Residential Nurse (RN) (Mental Health Services)

Overview The ACCS Residential Nurse is a Registered Nurse (RN) who promotes community integration and functioning of adults living with mental health conditions and complex medical needs. Working in a comfortable residential group living environment, the ACCS Residential Nurse will coordinates access and manage health care for residents in conjunction with Care Coordination entities and all associated medical and behavioral health providers. The ACCS Residential Nurse monitors and consults with Medical staff regarding the medical and psychiatric conditions of each resident. In addition, the Registered Nurse develops and oversees the delivery of health promotion strategies for modifiable risk factors by staff and oversees Medication Administration Program (MAP) compliance for the residence. Keywords: RN, Registered Nurse, Nursing, Residential Nurse, Mental health nursing, VinfenRN Responsibilities Summary: The ACCS Intensive Medical GLE (IM GLE) Nurse (Registered Nurse) promotes the full integration andfunctioning of Persons Served (PS) needed to live a healthy life in the community. Coordinates access toand management of health care for PS in conjunction with Care Coordination entities and all associatedmedical and behavioral health providers. Monitors and consults with IM GLE staff regarding the medicaland psychiatric conditions of PS. Develops and oversees the delivery of health promotion strategies formodifiable risk factors by staff. Oversees Medication Administration Program (MAP) compliance for theresidence. Job Duties and Responsibilities: The essential job duties/responsibilities of the position include but are not limited to the information listed below: • Promote the engagement, housing permanency, community tenure, achievement of greater selfsufficiencyand successful completion of tenure for all PS living at the site.• Oversee management of medical conditions of residents to proactively address the complex medicalconditions of the PS, including diabetes; kidney, pulmonary, mobility, physical safety and end of lifeissues; medical consequences of HIV/AIDs virus, and incontinence, etc.• Oversee nursing service delivery to all assigned PS, including participation in services, treatment andsupport skills planning and implementation of recovery goals, readiness for discharge, andtransitions to and from acute care settings as needed.• Meet with and conduct regular Nursing assessments of each PS in the residence. Update assessmentwhen significant medical status changes occur.• Coordinate support services, including hospice and the involvement of religious and spiritual supportsfor PS and their families/other supporters.• Develop, train staff on, and maintain all residents’ Treatment Plans and Care Plans for residents.• Supervise and direct the nursing support practices of the residence’s Certified Nursing Assistants.• Oversee MAP policies, protocols, audits and compliance for residence. Ensure that medications forPS are stored, administered, and disposed of in accordance with MAP requirements and companypolicies.• Train and monitor staff’s hands-on assistance to PS for grooming, showering, dressing, etc.• Educate and train direct service staff on pertinent health matters regarding PS’s condition,diagnosis(s), medication and signs and symptoms of chronic, acute and urgent physical health issues(e.g. Diabetes, HTN, CHF, COPD, Vital signs management).• Monitor and communicate PS needs for, and coordinate PS access to, health care with CareCoordination entities and all associated medical and behavioral health providers as needed.• Facilitate referrals to community providers as needed with Care Coordination entities.• Attend hospital discharge meetings when significant medical issues are present, advocate forrehabilitative stay if needed, and obtain hospital discharge summaries at time of discharge.• Educate and support PS families and friends (following HIPAA authorization protocols) regarding PSneeds and preferences as they relate to health issues and care.• Engage PS in personal health promotion activities targeted at modifiable risk factors. Use recoveryoriented,person-centered, motivational interviewing, harm-reduction, trauma-informed, culturallycompetent, and strengths-based approaches to help PS think through their current healthcircumstances, consequences and interest in change.• Design, facilitate and oversee health promotion interventions to address modifiable risk factors forearly morbidity and mortality of residents.• Design, facilitate and oversee health promotion interventions and day activities to address overallhealth and wellbeing of PS.• Record relevant information following established protocols.• Train/ tutor staff to prepare for MAP certification and recertification. Teach MAP at least once peryear. Attend State mandated MAP Consultant meetings twice a year.• Monitor receipt of physical, dental and other medical documentation; work with Care Coordinationentities and care providers to obtain as needed. Provide thorough and thoughtful documentation ofPS needs and services.• Support the provision of evidence-based practices and best practices to PS, including MotivationalInterviewing; Harm Reduction; Housing First; Stages of Change; Wellness Recovery Action Plans(WRAP); Seeking Safety and Cognitive Behavioral interventions.• Promote healthcare and employment services access for PS.• Advocate with medical providers for simple, effective medication regimens and for the reduction ofpoly-pharmacy.• Promote engagement, safe housing, community tenure, achievement of greater self-sufficiency andsuccessful completion of service for all PS.• Provide on-call clinical coverage as scheduled.• Engage as Member of ACCS Nurse Community of Practice, facilitated by Vinfen’s Director of Nursing,to support and improve role competency and professional development.• May serve, on a limited basis, as LPHA for PS with identified high risk medical needs to facilitate CareCoordin