Behavioral Health Nurse (RN)

Marion County requires onsite work. Remote work is not available.

Marion County Adult Behavioral Health is seeking a skilled and compassionate RN to join our fastpaced outpatient team. This position is perfect for someone who is passionate about psychiatric nursing and wants to make a meaningful difference in their community. In this role youll provide direct nursing care to adults living with serious mental illness some of whom also experience cooccurring substance use disorders. Key responsibilities include completing nursing assessments monitoring vital signs administering injections coordinating medications and supporting our team of psychiatrists and psychiatric nurse practitioners. Were looking for a dependable detailoriented team player who thrives in a collaborative environment and is committed to providing personcentered care. This position is MondayFriday 8:00 a.m. to 5:00 p.m. Come join our talented treatment team!

For those relocating from outside of Oregon we provide the following relocation package:

• Up to $3000 reimbursement of moving expenses
• Relocation bonus in the amount of $3000 (prorated based on FTE) as a onetime payment upon proof of Oregon residency

GENERAL STATEMENT OF DUTIES
Provides nursing services in behavioral health programs; including assessment and care of clients as a part of the treatment plan; evaluates medication effectiveness and other health care needs.

SUPERVISION RECEIVED
Works under the supervision of a Health Clinical Supervisor or Medical Director; may work under the lead direction of a Behavioral Health Nurse Senior who assigns duties establishes goals and reviews results.

SUPERVISION EXERCISED
Supervision of other employees is not a responsibility of positions in this classification.

The incumbent in this position upholds confidentiality rules/regulations including HIPAA. The incumbent performs all of the following using a personcentered strengthsbased recoveryoriented traumainformed culturallysensitive and ethicallyguided approach. Population served includes adults with serious mental illness (SMI) and children/adolescents with serious emotional disturbances (SED).

Provider Level 3 Comprehensive Medication Services
Complete nursing assessments (using the Abnormal Involuntary Movement Scale) take vitals and administer intramuscular medications. Assist with daytoday management of a patients medication regime; provide education to patients regarding compliance with the prescribed regime; fill pill boxes; locate pharmacy services; and assist in managing symptoms that do not require a prescribers immediate attention. RNdelivered comprehensive medication services are separate and distinct from the medication performed by physicians physician assistants and advanced practitioners of nursing who have prescriptive authority. Provide emotional support compassion and deescalation (when necessary) to patients/guardians/relatives.

Telephonic Triage (Advice Nurse)
Establish a working relationship; collect/confirm brief demographic information; obtain brief past medical history; document brief description of the patients illness; identify the chief complaint and most serious symptom; select the correct protocol; triage the patient into an appropriate disposition; provide care advice based on the symptoms; give callback instructions; reassure the patient that you are there to help. Perform telephonic triage and respond appropriately to callers who may present with emergencies varying levels of risk of harm to self/others varying levels of distress diverse presenting problems; and administer brief mental status exams.

Medication Training and Support (in person or via telephone/video)
Instruct prompt guide remind and/or educate patients families and/or significant others based on an understanding of the nature of an adult patients SMI or a child/adolescents serious emotional disturbance (SED) including understanding the role of specific prescribed medication(s) reducing symptoms identifying potential side effects and contraindications selfadministration training and overdose precautions.

Case Management
Link patients to the direct delivery of services to assist and support a patient to gain access to needed medical social educational or other services. Includes:

• Assessing service needs (patient history identifying patient needs completing required documents gathering information from other sources);
• Treatment/service planning (specifying goals and actions to address patient needs ensuring patient participation identifying a course of action;
• Referral and related activities to obtain needed services (arranging initial appointments for patient with service providers/informing patients of available services; providing addresses and telephone numbers of agencies providing services; working with a patient/service provider to secure access to services contacting agencies for appointments/services after initial referral process); and
• Monitoring and followup (contacting patients/others to ensure patient is following the agreed upon treatment/service plan and monitoring progress and impact of plan).

• Create and maintain timely documentation that is clear accurate professional and complete; prepare organize and manage information/data/records pertinent to nursing and related services.
• Perform other duties as assigned such as cross train in the Medication Assisted Treatment dispensary and provide occasional back up coverage as needed.

EXPERIENCE AND TRAINING

1. Bachelors degree in nursing or a related field (e.g. health education psychology or social work); AND
2. One year of behavioral health nursing or other related experience; OR
3. Any satisfactory combination of work education training or experience relevant to the position as determined by Marion County.

• Possession of a license to practice as a registered nurse in the State of Oregon at the time of appointment.
• The finalist for this position will be required to pass a criminal history background check; however conviction of a crime may not necessarily disqualify an individual for this position.
• This is a Safety Sensitive/Special Needs position. Must pass a post offer drug screen including testing for marijuana. The Marion County Drug and Alcohol Use and Testing Policy #518 is located at: position may be subject to the following: Must not be excluded from participation in the federal health care programs (Medicaid Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and nonprocurement activities (Executive Order No. 12549).
• This assignment is represented by a union.
• This is a fulltime position which is eligible for overtime.

PUBLIC SERVICE LOAN FORGIVENESS
Marion County is a qualifying public employer for the Public Service Loan Forgiveness Program. Through the Public Service Loan Forgiveness Program fulltime employees working at the County may qualify for forgiveness of the remaining balance on Direct Loans after 120 qualifying monthly payments under a qualifying repayment plan. Questions about your loan eligibility should be directed to your loan servicer or the US Department of Education.

VISA SPONSORSHIP
Marion County does not offer VISA sponsorship. Within three days of hireyou will be required to complete the US Department of Homeland Securitys I9 form confirming authorization to work in the United States. Marion County is an EVerify employer and will use EVerify to confirm that hires are authorized to work in the United States.

VETERANS PREFERENCE
Applicants are eligible to use Veterans Preference when applying with Marion County in accordance with ORS 408.225 408.230 and 408.235 and OARand. Preference will be awarded only if the applicant meets the minimum requirements of the position and attaches the required documentation at the time of application.

DOCUMENTS REQUIRED FOR VETERANS PREFERENCE

• One of the following:
  • MEMBER COPY 4 of the Certificate of Release or Discharge from Active Duty (DD Form 214 or 215); OR
  • Letter from the US Department of Veterans Affairs indicating receipt of a nonservice connected pension; OR
  • Certification that discharge or release from active duty under honorable conditions will take place not later than 120 days after the submission of the certificate.

• In addition to one of the above documents Disabled Veterans must also submit one of the following:
  • A copy of their Veterans disability preference letter from the Department of Veterans Affairs; OR
  • Certification that medical separation from active duty under honorable conditions will take place not later than 120 days after the submission of the certificate.

You can request copies of your military service record through the National Archives website at County is an Equal Opportunity Affirmative Action Veteran and Disability employer committed to increasing the diversity of its workforce.

Applicants with a disability may request reasonable accommodation through Human Resources in any step of the process to assist them in demonstrating their qualifications to perform the duties of the position for which they are applying. Please emailHuman Resourcesif you wish to request an accommodation.