RN

Summary/Objective: 

The role of the Registered Nurse (RN) is to provide quality patient care according to the Community Clinic of Jefferson County and New York State Office of Mental Health Standards of nursing practice MHOTRS outpatient clinic, including administration of medications and treatments. RN must demonstrate ability to respond to medical and psychiatric emergencies in a prompt, precise and professional manner and be able to work in collaboration with other medical and non-medical professional staff to provide comprehensive, cost-effective care and to support a problem-solving approach to issues. Assess, plan, document and evaluate patient care. Participates in quality improvement projects. Acts as a resource for nursing issues and keeps abreast of all aspects of assigned patient care. Contributes to multidisciplinary treatment planning by bringing a nursing focus to team collaboration and contributing to multidisciplinary treatment planning. Communicates effectively with medical team, Clinician team, Care Coordination Team, Crisis Team, and Clinic managers. Interacts effectively with patients, families, and significant others. Reports directly to the Director of Behavioral Health Administration and will be assigned according to the needs of the clinic.

Essential Functions:

A. Core Registered Nurse Responsibilities (Applies to All Programs)

• Conducts nursing assessments and triages patients’ physical and psychosocial needs.
• Collects and reviews relevant medical information (hospital records, medication lists, laboratory results) and communicates      findings to prescribing providers.
• Develops and implements nursing plans of care under the direction and oversight of licensed prescribers.
• Administers medications and treatments as ordered by the prescribing provider.
• Documents all nursing services accurately and timely in the Electronic Medical Record (EMR), including follow-up tasking      and reminders.
• Provides patient, parent, guardian, and foster parent education related to medications, treatment plans, and health      conditions, in alignment with the plan of care.
• Maintains current knowledge of nursing standards, OMH regulations, and agency policies.
• Participates in quality improvement activities and compliance efforts across programs.
• Serves as a nursing resource to multidisciplinary staff.
• Maintains confidentiality and complies with HIPAA and agency privacy policies.

B. OMH 599 / MHOTRS Clinic Responsibilities

• Conducts nursing and health monitoring assessments in accordance with OMH 599 and clinic protocols.
• Supports the Open Access process by completing Health Monitoring Assessments to facilitate timely access to care.
• Assists prescribing providers with coordination of care, medication management, and follow-up.
• Assists with medication refills and manages the clinic nurse line.
• Conducts outreach to clients with gaps in medication management or who have not picked up prescribed medications, in      coordination with providers.
• Assists with client treatment plans by providing nursing input and medical coordination support under the oversight of      Psychiatric Nurse Practitioners or Psychiatrists.
• Collaborates with clinicians, care coordinators, and clinic leadership to support daily clinic operations.
• Manages clinic medical supplies and medication samples in accordance with policy.

C. OMH 589 / Therapeutic Crisis Residence Program (TCRP) Responsibilities

• Conducts nursing assessments and health monitoring for TCRP residents in accordance with OMH 589 standards.
• Reviews medication administration records (MAR) and medication pill packs to ensure accuracy and compliance with agency      medication policies.
• Coordinates medication administration and personally administers medications to TCRP residents as often as possible,      consistent with OMH 589 standards, agency medication policies, and licensed prescriber orders.
• Administers and oversees medications within the TCRP program as ordered by licensed prescribers.
• Coordinates medical appointments and follow-up care for TCRP residents.
• Transports TCRP residents to and from medical  appointments as clinically indicated and operationally necessary.
• Provides nursing consultation to direct care staff regarding residents’ medical needs and medication administration.
• Participates in interdisciplinary team meetings related to TCRP residents.
• Provides on-call nursing coverage (1–2 weekends per month) to support 24-hour clinical program compliance.

D. Interdisciplinary Collaboration & Leadership

• Communicates effectively with prescribers,  clinicians, care coordination teams, crisis teams, and program leadership.
• Assists in daily planning with providers to support efficient clinical flow.
• Acts as a resource and support to agency staff regarding nursing and medical concerns.
• Participates in required interdisciplinary meetings and trainings.
• Supports agency adherence to all regulatory and licensing requirements.

E. Other Duties

• Performs other duties as assigned by agency management, consistent with RN scope of practice and OMH regulations.

Work Environment:

Work Environment: This position requires the RN to work in-office full-time. Remote work may only be permitted with prior approval and is limited to exceptional circumstances, such as inclement weather, significant illness, or a valid doctor's note. Office environment will require occasional travel to local schools, conferences and/or meetings and moderate travel within the community to include off-site/in-home visits. May have contact with service recipients that are agitated and/or are in mental health crisis. Some risk involved working with service recipients with mental illness. Works in an office setting with a controlled temperature environment. Occasional exposure to inclement weather conditions may occur depending upon assignments. 

Equipment: This position is required to maintain a working knowledge of related office equipment including personal computers and printers, audio-visual equipment, telephone systems, copiers, fax machines, etc.

Physical Demands: Must be able to sit, stand, walk, lift, carry, push/pull, climb, bend, and stoop. Must be able to perform fine motor skills, read, and type. Must be able to sit for long periods of time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Position Type/Expected Hours of Work:

Full-time, traditional hours required along with occasional non-traditional hours. On-call availability will be required to ensure program compliance. This position is required to work on-site. Remote work permitted only with Director approval.

Travel:

Some travel may be required throughout service area (Jefferson, Lewis, Oswego, and St. Lawerence County).

Required Education and Experience: 

Registered professional RN with current NYS licensure. Prior nursing experience preferably in an environment working with children/adolescents, proficient computer skills, CPR, and First Aid certified. 

Skills/Abilities/Knowledge:

Strong organizational abilities and office skills are essential for this position. This person must also have excellent people skills and be a team player. Ability to work with diverse populations. Must demonstrate effective and excellent oral and written communication skills and the ability to work cooperatively with others. Must be detail-oriented and possess excellent time-management skills. Requires self-direction, tact, diplomacy, and the ability to be clear, courteous, and professional. Able to react to change productively and handle other duties as assigned.

Additional Eligibility Qualifications: 

Must maintain privacy of confidential information. Successful completion of routine pre-employment requirements as mandated by the New York State Department of Health, Office of Mental Health and Office of Children and Family Services along with ongoing clearances and exclusion checks. These requirements are to include employment health requirements, reference checks, criminal background checks/fingerprinting, State Central Registry clearance and your eligibility to work in the United States. A valid NYS driver’s license required. Corporate Compliance, HIPAA Privacy Security, and Workplace Harassment and Discrimination Training and Nonviolent Crisis Intervention, First Aid and CPR will be required following date of hire.