The Gulf Coast Center- Job Description
Title: RN Nurse Manager - Extended Observation Unit
Location: Texas City/La Marque, TX
FLSA Status: Exempt
Working Status: Full Time with Benefits
Summary:
Under the general direction of the Chief Nursing Officer, The Crisis Center RN Manager is responsible for the oversight of all services provided in the Crisis Center, an Extended Observation Unit and a Crisis Respite facility. The RN Manager is responsible for clinical and direct supervision of the RN, LVNs, and assigned direct service staff. Additionally, the position provides nursing care to individuals with a mental illness and/or a co-occurring substance use/abuse diagnosis along with individuals with a dual diagnosis of mental illness and intellectual or developmental disability. Duties include providing day to day oversight and coordination of all Crisis Center nursing and clinical functions. Utilizes the nursing process to plan, implement, document, and evaluate nursing care provided to clients under the requirements of the Texas Nurse Practice Act. Ensures admission criteria is met for all clients being admitted to the Crisis Center. Works closely with state and local hospitals. Works closely with other staff in the Crisis Center to ensure the safety of clients and staff. Performs tasks as assigned by the Crisis Center Program Manager-Lead Clinician and/or Crisis Center designated psychiatrist. Works a 40-hour work week, Monday - Friday, 8:00 am - 5:00 pm with flexibility to meet program needs. Responsible and accountable for the adherence to and promotion of the compliance policy
Gulf Coast Center is committed to fostering an open, inclusive, and supportive environment that welcomes and embraces diversity in all forms. Gulf Coast Center defines diversity broadly including, but not limited to, race, ethnicity, abilities (mental/physical), gender, gender identity, immigrant status, language, religion, sexual orientation, socioeconomic status, veteran status, and age. Gulf Coast Center embraces trauma sensitive and informed practices, provides suicide safer care, and fosters a safe and compassionate environment that promotes racial and health equity.
Job Duties: (To be performed with or without accommodation as based on ADA requirements)
Essential Job Duties:
Ensures that Crisis Center nursing services are delivered in a timely and effective manner.
Provides day to day oversight of all crisis center (involuntary extended observation and voluntary crisis respite) nursing and clinical functions.
Monitors staff schedules to ensure adequate staffing coverage.
Routinely reviews client records and other clinical documentation to ensure the delivery of quality care and appropriate documentation.
Participates in utilization review and quality management activities.
Holds regular staff meetings to address problems/concerns with service delivery.
Monitors the provision of services to ensure they are delivered in compliance with all applicable standards, laws, rules, directives, policies, procedures including but not limited to the Department of State Health Services Information Item V.
Ensures implementation of all decisions made by the Crisis Center Program Manager- Lead Clinician and the Director of Crisis and Justice Services.
Provides direct clinical services to clients.
Demonstrates decision making that is clinically sound, systematic, timely, well researched and reflects awareness of impact.
Performs clinical nursing skills within the scope of practice for a Registered Nurse and in accordance with agency policies and procedures for individual and/or multiple client assignments.
Performs diagnostic tests, administers medications, sets up equipment and applies therapeutic treatments using standard precautions.
Medications are administered according to the five (5) rights of administration (right client, right medication, right time, right dose, and right route) including storage of medication and handling of medications, according to manufacturer's recommendations, and documented according to established guidelines.
Reports medication errors immediately upon discovery as outlined by agency policy and procedure.
Documents relevant information regarding nursing care in client records, charts, and reports. Documents observations of client signs, symptoms, test results, behaviors and response to medications and treatments by the end of the assigned shift. Complies with established agency policies/procedures, accrediting/regulatory bodies, and performance contract documentation.
Informs, explains, and educates clients and family members regarding medications, relevant treatment information, and disease processes. Provides pertinent health information at an appropriate level and includes meaningful literature to support understanding.
Provides nursing care with the focus on client, environmental, and technical safety.
Assigns specific tasks, activities and functions and maintains appropriate supervision of LVN's and unlicensed personnel in agency settings for clients with a variety of health care needs in accordance with program design and structure.
Physician orders are transcribed accurately and legibly and implemented as prescribed within the parameters established by unit policies and procedures.
Except in emergencies, psychoactive medications are administered and documented by the RN on the Medication Administration Record (MAR), after the date and time the client gave informed consent for psychoactive medications.
"Panic" values (lab or diagnostic results) will be accurately documented and reported to the physician according to unit guidelines, within one hour of receiving information.
Utilizes the correct nursing codes to accurately document the nursing services provided in accordance with agency and performance contract documentation requirements.
Provides direct supervision to Crisis Center RNs, LVNs and other Clinical staff as assigned.
Meets regularly with staff to provide leadership and direction.
Monitors staff work hours and work behaviors including exceptional customer service.
Develops and monitors staff responsibilities to ensure Crisis Center needs are met.
Completes annual (or, if necessary, more frequent) staff performance appraisals.
Implements appropriate disciplinary actions when necessary.
Ensures that position descriptions are current and accurate.
Ensures that each staff member meets training requirements.
Works with Crisis Center Program Manager- Lead Clinician to interview and hire new staff as needed.
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.
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.
Non-Essential Job Duties:
Demonstrates a commitment to provide exceptional customer service to patients, clients, co-workers, and the community.
Demonstrates an ability to perform job tasks in an appropriately responsive, culturally sensitive manner recognizing one's own biases.
Work practices meet health and safety guidelines and requirements.
Demonstrates dependable attendance and punctuality.
Maintain current status in required trainings.
Demonstrates an ability to implement trauma informed principles when working with clients and co-workers.
Practices diversity and inclusion principles
The hire for this position must be effective in presenting Crisis and EOU Services information to locate stakeholders, external agencies, and other organizations to educate and/or gain cooperation with their response systems.
EOU staff are expected to utilize collaborative documentation as much as possible to have service documentation in the electronic health record by the end of their shifts. Documentation must be entered within 2 business days of service provision.
Required Experience (verifiable on resume):
Preferred Experience:
Prefer experience working with dually diagnosed mental health and substance use diagnosis and Spanish speaking.
Preferred Education:
Required Certifications:
Registered Nurse licensed to work in Texas
Ability:
General knowledge of mental health disorders
Ability to establish cooperative relationships with youth, their families, and their communities.
Ability to provide sensitivity toward family needs and preferences when providing on-going services and crisis intervention.
Ability to work cooperatively with immediate work group and individuals external to the program.
Knowledge of local social service network.
Self-motivated with good time management skills.
Mature problem-solving approach to daily work.
Ability to express self clearly and effectively, orally and in writing.
Demonstrated PC skills.
Requires ability to work within a team approach.
Proficient in the use of electronic data systems including electronic health records and business software such as Microsoft Word and Excel.
Working conditions:
Work will be performed in the Office and/or Field setting(s).
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.
Navigator staff are expected to work together as part of the crisis team to have a schedule that maintains crisis services 24 hours a day and 365 days a year.
The position requires flexibility to work different shifts or on-call as needed to meet program needs.
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.