Behavioral Health Nurse Clinician Case Manager - Nursing Services

$10,000 Sign-On Bonus*
This position works on the Intensive Community Treatment team (ICT). The ICT team delivers community and office-based intensive case management and nursing services to individuals diagnosed with serious mental illness and needing support to progress toward their recovery goals. In addition to providing office-based services, the team is designed to provide outreach, engagement, intensive case management and nursing services in community settings such as homes, shelters, employment sites, jails, and hospitals.

Job duties include checking vital signs; weighing clients; doing finger sticks to monitor blood sugar; administering IM injections; nursing education and medication education. Interfaces with pharmacies and insurance companies as well as prescribers, to assist clients with medication needs. Uses excellent communication skills to interact with clients with mental health, substance abuse, and/or intellectual disabilities. Duties include case management. Additional duties may be assigned as needed for clinic operations.

Primary Location: Gartlan Center, 8119 Holland Road, Alexandria VA 22306. May be needed to support other ICT teams across Fairfax County.

We strive to create a work environment that facilitates professional growth by broadening your skill base with extensive training and development, modeling best practices in employee relations, employee recognition programs and advancement opportunities along with providing a highly competitive wage and benefits package. Since 1969, the has served individuals of all ages who have mental illness, substance use disorders, serious emotional and/or developmental disabilities. Our vision, aligned with the goals of , is that everyone in our community has the support needed to live a healthy, fulfilling life. Fairfax County is a dynamic and diverse community spanning over 400 square miles. With over 1.2 million residents, Fairfax County is the most populous jurisdiction in Virginia. Operating as part of Fairfax County government's human services system the CSB provides a wide array of services offering opportunities for career growth and advancement.

More information about CSB Services may be found at (fairfaxcounty.gov).

Position may be underfilled as a BHN Clinician/Case Manager in Residence; the underfill requirements are stated below in the Employment Standards section.

Here are some of additional benefits CSB employees enjoy:

• *The BHN Clinician/Case Manager position includes a signing bonus for fully qualified new merit county employees in the amount of $10,000 (full-time).
• The population of Fairfax County is very diverse where 39% of residents speak a language other than English at home ( ) and CSB recognizes that staff competence speaking a variety of languages is necessary to meet client needs. We encourage candidates bilingual in English and a foreign language to apply. A foreign language skills stipend of up to $1,560/year (full-time) may be given for qualified bi-lingual employees.
• License/Certification Reimbursement - Reimbursement for job related licenses and/or certifications once per year.
• To find out more about the benefits of working with Fairfax County Government, please visit the .

Note: To learn more about careers that make a difference, watch our video " ." (The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)

• Provides nursing services to clients, including administering injections, collecting vital signs, administering tests and interfacing with other nursing staff;
• Provides nursing support to psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness;
• Administers, schedules and coordinates medication clinics/medical services, including delivery of medication, monitoring medication room, and inventorying medications;
• Complies with state pharmacy guidelines in ordering, storage, and disposal of medications;
• Monitors client responses to psychobiological and nursing interventions, medications and other treatments;
• Performs quality assurance review;
• Performs physical/mental health assessments, including laboratory testing of new clients at intake and to clients on an ongoing basis as case manager;
• Monitors and assesses clients to identify contributing or co-occurring mental health issues;
• Monitors and assesses clients for risk of harm to self and/or others;
• Coordinates client plan of care to assure interventions are consistent, safe, timely and appropriate.
• Assess continuity of care and evaluates coordination of interventions by interdisciplinary team to ensure consistency with the plan of care;
• Provides nursing assistance and information to clients through the telephone "nurse of the day" service;
• Manages medical needs and urgent care needs of clients;
• Monitors and assesses medical status of clients in the process of detoxification;
• Develops a therapeutic relationship with clients, provides supportive counseling, psycho-education, and health teaching for both individuals and groups;
• Serves as case manager for clients for whom medication compliance is essential for remaining out of the hospital;
• Participates on inter-/intra-agency case management teams, providing nursing consultation and effective integration between clinical and psychopharmacology services; as well as primary care services;
• Documents assessments, treatment plans and quarterly reports on clinical status of clients;
• Plans, develops and leads group and individual psycho-education, health education and wellness programs;
• Provide teaching on disease, management strategies, emergency care and drug information when appropriate;
• Researches available community, private and government resources to support patient self management of disease, recovery and relapse prevention.

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)

• Knowledge of nursing standards, theories, principles, practices, methods, processes, and procedures;
• Knowledge of federal and state pharmacy and medication clinic regulations and guidelines;
• Knowledge of documentation, nursing diagnosis, and quality assurance;
• Knowledge of human growth and development, anatomy and physiology, pharmacology (e.g., side effects, contraindications), preventive medicine, epidemiology, and nutrition;
• Knowledge of psychiatric, psychological, and/or sociological terminology and concepts;
• Knowledge of substance use disorders and addiction signs and symptoms, assessment techniques, treatment interventions and approaches;
• Knowledge of available community resources for referral or the ability to rapidly acquire such knowledge;
• Ability to perform technical and complex nursing procedures (e.g., injections, venipuncture, blood pressure screening, STD check, tube feeding, nebulizations), administer treatments and medications, and use medical equipment in delivering services to clients;
• Ability to perform emergency treatment(s), with limited supervision, for life threatening conditions;
• Ability to manage a caseload;
• Ability to perform mental and physical health assessments and apply treatment approaches/modalities;
• Ability to assess and monitor the effects of medications;
• Ability to assess level of risk for harm to self or others;
• Ability to develop and implement treatment plans/programs for individuals and groups;
• Ability to work as case manager in a multi-disciplinary team;
• Ability to maintain effective working relationships with co-workers, public and private organizations, community groups, and the general public;
• Ability to communicate effectively, both orally and in writing;
• Ability to maintain records and prepare reports.

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following: (Click on the aforementioned link to learn how Fairfax County interprets equivalencies for Any combination, experience, and training equivalent to)
Graduation from an accredited college or university with an associate degree in nursing; plus two years of post-licensure experience as a nurse.

UNDERFILL REQUIREMENTS:
This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S27, $ 79,192.88 - $131,987.44 ). The employment standards for the BHN Clinician/Case Manager in Residence is:

• Any combination of education, experience, and training equivalent to the following: Graduation from an accredited college or university with an associate degree in nursing.

Click here to view the complete details and KSAs for the BHN Clinician/Case Manager in Residence. Upon completion of an underfill agreement (which will require that the employee meet the employment standards stated above in addition to obtaining competencies and licensures defined by the hiring agency) the employee will be elevated to the level of BHN Clinician/Case Manager.

CERTIFICATES AND LICENSURES REQUIRED:

• Possession of a current license to practice as a Registered Nurse in the Commonwealth of Virginia or a multistate licensure privilege to practice as a Registered Nurse in Virginia.
• Driver's License
• CPR/First Aid - within 3 months of hire
• Qualified Mental Health Professional (QMHP) - within 6 months of hire
• MANDT - within 3 months of hire

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, a driving record check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter.

This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies.)

PREFERRED QUALIFICATIONS :

• Experience working with individuals diagnosed with serious mental illness and/or substance use disorders.
• Case management experience.
• Experience providing nursing care in the community.
• Experience working in the hospital or nursing home settings.

PHYSICAL REQUIREMENTS :
Ability to drive a car, transport clients, make home/community-based visits, use laptop and iPhone, provide injectable medications, accurately perform tactile and auditory pulse, blood pressure and respiratory assessments. Ability to communicate with clients and staff in a timely and effective manner, observe and report on client appearance, mental status medical status, and behavior. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE:
Panel Interview and may include a practical exercise.

Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. TTY .... ... . EEO/AA/TTY.

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