Behavioral Health Nurse III Quality Assurance

EXAMPLES OF TYPICAL JOB FUNCTIONS (Illustrative Only)

Management reserves the right to add modify change or rescind the work assignment of different positions.

• Assesses patients upon admission to unit and makes presentation of physical and behavioral condition findings to attending physicians.
• Provides professional nursing care to patients; observes and charts vital signs including temperature blood pressure pulse and respiration.
• Provides equipment and supplies required for patient examination or treatment; observes and records patient reactions and behaviors and explains procedures.
• Administers oral and hypodermic medications and observes and records their effects; obtains and records all orders from physician to facilitate patient treatment.
• Participates in the preparation of the nursing component of patient treatment plans including physical assessments on new patients as a member of an interdisciplinary treatment team; oversees and participates in evaluation and therapeutic activities.
• Performs crisis intervention in person and on the phone management of assaultive behavior and general counseling; coordinates or arranges for the provision of needed services including emergency detention when patient is in danger to self or others.
• Provides supportive services including individual group or family counseling and various group activities such as exercise and art.
• Confers with medical behavioral health and inter-agency staff regarding client needs and ways of improving staffs ability to positively impact clients; serves as case coordinator for assigned patients or clients as needed.
• Participates in case conferences and provides input regarding behavioral health cases and problems.
• Provides medication refills per physicians orders and policies and procedures; provides needed information to pharmacies and insurance companies.
• Coordinates care with primary providers pharmacies laboratories schools medical facilities and personnel probation Child Welfare Services and other government agencies.
• Accepts report of previous shift and updates new admissions and medications; makes appropriate nursing notes on patients charts and writes medication orders; ensures that patient charts contain accurate and complete documentation; performs and documents end-of-shift narcotics count.
• May coordinate and implement the Infection Control Program. Participates on the Infection Control Committee; conducts in-service training for staff; evaluates new products; reviews methods and practices for program compliance; maintains and reviews relevant records; prepares required reports.
• May organize assign and review the work of staff on scheduled shift as assigned.
• At the Behavioral Health Nurse II level may be assigned as a nurse preceptor and/or nurse educator; assesses learning needs and develops and implements learning plans; assists nursing staff in developing and maintaining their competencies advancing their professional nursing practice and facilitating their achievement of academic and career goals.
• Maintains prescribed standards of behavioral health treatment and ensures services are rendered in conformance with policy and procedural guidelines.

• Audits treatment plans and medical charts to ensure all documentation meets clinical standards and policies; reviews and processes Treatment Authorization Requests to ensure that all documentation meets medical necessity for authorization of payment for treatment.
• Performs site certifications and recertifications by auditing policies procedures physical location required patient postings and brochures; follows up with any necessary corrections.
• Coordinates the Utilization Review program; reviews admission and continued patient stays for medical necessity and appropriateness as outlined by Short Doyle/Medi-Cal procedures; organizes and participates on the Utilization Review Committee. Monitors reviews and sends updates for concurrent reviews for out of County patients using Registered Nurse clinical judgement and expertise; maintains communications with out of county hospitals and explains standards and procedures.
• Audits Sempervirens Master Treatment Plans for accuracy and documentation standards.
• Receives processes and tracks consumer concerns including assigning to appropriate manager; tracks for timeliness per policy while explaining procedures to consumers.
• Performs monthly chart reviews for both child/adult outpatient programs and organizational providers ensuring chart meets documentation standards both clinically and per policy and initiates corrective action as necessary.
• Reviews clinical documents and compiles pertinent information into a report for Morbidity and Mortality (M&M) Reviews tracks data and processes reports.
• Processes Treatment Authorization Requests received from out of County hospitals; reviews clinical documentation to ensure it meets medical necessity to authorize payment; confers with the Medical Director as needed for review.
• Attends outpatient and inpatient Continuous Quality Improvement meetings to communicate and discuss issues with other administrative staff from other behavioral health programs.
• Reviews and assigns Continuing Education Units to training courses offered through the County for Registered Nurses.
• Performs related duties as assigned.

• Principles and practices of general behavioral health nursing care as defined by the State of California licensing requirements.
• Principles of providing functional direction and training.
• Techniques for working with individuals and their families struggling with behavioral health issues.
• Medical and behavioral health terminology and first aid methods and procedures.
• Psychotropic medications including narcotics and their effects on patients.
• Standard medical recordkeeping including patient charting and the processing and maintenance of required documentation.
• Principles practices and methods of community behavioral health treatment including interviewing assessment and family and group counseling.
• Requirements for utilization review and infection control.
• Trauma Informed Care model of care and ability to communicate the model to others.
• Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly.
• Medical documentation standards.
• Principles and practices of utilization review.
• Principles and practices of Continuous Quality Improvement.
• Techniques for providing a high level of customer service by effectively interacting with the public vendors contractors and County staff.
• The structure and content of the English language including the meaning and spelling of words rules of composition and grammar.
• Modern equipment and communication tools used for business functions and program project and task coordination including computers and software programs relevant to work performed.

• Conduct behavioral health assessments and evaluations and report physical and behavioral condition findings to medical staff.
• Assign direct review and evaluate the work of assigned staff and train on work procedures.
• Assess behavioral and/or emotional health status and develop effective patient treatment plans.
• Perform crisis intervention manage assaultive behavior respond promptly to patient emergency situations and take effective action to control potentially violent incidents.
• Perform utilization review and infection control functions for compliance with standards.
• Recognize the signs and symptoms of behavioral health disorders in children adults and families.
• Use clinical judgment to determine if an action needs to be taken.
• Prepare clear and concise reports patient documents and written correspondence.
• Understand client rights as they relate to treatment options.
• Understand interpret and apply all pertinent laws codes regulations policies and procedures and standards relevant to work performed.
• Effectively represent the department and the County in meetings with governmental agencies; community groups; various business professional and regulatory organizations; and in meetings with individuals.
• Independently organize work set priorities meet critical deadlines and follow-up on assignments.
• Use tact initiative prudence and independent judgment within general policy and procedural guidelines.
• Effectively use computer systems software applications relevant to work performed and modern business equipment to perform a variety of work tasks.
• Communicate clearly and concisely both orally and in writing using appropriate English grammar and syntax.
• Establish maintain and foster positive and effective working relationships with those contacted in the course of work.

• Must possess a valid US drivers license upon date of application. Must obtain California drivers license following hire date per California DMV regulations.
• Possession of a valid Registered Nursing license issued by the State of California Board of Registered Nursing.
• Possession of a valid CPR/AED certification

ADDITIONAL INFORMATION

HOW TO APPLY

A complete original application must be filed for each position you are interested in applying for.Applicants must apply online through the Countys automated application system at must be submitted no later than the final filing date and time listed on the job flyer.

It is important that your application shows all the relevant education and experience you possess. Human Resources staff does not consider or review resumes or attachments. Incomplete applications will be rejected.

Please read the job requirements section of the announcement. Be sure you meet these requirements since they will be carefully evaluated during the selection process.

Your performance in any employment examinations will be compared with the performance of others who take the tests. The examination results will be emailed to you as quickly as possible.

SELECTION PROCEDURE

The County utilizes a set of rules to ensure that our hiring processes are fair and equitable. Applications will be screened and those considered qualified will be invited to appear for an oral and/or written examination. Meeting the requirements does not guarantee inclusion into the selection process. Depending upon the number of applications received the selection process may consist of additional application screening written and/or practical exam(s) oral interview or any combination thereof.

FREQUENTLY ASKED QUESTIONS

How long does it take to fill out the application

Can I change my application after submitting it

How long until I hear back from you and how can I check for updates on my application

Will I be informed if I am not selected for an interview / Oral Exam

OUR COMMITMENT TO DIVERSITY EQUITY AND INCLUSION

Research indicates that individuals in protected classes can be less likely to submit a job application. The County of Humboldt is dedicated to building a diverse inclusive and authentic workplace where our employees are free to bring their full selves to work each day in an environment that allows them to reach their full potential. The County Board of Supervisors has made organizational commitments to Diversity Equity and Inclusion (DEI) and the County is working to ensure that these commitments are reflected in all we do. The County recognizes that certain populations (BIPOC Disabled Persons Veterans LGBTQIA community members etc.) face systemic and structural challenges which may inhibit their ability to satisfy every requirement of the recognition of these structural and systemic factors the Human Resources Department understands that experience can be gained in many ways oftentimes outside of formal institutions and strives to take a holistic approach in assessing an applicants qualifications for a position.

If youre excited about this role but your past work experience doesnt align perfectly with every qualification in the job description we strongly encourage you to apply.

REASONABLE ACCOMMODATIONS

The County of Humboldt is committed to providing equal access and opportunities in its programs activities and employment and does not discriminate on the basis of mental or physical disabilities. The Human Resources Department is located in the Humboldt County Courthouse which has an accessible entrance on 4th Street. Accessible parking is available adjacent to the 4th Street entrance and on the 4th Street side of the K Street lot. Special testing arrangements may be made to accommodate disabilities or religious convictions. If invited to an examination and you are in need of a reasonable accommodation please contact Human Resources immediately at so arrangements can be made.

EQUAL OPPORTUNITY EMPLOYER

The county is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religion or religious creed color age sex sexual orientation national origin ancestry marital status medical condition mental or physical disability military service or any other classification protected by federal state or local laws or ordinances.

MEDICAL EXAMINATION

A pre-employment medical examination provided by the County may be required upon offer of employment.

OTHER EXAMINATIONS

Some positions also require psychological evaluation and/or extensive background investigation.

LICENSES

Some classifications require possession of valid professional and/or technical licenses. Some classifications may require the possession of a valid California drivers license.

PROBATIONARY PERIOD

Persons appointed to regular County positions serve a probationary period. This is normally six (6) months but could be up to one (1) year. All designated safety employees serve a one-year probationary period.

EMPLOYMENT ELIGIBILITY

It is the Countys intention to hire only those workers who are authorized to work in the United States pursuant to the Immigration Act of 1990. If you are offered employment you will be required to verify your eligibility to work in the United States. For law enforcement positions you will be required to verify your U.S. citizenship or legalized status.

DISASTER SERVICE WORKERS

All County of Humboldt employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned and to return to work as ordered in the event of an emergency.

THE PROVISIONS OF THIS BULLETIN DO NOT CONSTITUTE AN EXPRESS OR IMPLIED CONTRACT. THE COUNTY OF HUMBOLDT RESERVES THE RIGHT TO MAKE NECESSARY MODIFICATIONS TO THE EXAMINATION PLAN IN ACCORDANCE WITH THE HUMBOLDT COUNTY MERIT SYSTEM RULES.