Registered Nurse - NCSH Outpatient

Job Overview

North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community.  North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our North County Serenity House Outpatient Program in Oceanside offers outpatient and intensive outpatient substance use treatment to women and pregnant or parenting female teenagers. Our outpatient services also include homeless outreach in the community.

Works with a multi-disciplinary team made up of counselors, therapists, case managers, and the Addiction Medicine Team in the provision of medication education, support, and adherence, the monitoring and treatment of participants utilizing Medication Assisted Therapy (MAT) services for those with Opiate Use Disorder (OUD) and other Substance Use Disorders, and coordinates care for the participant with the behavioral health team, the addiction medicine team, primary care, and other internal and external healthcare resources for the participant. Assists the addiction team’s provider in the education, counseling and treatment with MAT under standing orders, provides health education around Substance Use Disorders and treatment, coaches and guides participants during the treatment process with medication assisted treatments.  Works with behavioral health staff in ensuring access and performs triage for participants seeking treatment for OUD and other substance use disorders. Collaborates with the healthcare team in any quality assurance or quality improvement in the provision of substance use disorder treatment. Works along with healthcare team in the integrative process of Substance Use Disorder treatment, Mental Health, primary care, and other healthcare services. Collaborates with the team in medication storage, disposal, and control in the outpatient setting as well as providing participant health education. In the future will provide services related to ambulatory withdrawal management.

Key Responsibilities

Leadership Responsibilities:  Provides clinical leadership for participant health education, participant medication support, and within the quality improvement infrastructure of the outpatient program. Participates in matters related to performance and quality improvement, planning, protocols and goal setting. Comfortable in changing systems, champions change, and leads process change. 

Organizational Responsibilities:  Properly and consistently documents required information accurately on Clinic records and reports in the electronic clinical record.  Keeps up to date with operational and procedural requirements. In conjunction with Director of Addiction Medicine and/or designee, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the program.  Supports the interpretation of standards and processes to meet best practice standards established in the program.  Coordinates and consults with the appropriate department heads within the agency to facilitate integration between programs.  Provides direct care coordination support for participants to access all aspects of healthcare services. Serves on appropriate committees and work groups and other related committees of agency. Attends staff meetings as team meetings as assigned.

Performance and Quality Improvement Responsibilities:  In conjunction with the Director of Addiction Medicine and/or designee, writes, reviews, and makes recommendations for policies and procedures for nursing or organizational processes regarding health and wellness in the outpatient setting.   Active participant in Quality Improvement activities and may act as a change champion or lead. In conjunction with the Director of Addiction Medicine and/or designee, is responsible for working with external stakeholders on audits, reviews, or surveys and supports internal efforts as appropriate.

Training Responsibilities: Trains LNV’s, health and wellness staff, and behavioral health staff to improve the clinical skills of staff.  Orients new staff to appropriate policies, procedures and protocols of the program. Supports staff training in quality improvement functions related to their specific position; e.g., Medication Assisted Treatment, basic customer service and participant interaction skills; clinical documentation processes; incident reporting; confidentiality and privacy. Provides training on clinical and quality improvement issues, as needed and appropriate. 

Program Development and Project Management Responsibilities: Participates in the development of program areas that support nursing care, complex care management, care coordination, the participant care team, and participant continuity of care. May participates in grant/funding program development activities as appropriate.

Nursing Responsibilities:  Manages medication storage, administration, and adherence for participants. Monitors patient medication use and helps to mitigate risk to patient by flagging high dose medications and potential medication interactions to the Director of Addiction Medicine and/or designee. Also support Medication Assisted Treatment through counseling, education, and administration of injectable medications under the supervision of the addiction provider and standing orders. Provides appropriate participant care education and counseling. Manages prescription refills under the guidance of the addiction provider and standing orders.  Provides complex care and care coordination for all participants accessing healthcare services internal and external to HealthRIGHT 360. Works closely with staff collecting and reporting contractual data as necessary.  Functions as a nurse within the scope of California BRN licensure and credentialing and privileging of the agency.

And, other duties as assigned.

 

Education and Knowledge, Skills and Abilities

Required: 

  • BA or equivalent degree.
  • Graduate of an accredited School of Nursing, Active California RN license. 
  • BLS Certification or must obtain within 30 days of hire.
  • First Aid Certified within 30 days of employment. 
  • CPR Certified within 30 days of employment.
  • A valid California driver’s license and automobile insurance.

Desired: 

  • 1-2 years or equivalent experience, interest in working with underserved populations and in treating Opiate Use Disorder and other Substance Use Disorders. 
  • Bi-lingual in Spanish. 

Background Clearance Required:

  • Must pass a background check and have at least 2 years in recovery from any substance use disorder.   

 
Knowledge Required:

  • Culturally competent and able to work with a diverse population.
  • Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications.
  • Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self-sufficiency.
  • Ability to interpret and follow Procedure manuals. 

Preferred:

  • Comfort working on teams and with safety net populations.
  • Knowledge of how to provide Trauma Informed Services.
  • Written and oral Proficiency in Spanish in addition to English.

Skills and Abilities Required:

  • Knowledge of how to navigate health systems and help direct patients to the proper level of care.
  • Familiarity with working on Electronic Medical Records.
  • Ability to accurately and efficiently enter data into various electronic systems.
  • Familiarity with HIPAA and ability to comply at all times.
  • Ability to oversee a medication room and involved staff, in order to provide observed medication administration, urine toxicology and processing of medical forms (releases of information, ER discharge paperwork).
  • Ability to oversee self-administration of medications in a outpatient behavioral health facility.
  • Ability to maintain integrity of medication inventory.
  • Ability to interpret urine toxicology for evidence of new use.
  • Ability to administer and interpret tuberculosis screenings via PPD.
  • Ability to administer clinical scoring tests for severity of withdrawal symptoms (COWS, CIWA).
  • Experience in administering Intra-muscular and subdermal injections (Vivitrol and Sublocade).

Desired:

  • Knowledge of detox from substance use disorder and commonly used medications.
  • Knowledge of co-occurring disorders and trauma informed treatment. 
  • Knowledge of Clinical documentation (treatment plans, progress notes etc.).
  • Experience working with safety net and criminal justice populations.
  • Knowledge of gender-responsive treatment. 

In compliance with the California Department of Public Health's mandate, by September 30, 2021, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.

Compensation: TBD
Type: Hourly/ Non-exempt
Benefits: HealthRIGHT 360 offers a competitive benefits package.
City: Oceanside, CA
Hours/wk: 40

Job Location