Insurance Nurse Jobs in Alabama (NOW HIRING)

Crisis Care Center Charge Nurse - Registered Nurse (RN)

9:00am-5:30pm

                    (Weekend hours required as needed; schedule flexibility required depending on staffing/administrative need)

Location: Crisis Care Center

Salary Range: $27.76 - $46.35

The Crisis Care Center is designed to provide crisis stabilization to individuals experiencing a behavioral health and/or substance use crisis and reduce pressure on law enforcement and local emergency departments.  Once the crisis has been resolved and the individual has been stabilized, they will be linked with a community mental health provider for on-going services. This position is a direct service provider with a supervisor function under the direction of the Nurse Manager for the Crisis Care Center.  The individual hired for this position is responsible for the coordination of medical, nursing and program services for individuals with mental health, substance use, and co-occurring disorders.  The individual hired will be responsible for the initial nursing assessment of clients when they present to the Crisis Care Center to assure stabilization.  This individual will also interpret medical information and assist or administer medications. The individual hired will assist the Nurse Manager with clinical and administrative nursing duties and actively participates in a limited nursing supervisor role to assist with day-to-day unit operations and the Crisis Care Center workflow.

Supervised by:                          Nurse Manager

Employees Supervised:           Under the Direction of the Nurse Manager- All RNs, LPNs, and Mental Health Technicians

Division:                                    Crisis Care Center

SUPERVISORY JOB FUNCTIONS:

• Assist Nurse Manager with overseeing and supervising all RNs, LPNs, and Mental Health Technicians working in the observation units of the Crisis Care Center
• Assist Nurse Manager with training other nursing staff or mental health technician staff to properly follow the policies and procedures in the Crisis Care Center
• Assist Nurse Manager with conducting QA/QI activities as needed and report medication errors to ADMH
• Assist Nurse Manager with providing direct nursing skill supervision to the nurses in the Crisis Care Center to insure nurses follow proper nursing technique and CCCC workflow
• Other duties as assigned
• On-call responsibility as needed

PRIMARY JOB FUNCTIONS:

• Assist with creating and updating staff schedules and coordinate coverage when staffing needs arise
• Review and evaluate staffing levels, acuity, available personnel and create daily assignments sheets that aid in ensuring CCCC workflow is maximized and consistent with effective service delivery   
• Ensure all nursing/medical unit documentation and binders are current and properly maintained including verifying that all required forms are copied and available
• Review Guardian medications, ensure the units are properly stocked, submit stock sheets, and order lab supplies as necessary
• Assist staff with completing all Nursing and MHT duties when needed including delegating responsibilities to nursing staff as required 
• Complete all admission and discharge paperwork including nursing assessments, physical assessments on individuals with mental health/substance abuse symptoms exhibiting a state of crisis and needs with development of nursing care plans
• Obtain medical histories and provide medical screening
• Monitor, record and report symptoms and changes in individuals' conditions by observation using proper nursing care to the Provider and Nurse Manager and document individual progress or lack thereof
• Responsible for updating the initial treatment plan with any medical issues, in conjunction with other staff
• Complete required daily shift note for all individuals on Extended Observation
• Ensure all chart checks, CIWA, COWS, vitals are completed on the shift and all required logs (refrigerator, temperature logs) are updated on the sift
• Transcribe orders if needed
• Coordinate and implement discharge plans to outside community agencies and providers
• Follow-up on medical concerns by providing direct nursing services to clients
• Monitors with or without observation, withdrawal complications, possible medication side effects and emerging symptoms of mental illness
• Demonstrate competency for Blood Glucose Monitoring, Alcohol Breathalyzer, Urine Drug Screen, Pregnancy Test, and PPD skin tests
• Monitor and document all ordered labs, screenings, and results such as PPD, Blood Glucose, UA, RPR, Blood Chem, and CBC
• Perform safe phlebotomy practices when drawing blood labs
• Provides health education to groups and/or individuals
• Maintains up to date, well documented medical records in compliance with state and program requirements
• Participates in case reviews as a member of the multidisciplinary team
• Administers medications and conducts audits on medication record documents to ensure accountability and compliance with medical direction
• Intervene, stabilize and manage acute crisis situations as needed
• Assist with seclusions and restraints when necessary and complete all required paperwork (i.e. seclusion/restraint packets and incident reports by the end of the shift)
• Other duties and tasks as assigned
• Perform all administrative duties as required
• Other duties as assigned

MINIMUM QUALIFICATIONS:

• Registered nurse with a current Alabama Nursing license
• Two years’ experience working with serious mental illness and/or substance use populations preferred
• Familiarity with psychotropic and neuroleptic drugs, their uses as well as potential side effects
• Valid American Red Cross CPR/First Aid certification
• Valid Alabama driver’s license

KNOWLEDGE, SKILLS, & ABILITIES:

• Knowledge of the seriously mentally ill and substance use population
• Knowledge of special needs and behavioral characteristics of the seriously mentally ill and/or substance use adult population
• Assessment skills in the areas of physical and mental status
• Familiarity with psychotropic and neuroleptic drugs, their uses, and potential side effects
• Knowledge and ability to properly administer psychotropic/neuroleptic drugs as ordered by the prescriber
• Knowledge of legal and ethical issues relative to confidentiality of client records and the ability to interpret and apply them within the scope of the nursing responsibilities
• Working knowledge of clinical interviewing techniques and principles
• Effective communication skills, written and expressive
• Ability and willingness to document activities and maintain records in the electronic health record
• Trained in or willing to be trained in crisis intervention, specifically Therapeutic Options