RNNurse Union 25-05- REVISED

Position: Registered Nurse (Union)REVISED

Position code: 2505

Position Location: Ehardt Building

Current Work hours: 40HRS/WEEK

Compensation Range: $31.21/HR$36.96/HR; Annual: $64920.96$76866.42

**This position is eligible for an $8000 signon bonus**

Position Dates: ASAP

Supervisor: Clinical Supervisor

Date Position Posted: 11/19/2024 Revised: 11/21/2024 1/5/2025 2/20/2025

Internal Deadline: 11/25/2024 Revised: 11/27/2024 2/27/2025

Requirements: Candidates/Employees are required to have an Associates Degree in Nursing Science from an accredited school with licensure as a RN. Two years of experience is preferred.

Testing Requirements: Critical Thinking Assessment

All internal and external job applicants are required to use UltiPro to apply for this position. Please see the Sanilac County CMH website at www.sanilaccmh and click on Employment.

JOB DESCRIPTION

Job Title: RN/Nurse

Department: Outpatient Childrens ACT Residential

Location: Outpatient Childrens ACT

Supervisor: Clinical Supervisor

Shift: 8:005:00 MondayFriday; as needed by department

Classification: Eight 8

Prepared Date: 03/09/2010

Reviewed By HR: 12/01/2014 12/01/2015 12/01/2016 12/01/2017 12/01/2018 12/2/2019 10/15/2020 3/8/2022 10/06/2022 2/3/2023 12/22/2023 6/28/2024

Reviewed By Supervisor: 12/5/2019 10/15/2020 5/6/2022 2/3/2023 12/22/2023

Revised By: Clinical Supervisor

Revised Date: 3/19/2010 02/28/2011 02/10/2013 7/11/14 03/08/2016 06/01/2017 1/29/2019 06/07/2019 8/23/2019 10/15/2020 5/6/2022 2/3/2023 12/21/2023 11/19/2024 2/20/2025

SUMMARY: Cares for and treats as directed by Physician by performing the following duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Receives and reviews diagnostic tests ordered by the clinic psychiatrists so as to contribute in the assessment of patients clinical problems and health care needs

• documents vital signs prior to client seeing the psychiatrist. (Documents Weight/Height waist measurements and childrens growth charts when appropriate)
• Educates individuals on medication side effects
• Performs and records AIMS testing as required.
• Completes/participates in agency assessments and treatment planning as necessary. Including nursing BPS IPOS Meds Only Etc.
• Clinic Services RN/ Nurses may be utilized as the primary case holder as needed.
• ACT nurse will be expected to fulfill Case management duties.
• Observe individuals medication box set up as ordered by MD.
• Dispenses professional samples as directed by agency psychiatrist.
• Responsible for ordering all injectable medication and consulting with approved vendor as needed to coordinate ordering process
• Administer injectable medication as ordered by MD in the office as directed by program need.
• Obtain prior authorizations of medications as indicated
• Documents and reports to physician psychiatrist or caretaker any significant symptoms reaction incidents etc.
• Completes releases of information.
• Communicates with psychiatrist homes caretaker physicians guardians etc as needed to assure adequate health care for individuals. Manages individuals assigned as applicable.
• Facilitate communication between MD and clinical staff as indicated
• Links individuals with health care professionals in the community as directed by agency psychiatrist and treatment team.
• Prepare for clinic and documentation in the electronic medical record.
• Develops functional knowledge of systems procedures forms and timelines required by agency and certifying agencies including DCH CARF PIHP Medicaid OBRA Assessments etc. relative to job duties.
• Understands and practices Standard Precautions.
• Participate in mandatory meetings.
• Respond to medical emergencies and accidents involving the individuals we serve as the need arises in the agency sites.
• ACT Nurse must participate in ACT after hours oncall.
• ACT Nurse participates in ACT Team fidelity practices.
• Perform other duties as assigned
• Provide AFC home/Agency Staff medication training as requested.
• Complete nursing portion of OBRA assessments as assigned.
• Facilitate the childrens clinic as assigned.

COMPETENCIES FOR PROFESSIONAL STAFF

Sanilac CMH staff are dedicated to providing services to the community to improve lives. When they see a task that needs to be completed they step in to assist or are first in line to help the Agency in promoting recovery discovery and independence. Each staff member works within their strengths and collaborates with their coworkers so that collectively we are a stronger whole. Staff provide positive feedback and suggestions to improve the quality of care in the Agency. They hold their coworkers the individuals they serve and the community in high esteem.

To perform the job successfully an individual should demonstrate the following competencies:

Initiative/Organization/Reasoning:

• Takes initiative and steps in to take on difficult challenges.
• Is a selfstarter in attaining job objectives.
• Willing to identify problems and work to resolve them in the early stages.
• Plans and organizes work activities and uses time efficiently.
• Properly organizes and carries out job tasks in a timely manner.
• Know and understands job expectations and is willing to expand job knowledge and skills to be more effective to the Agency and the individuals served.
• Is enthusiastic about the Agencys Mission and is a positive influence for coworkers and individuals served.
• Demonstrates an understanding of and adherence to Agency policies and procedures and is willing to provide suggestions to make policies and procedures more efficient.
• Is willing to think outside of the box while able to make sound decisions and taking actions based on sound reasoning and weighing possible outcomes.

Ethics/Teamwork:

• Consistently treats all people with dignity and respect.
• Demonstrates expected morals and principles
• Accepts responsibility for actions and follows through on commitments.
• Demonstrates ability and willingness to work cooperatively and effectively as part of a team.
• Willingly acknowledges team members and coworkers value to your work.

Emotional Intelligence:

• Verbal and written communication is constructive effective respectful and clear.
• Willing to take the time to learn about coworkers personality so that working together is more effective.
• Willingness to ask questions listen to others ideas and understand how the impact of your work impacts your coworkers/team.
• Willing/Ability to be cost conscious.
• Staff are expected to learn and understand job functions and carryout tasks in a proficient manner.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS REQUIREMENTS:

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

• Candidates/Employees are required to have an Associates Degree in Nursing Science from an accredited school with licensure as a RN. Two years of experience is preferred.
• Prefer candidates/employee must also qualify as QMHP QMRP or CMHP where appropriate for population being served but not required.
• For anyone working with children they must receive 24 hours of Childrens training per calendar year.

LANGUAGE SKILLS:

Ability to read analyze and interpret general business periodicals professional journals technical procedures or governmental regulations. Ability to write reports business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers clients customers and the general public.

MATHEMATICAL SKILLS:

Ability to add subtract multiply and divide in all units of measure using whole numbers common fractions and decimals. Ability to compute items such as dosage intake ideal weights and to calculate percentages and interpret data in areas such as demonstrating measurable progress on agency goals.

REASONING ABILITY:

Ability to apply common sense understanding to carry out instructions furnished in written oral or diagram. Ability to deal with problems involving several concrete variables in standardized situations.

COMPUTER SKILLS

To perform this job successfully an individual should have knowledge of Word Processing software.

CERTIFICATES LICENSES REGISTRATIONS:

Valid Driver License. Chauffeurs license if transporting individuals that receive services.

OTHER SKILLS AND ABILITIES:

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job the employee is frequently required to stand sit talk walk and hear. The employee is frequently required to use hands to write or utilize a keyboard to perform assessments and procedures and to handle instruments and supplies. He or she must occasionally reach with hands and arms climb stairs and balance on even and uneven surfaces stoop and kneel and smell.

The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and the ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job the employee frequently in areas where universal precaution and confrontation avoidance techniques are utilized. He or she is occasionally exposed to body fluids.

The noise level in the work environment is usually moderate. Employee may be required to travel to outside meetings or homes as determined by caseload. While performing some of the duties of this job the employee is will be exposed to outside weather conditions.

Sanilac County CMH embraces an employment environment that promotes recovery and discovery a personcentered approach to treatment/services and cultural competence. An employee in this or any position is expected to support the employment environment. This includes having lived experience with behavioral health issues.

Welcome to Sanilac County Community Mental Health

AFSCME Employees

In your orientation you will find several benefits. You may want to take a moment to review the benefits listed below and costs associated with each of them. You must work over 30 hours per week to be eligible for medical and caf benefits. Paid time off accruals are based on hours worked.

Benefit

Plan

Eligibility

Contributions per Month

Medical Insurance

POS $1000/$2000 20

BCN POS

Annual Deductibles

In Network

Individual$1000/Family $2000

First of month following hire date.

$123.27 Single

$256.79 Two Person

$338.27 Family

Medical Insurance

BCN HMO $2000/$4000

BCN HMO HDHP

H.S.A. Eligible Plan

Annual Deductibles

Single$2000/Family $4000

First of month following hire date.

$57.03 Single

$118.35 Two Person

$157.45 Family

Medical/Rx Alternate

HMO HSA $3300/$6600

*Exchange State BankH.S.A Host

BCN HMO HDHP

H.S.A. Eligible Plan

Annual Deductibles

In Network

Single$3300/Family$6600

First of month following hire date.

$0.00 Single

$0.00 Two Person

$0.00 Family

Annuity/Decline Medical Plans

Nationwide 457b

Eligible if waived all medical plans

$233/Month (less Social Security & Medicare taxes)

Dental Insurance

BCBSM

Annual Max$1500 per member

Orthodontics$1500lifetime

First of month following hire date.

$42.22 Single

$84.45 Two Person

$147.78 Family

Vision Insurance

Nation Vision Administrators

NVA

First of month following hire date.

$10.54Single

$18.94Employee Spouse

$16.84Employee Child(ren)

$27.38Family

AFLAC

Multiple plans available for review for employee only and for family members

First of month following hire date.

Costs vary depending on plans purchased.

Deferred Compensation

Nationwide457B

*same account as your retirement contributions.

Prior to the first of each month.

Set up your own account or $233 (pretax) from medical opt out option

Life Insurance

RELIANCE $40000 Policy Automatically if Union member.

*Can purchase additional Personal and Dependent/Spouse coverage.

First of month following 1^st full month of employment.

Employee Only $0.00

*Additional Personal and

Dependents/ Spouse coverage charges will vary.

Retirement

Nationwide 401(a)

If hired on or after 9/1/2019 the Authority shall contribute an amount equal to three percent 3 of the employees base wage.

Pension

For Employees hired prior to 09/01/2019 the pension formula will be a two percent 2 multiplier and the Employer will continue to provide contributions as actuarially determined to insure the financial soundness of the fund.

Vested in the Authoritys contributions once thirtysix 36 months of service are completed with the Authority.

Vested in the Authoritys contributions once eight years of service are completed.

The Authority shall contribute fifty cents $0.50 to the 401(a) Plan for each dollar $1.00 an Employee contributes to his or her 457B Plan up to the first four percent 4 of the employees base wage.

The Authority shall not contribute more than five percent 5 of the employees base wage for its total contributions under this section.

Long Term Disability

RELIANCE 90day disability waiting period & receive 66 2/3 of your income

First of month following 1^st full month of employment.

No cost to employee

PTO

Upon commencement of Employment 25 days

After completion of Three Years of Employment 30 days

After completion of Nine Years of Employment 35 days

After completion of Twelve Years of Employment 40 days

Accrued biweekly at the close of the pay period based on hours worked. 40 hours worked receives full accruals.

If time is used before 3 months and employee leaves they must repay used portion.

See Union Contract.

Holiday Days

14 days per year

Paid upon 1^st day with Agency.

If part time then you receive pay for regularly scheduled days/hours only.

Union

Local 1518

Must be employed for three months to reach Just Cause Status.

Monthly Union Dues

$47.90(F/T above20 hrs./wk.

$35.80 (P/T 12 hrs./wk. or more not to exceed 20 hrs.

$22.40 (Lower P/T 12hrs. or less/wk.

Tuition Reimbursement

May be reimbursed up to $5250 annually. *Requires approval and funding availability limited spaces approved each year / contingent upon funding & Agency need.

*Note if you do not need medical insurance $233.00 per month (less Social Security & Medicare Taxes) will be deposited into an annuity account. You will need to set up the annuity account through Nationwide Retirement.

For time off it is calculated upon the number of hours worked to reach the maximum benefit you must work 40 hours per week.