse - LVN Float will be responsible for the following:

Essential Job Duties:

  • Assist in the delivery of comprehensive health/medical services to Center-established aspects of nursing care patients; demonstrates proficiency in all aspects of nursing care; facilitates patient medication management & education based on TRR evidence-based  protocols to include education & guidance about medications & possible side effects through use of HHSC approved materials (MHSA) as well as medication related services as a part of psychosocial rehab services to appropriately authorized individuals as outlined in TAC Title 25 Chapter 416 Rule 416.8; ensures appropriate consents are obtained as outlined in TAC Title 25 Chapter 414 Rule 414.405; assists with completion of medication consents annually or as indicated utilizing GCC/medical director-approved patient informed consent.
  • Participates in the coordination of the medication clinic & facilitates patient management visits; responsible for the monitoring & scheduling of lab studies and injections where applicable; responsible for the accurate and safe administration of injectable medication where applicable; when called upon, responsible for monitoring and assisting medication support staff with the tracking of manufactured medications as well as shelf samples.
  • In support of prescribing provider, conducts medication reconciliation by reviewing & comparing patient's complete medication regimen at time of follow-up visit post inpatient admission with current outpatient medication regimen to avoid inconsistency across transition in care.
  • Utilizes clinically sound judgment in developing relationships with patients & service providers; decision making reflects knowledge of current trends in mental health services; coordinates patient care by serving as liaison between patient, prescriber and other identified health care workers; follows & utilizes as a resource guide, the GCC Center Medication Policies & Procedures; stays current on treatment modalities through continuing education and staff development.
  • Monitors patient progress in relation to the Person Centered Recovery Plan; maintains contact with patient and Legally Authorized Representative (LAR); communicates patient progress and/or changing needs with the patient/LAR; responsible for providing input in, and co-signing the Person Centered Recovery Plan (PCRP) as member of the treatment team; documents progress according to the Center's clinical documentation guidelines & EHR procedures.
  • Ensures that all documentation is complete, accurate and clear as required by GCC clinical documentation guidelines, HHSC contract & TAC requirements; documentation is completed & service encounters are entered into SmartCare EHR within 2 business days of service provision as appropriate to patients' treatment plan & assigned level of care; through a system of care, helps to establish baseline data & assists with tracking vital health indicators as a part of BHCQMs & 1115 Waiver outcome measures; participates in Random Moment in Time Study as applicable.
  • Pursuant to the Nurse Practice Act, supervision of Vocational Nurse states that the practice of vocational nursing must be performed under the supervision of a registered nurse, physician, physician assistant, podiatrist, or dentist supervision of Vocational Nurse; all LVNs will receive periodic supervision as outlined in the Center's Delegation of Certain Medical and Nursing Acts policies & procedures; RNs may be asked to provide supervision/oversight of identified LVNs; all licensed nurses are required to review & familiarize themselves with the Center's Medication Policies & Procedures, to include the Delegation of Certain Medical and Nursing Acts.
  • Attends quarterly behavioral health medical services meetings and actively participates in discussion with GCC nursing team and prescribing professionals.
  • Will be responsible and accountable for the adherence to and promotion of the agency compliance policy and will require communication with various departments to foster, develop and continue our community partnerships as it relates to the position.
  • Treat all individuals with the utmost courtesy, decency and respect.
  • Provide responsive, and efficient services.
  • Interact with staff, consumers, local entities and advocacy groups to provide a service that meets local needs.
  • Provide highest level of Customer Service for both internal and external customers.
  • Required to report personnel leave; flex time and emergency leave to assigned supervisor.
  • Strict adherence to the professional, ethical, and legal requirements set forth in GCC's Business Code of Conduct as well as the Corporate Compliance Plan.
  • Consistent adherence to the Center's Dress Code.
  • Consistent adherence to Center safety guidelines and expectations.
  • May be required to travel within Brazoria and Galveston Counties.
  • Out of region travel may be required to attend trainings.
  • Must maintain a clear driving record and driver's license in accordance with our Driver Policy.
  • Requires current Texas Driver's License, reliable transportation and must maintain current auto liability insurance.

Non-Essential Job Duties:

  • N/A

Supervision:

  • Receives direct supervision from Program Manager w/clinical oversight from CNO.

Required Education:

  • Requires graduation from an accredited one-year course in vocational nursing as approved by the Texas State Board of Vocational Nurse Examiners.

Preferred Education/Licensure/Certifications:

  • N/A

Required Licensure/Certifications:

  • Documented proof of active licensure; licensure renewal required every 2 years as per Texas Board of Nursing; maintains current licensure with Texas Board of Nurse Examiners.

Required Experience:

  • Should have considerable experience in general nursing care of patients; self-motivated with good time management skills. 

Preferred Experience:

  • Extensive experience working with individuals with behavioral health disorders; 2-5 years full-time paid experience in clinical setting.

Abilities/Traits:

  • Able to work with multiple tasks; utilizes work time effectively to ensure that all assignments are completed within agreed upon time frames.
  • Ability to express self clearly and effectively, orally and in writing.
  • Requires ability to work within a team approach.
  • Requires proficiency with computer skills, programs and email.

Working Conditions:

  • Work will be performed in the Office setting.
  • May require varied work hours depending on need of clients.
  • Out of region travel may be required to attend trainings.
  • May require travel to various locations within Brazoria and Galveston Counties. Requires current Texas Driver's License, reliable transportation safe and current with all state requirements, and liability insurance.

Special Projects:

  • Assist supervisor when requested to complete special projects and complete all assignments within a time frame negotiated with the supervisor. Completion of other duties as assigned by supervisor as it relates to the program and position.

Job Related Physical/Mental Requirements & Environmental Conditions:

Physical:

  • Ability to transport, adjust and/or move items up to 55 lbs.
  • Ability to ascend/descend stairs.
  • Ability to remain in a stationary position for long periods of time.
  • Ability to handle objects.
  • Ability to operate office equipment.
  • Ability to move around within an office setting and/or other locations as needed; may include ability to bend/twist, kneel/stoop and/or reach for items.
  • Ability to push/pull, crawl/squat as it relates to PMAB requirements; may be required to perform PMAB restraints as it relates to program requirements.
  • Ability to detect and write effectively.
  • Ability to hear (with or without aid).
  • Ability to have visual acuity to operate a motor vehicle and observe objects within work setting.

Mental:

  • Ability to accept constructive criticism.
  • Ability to maintain regular attendance.
  • Ability to understand, communicate and comprehend accurate information with others in English.
  • Ability to reason and analyze effectively.
  • Ability to solve practical problems as it relates to position.
  • Required to pass and maintain all Center mandated trainings.

Work Site/Environmental Conditions:

  • Ability to work alone.
  • Ability to work closely with others.
  • Ability to work closely with clients and/or family members with poor hygiene. Ability to work long and/or irregular hours.
  • May be subjected to hostile environment.
  • May be subjected to high crime environment.
  • Potential exposure to tobacco products.
  • May be subjected to both inside and outside environmental conditions.
  • Subject to standard noise levels within working environment.
  • Travel by motor vehicle, van, bus or plane may be required.

Qualified individuals must be able to perform these functions with or without reasonable accommodations as based on ADA requirements.