POSITION OVERVIEW: The RN Case Manager is a direct link between medical services and the ICF/IRA residents and staff as well as with clinical professionals outside the program. The RN Case Manager is responsible for the complete nursing care and performance of all routine medical procedures within the scope of the nursing practice. The RN Case Manager is responsible for supervising LPN’s, AMAP and Direct Support Professionals (milieu counselors) in the performance of nursing tasks and activities. The RN must possess a working knowledge of OPWDD rules and regulations and JBFCS policies and procedures. The RN must be capable of supervising, understanding and working effectively with diverse populations. KEY ESSENTIAL FUNCTIONS: Provide direct nursing care as prescribed by the physician/Nurse Practitioner, in compliance with recognized nursing standards and State and Federal regulations. Uses nursing process to make continuing assessments of the individuals with developmental disabilities total health needs. Maintain direct interaction with consumers on a regular basis, but in no case, at a frequency of less than once per week. Perform nursing assessments, by direct physical examination, of each consumer upon entry into the program quarterly (at a minimum) thereafter. Develop and implement an individualized plan for nursing service. The nursing care plan must be updated at least annually or whenever there is significant change in the consumer’s condition. Coordinate all acute and ongoing health services, as indicated by need and regulatory mandate. Monitor health and behavioral status, labs and efficacy of prescribed treatments. Ensure timely communication of findings to appropriate clinical personnel. Ensure that all medical record documentation is accurate, timely and outcome based and reflected in the nursing notes. Provide initial and ongoing, but at a minimum frequency of annually, training to staff in all nursing tasks, functions, protective and preventive health measures that include but are not limited to: Appropriate health and hygiene methodologies Control of communicable diseases and infections Detection of signs and symptoms of illness, first aid for accidents or illness and basic skills required to meet the health needs of the consumers Client specific medical/health related issues Seizure management Ensure that training in the above noted areas is given to all new hires and per diems prior to their assuming client specific work assignments. Provide training and ongoing support to direct care staff regarding medication administration, tube feeding and diabetic care utilizing the standard curriculum approved by OPWDD. Conduct annual clinical performance evaluations for unlicensed direct support staff for procedures that include but are not limited to: medication administration, tube feeding and insulin administration. Evaluations must become part of the employee’s annual performance evaluation. Maintain documentation of all training curriculums, attendance and post training testing. Must have experience and ability in working with electronic health record management, electronic care coordination and electronic health record interface with external service providers. Active participant in the Interdisciplinary Team (IDT). All other duties, as assigned. CORE COMPETENCIES Translate research and other forms of knowledge to improve practice processes and outcomes Communicate practice knowledge effectively, both orally and in writing participate in agency quality improvement projects to ensure best client outcomes Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. EDUCATIONAL/TRAINING REQUIRED: Active, unrestricted New York State license as a Registered Professional Nurse. Bachelor’s degree and a minimum of 3 years clinical experience in a hospital or primary care setting preferred. EXPERIENCE REQUIRED/LANGUAGE PREFERENCE: Experience with the Intellectually Disabled population preferred. Managerial experience preferred. Must possess excellent verbal and written communication skills. Ability to work in a team environment. Must be able to work independently and possess sound independent judgment and decision making skills. COMPUTER SKILLS REQUIRED: Proficiency in Microsoft Office Suite applications required. VISUAL AND MANUAL DEXIERITY: The work environment involves no physical risk or hazardous conditions. To perform the essential functions of this job, the candidate is routinely required to sit (50% of the time) and stand (50% of the time) WORK ENVIRONMENT The work environment involves no physical risk or hazardous conditions. If you join us, you’ll have these great benefits : Generous paid time off in addition to agency holidays and 15 sick days Sign On bonus eligible Affordable and high-quality medical/dental/vision plans Tuition assistance and educational loan forgiveness Free continuing education opportunities 403(b) retirement benefits and a pension Flexible spending accounts for health and transportation 24/7 Accessible Employee Assistance Program Life and disability insurance Diversity, equity, and inclusion working groups that are available for you to join, including Confronting Structural Racism (COR), Coalition Against Anti-Semitism (CAAS), and the LGBTQ Steering Committee Who we are : The Jewish Board delivers innovative, high-quality, and compassionate mental health and social services to over 45,000 New Yorkers each year. We are unique in serving everyone from infants and their families to children, teens, and adults. We are proud to employ and serve people of all religions, races, cultural backgrounds, gender expressions, and sexual orientations. We are committed to building diverse, equitable, and inclusive teams to help support our mission, and we strongly encourage candidates from historically marginalized backgrounds to apply to work with us.
PURPOSE: The Bronx Youth ACT program provides an integrated set of evidenced based treatment, rehabilitation, case-management and support services to children/youth residing in the community who are diagnosed with severe mental illness and whose needs have not been well met by more traditional service delivery approaches. Through a mobile, multi-disciplinary team of staff, recipients are supported in their recovery through an individualized, person-centered model of care. POSITION OVERVIEW: The Psychiatric Nurse Practitioner works as part of a multi-disciplinary team to provide treatment and support services to children/youth living in the community. The Psychiatric Nurse Practitioner is responsible for providing psychiatric services which includes the following: provision of a full behavioral health (including medical health) assessment; diagnosis; treatment recommendations; treatment planning; clinical treatment; and follow up planning. The Psychiatric Nurse Practitioner participates in shared decision making with the client and multi-disciplinary team. S/he provides services to and makes in person visits with children/youth and their families/custodians/caregivers in their homes and communities and collaborates closely with other service providers and systems with which the client interacts. The role will require some evening availability and rotating on-call coverage. The Bronx ACT Team Psychiatric Nurse Practitioner, in conjunction with the Director/Team leader, has clinical responsibility for monitoring recipient treatment and staff delivery of clinical services. KEY ESSENTIAL FUNCTIONS: · Provide health/behavioral health assessment (including differential diagnoses, prognosis), treatment recommendations and treatment planning for clients across program types. · Provide client education on mental health issues and strategies for recovery and review patient’s progress and recommend discharge and aftercare planning. · Clinical responsibility for monitoring recipient treatment and staff delivery of clinical services · Prescribe psychotropic medication as appropriate for client care. · Attend mandatory YTAC trainings offered by the CTAC. · Provide medication management for clients. · Provide counseling, brief therapy, psychoeducation about health/behavioral health and other care for youth and families as planned by the multi-disciplinary treatment team and to support the multi-disciplinary treatment plan of the youth and families. · Attend daily team meetings and weekly one-on-one supervision. · Monitor, evaluate and record client progress with respect to care plan goals. · Provide on-call after hour crisis intervention services when needed to clients and families, and their support network. · Attend and participate in team meetings and supervisory sessions. · Participate in case reviews and contribute to treatment planning goal setting. · Provide consultations to non-medical staff on complex cases. · Participate in both the development and implementation of a person-centered care plan that includes formal and informal supports Communicate with health care providers outside of the agency and interpretation of health results for client care planning. · Engage clients and family as active partners in developing, reviewing, and modifying a course of care that supports the clients’ progress towards identified goals where appropriate. · Assess risk, develop safety plans and provide crisis intervention services. · Provide on-call after hour crisis intervention services when needed to participants and their support network, including respite referrals and other diversion and stabilization services. · As the ACT team requires 24/7 coverage by direct phone, the NPP will provide a portion of this coverage in rotation with other team members. · The NPP must complete an initial assessment visit in the community and visits in the community at least 80% of the time, including the required quarterly visits thereafter. If the recipient will not come to meet the NPP at the ACT office, the NPP must provide at least monthly services or as clinically indicated for that individual in the community. · Perform other related duties as assigned. CORE COMPETENCIES for the position include: · Translate research and other forms of knowledge to improve practice processes and outcomes. · Communicate practice knowledge effectively, both orally and in writing · Participate in agency quality improvement projects to ensure best client outcomes. · Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. · Work in supervision with central psychiatry team and directors to improve practice. EDUCATIONAL/TRAINING REQUIRED: · Licensed as a Psychiatric Nurse Practitioner in the State of New York. · A current DEA registration for the prescribing of controlled substances. ANCC certification or pending application is required. NYS OPRA (Ordering/Prescribing/Referring/Attending) status approved or application pending required and a Health Commerce Account in place by the onset of employment. The former is needed to prescribe to clients with Medicaid, the latter is needed to adhere to NYS I-STOP law. EXPERIENCE REQUIRED/LANGUAGE PREFERENCE: · Must be able to work as a team member with complex cases. · Working knowledge of Microsoft Office, ability to learn electronic health records and other software as required. · Fluency in Spanish preferred. COMPUTER SKILLS REQUIRED: · Proficient with electronic health record · Microsoft Office (Word, PowerPoint, Excel, Outlook); comfortable and proficient using audio video platforms (i.e., Zoom). VISUAL AND MANUAL DEXIERITY: · The work environment involves no physical risk or hazardous conditions. · To perform the essential functions of this job, the candidate is routinely required to sit (90% of the time) and stand (10% of the time) · Walking, stairs, home visits etc. physical requirements
PURPOSE: The Jewish Board's Community Behavioral Health treatment programs provide compassionate, high quality, evidence-based services to individuals and families in the communities we serve. Our staff use a culturally affirming, person-centered approach to help individuals and their families develop skills and resources to improve overall functioning, to instill hope, and to strengthen resiliency. Our programs work closely with community partners to address health disparities in our neighborhoods while also celebrating the strengths and resiliency of our communities. POSITION OVERVIEW: The psychiatric nurse practitioner (NPP) is responsible for providing psychiatric services and care to the agency's children and adult population in community clinic practices, including clinical diagnosis, prognosis, medication management, and discharge planning. The NPP functions as an integral part of the interdisciplinary team environment approach of the Agency. The NPP may be asked to cover for other NPPs and/or assist with administration of long acting medication when nurse unavailable. KEY ESSENTIAL FUNCTIONS: Provide psychiatric assessment, clarification of clinical diagnosis, recommend treatment options and provide client education on mental health issues and strategies for recovery and review patient's progress and recommend discharge and aftercare planning. Attend and provide feedback in case conferences. Prescribe psychotropic medication as appropriate for client care. Collaborate with other appropriate staff, i.e., nurses relative to individual, group and family therapy. Assist with urgent crisis situations by conducting evaluations, interventions, and/or consultation to the clinical team. CORE COMPETENCIES for the position include: Translate research and other forms of knowledge to improve practice processes and outcomes Communicate practice knowledge effectively, both orally and in writing participate in agency quality improvement projects to ensure best client outcomes Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. work in supervision with central psychiatry team and directors to improve practice EDUCATIONAL/TRAINING REQUIRED: Licensed as a Psychiatric Nurse Practitioner in the State of New York. A current DEA registration for the prescribing of controlled substances. ANCC certification or pending application is required. NYS OPRA (Ordering/Prescribing/Referring/Attending) status approved or application pending required and a Health Commerce Account in place by the onset of employment. The former is needed to prescribe to clients with Medicaid, the latter is needed to adhere to NYS I-STOP law. Must be able to work as a team member with complex cases. Working knowledge of Microsoft Office, ability to learn electronic health records and other software as required. EXPERIENCE REQUIRED/LANGUAGE PREFERENCE: Spanish-speaking preferred but not required COMPUTER SKILLS REQUIRED: Proficient with electronic health record Microsoft Office (Word, PowerPoint, Excel, Outlook); comfortable and proficient using audio video platforms (i.e., Zoom). VISUAL AND MANUAL DEXIERITY: The work environment involves no physical risk or hazardous conditions. To perform the essential functions of this job, the candidate is routinely required to sit ( 90% of the time) and stand ( 10% of the time) VISUAL AND MANUAL DEXIERITY: The work environment involves no physical risk or hazardous conditions. To perform the essential functions of this job, the candidate is routinely required to sit ( 90% of the time) and stand ( 10% of the time)
POSITION OVERVIEW: As a member of the ACT team, the RN is responsible for providing a range of treatment to clients with a SPMI/SUD, rehabilitation and support services within the scope of the nursing practice for the clients receiving services from our ACT teams across the city. S/he is responsible for conducting initial nursing assessments and ongoing health monitoring assessments; assessing physical health needs; making appropriate referrals to community physicians as needed, providing medical case management and administration of medication in conjunction with the prescriptions/orders of psychiatrist, PNP, and medical providers. The majority of this role is conducted in the community and is not site specific. Each nurse will work with a primary program and may also work with other JB programs across the city. The RN will be supervised by the Program Director/Nursing leadership. KEY ESSENTIAL FUNCTIONS : Carry a caseload and complete initial and ongoing nursing assessments. Conduct weekly visits thereafter for clients currently residing in homeless shelters and assigned to the ACT program and/or in client’s homes or elsewhere in the community where the client is accessible. Develop a treatment plan with the team, based on clients’ needs. Ensure that any medical diagnoses are addressed and the client will be educated as to conditions and signs and symptoms. Complete nursing assessments and health monitoring assessments within appropriate timeframes. Will follow/implement all direction from Psychiatrist or PNP regarding medical treatments and medication orders. Will administer prescribed and/or routine medical treatments, support clients and staff with self-administration of medication procedures and evaluate for potential side effects or adverse reactions. Ensure that all internal policies regarding such administration are adhered to. RN will partner with our clients, in a respectful, encouraging way to promote healthy lifestyle changes within a harm reduction framework, with shared decision-making practices. Will coordinate and deliver medications to the client’s residence or shelter, be responsible for medication counts, follow-up the pharmacies (i.e. refills, insurance authorizations etc) and administering medication to clients. Make referrals, schedule appointments and accompany the client when required. Make visits to hospitalized clients to coordinate care. Provide advocacy for hospitalized clients. Assist with follow up care to promote complete recovery. Function as a liaison between external medical health care providers, shelters, other community organizations and the ACT team with regards to the client’s medical needs. Responsible for health education and communicating information regarding good health practices to the clients under RN's care. Train staff in these practices as well so as to provide continuous health support to clients. Facilitate groups. Respond to medical emergencies as appropriate. Perform all necessary charting and other documentation as required by internal practice and external regulatory bodies within a timely manner. Follow-up and monitor lab results for any indications of change for medication and toxicology; communicate such change(s) to the psychiatrist and PNP. Act as medical representative at interdisciplinary mental health team meetings. ADDITIONAL FUNCTIONS MAY INCLUDE: • And other duties as assigned. EDUCATIONAL / TRAINING REQUIRED (List all that is required to achieve this position): RN or BSN in nursing and New York State registration EXPERIENCE REQUIRED / LANGUAGE PREFERENCE: • Experience in a residential setting or in mental/behavioral health field strongly preferred. COMPUTER SKILLS REQUIRED (List the computer skills needed): Should feel comfortable utilizing an electronic health records, Microsoft word, excel and outlook VISUAL AND MANUAL DEXIERITY: The work environment involves no physical risk or hazardous conditions. The candidate should be able to read documents for analytical purposes such as health charts, spreadsheets, etc. Possess the manual dexterity necessary for handling medical equipment, administering medications, and performing clinical procedures. WORK ENVIRONMENT / PHYSICAL EFFORT Should be comfortable with public transportation, traveling in the community, as this position requires 80% of the time in the field and 20% in the office. This individual should be comfortable walking and standing for long periods of time. In addition, the candidate should be comfortable administering injections in non-clinical/non-traditional settings. Ability to walk, sit, stand, and bend as necessary to assess and provide care to clients effectively in various settings. Maintain the physical stamina to perform nursing duties throughout the shift, including prolonged periods of standing and walking, while remaining attentive to patient needs. Ability to navigate a variety of environments, including tight spaces, while maintaining a focus on patient care and safety. If you join us, you’ll have these great benefits: Generous paid time off in addition to agency holidays and 15 sick days Affordable and high-quality medical/dental/vision plans Tuition assistance and educational loan forgiveness Free continuing education opportunities 403(b) retirement benefits and a pension Flexible spending accounts for health and transportation 24/7 Accessible Employee Assistance Program Life and disability insurance Who we are: The Jewish Board delivers innovative, high-quality, and compassionate mental health and social services to over 45,000 New Yorkers each year. We are unique in serving everyone from infants and their families to children, teens, and adults. We are proud to employ and serve people of all religions, races, cultural backgrounds, gender expressions, and sexual orientations. We are committed to building diverse, equitable, and inclusive teams to help support our mission, and we strongly encourage candidates from historically marginalized backgrounds to apply to work with us. More on Equal Opportunity:
$5,000 SIGN-ON BONUS FOR I/DD PROGRAMS IN BROOKLYN POSITION OVERVIEW: A Licensed Practical Nurse (LPN) is responsible for LPN nursing care and medical procedures within the scope of the nursing practice. Assist in the integration of physical and behavioral health in program. The LPN reports to the RN and or Nursing Leadership. KEY ESSENTIAL FUNCTIONS: In line with doctor’s orders, administer prescribed and/or routine medical treatments. Ensure that all internal policies regarding such administration and documentation are adhered to. • Assist with scheduling appointments and obtaining medical documentation prior to the client’s appointments. • Function as the liaison between external medical health care providers, schools, other community organizations and the facility with regards to the client’s medical needs. Provide general nursing care to clients within the scope of LPN practice, which include but are not limited to; Take and record client's vital signs. Administer prescribed/specified mediation and note time and amount on client's chart. Observe clients and report adverse reactions to medication or treatment to supervisor. Phlebotomy and specimen preparation to be sent to the laboratory Inventory and requisite supplies. • Respond to medical emergencies immediately upon notification. Perform whatever triage is necessary to stabilize the client and provide access to all necessary medical treatment within an LPN’s scope of practice. Follow up to ensure complete recovery. • Perform all necessary charting and other patient documentation as required by internal practice and external regulatory bodies. Completes all other tasks within the scope of an LPN NYS license requested by the RN and or Nursing leadership. CORE COMPETENCIES Translate research and other forms of knowledge to improve practice processes and outcomes Communicate practice knowledge effectively, both orally and in writing participate in agency quality improvement projects to ensure best client outcomes Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. EDUCATIONAL/TRAINING REQUIRED: Must hold an active LPN nursing New York State license. Must maintain active CPR certification EXPERIENCE REQUIRED/LANGUAGE PREFERENCE: Excellent oral, writing, communication and organizational skills. COMPUTER SKILLS REQUIRED: Excellent aural and written communication and collaboration skills Excellent organizational skills and data management capabilities VISUAL AND MANUAL DEXIERITY: The candidate should be able to read documents for analytical purposes such as computer information, software, computer graphic design programs, etc. Limited applications of manual dexterity and hand-eye coordination. WORK ENVIRONMENT/PHYSICAL EFFORT Ability to walk, sit, stand, and bend as necessary to assess and provide care to clients effectively in various settings. Must be capable of responding swiftly to emergencies, which may involve moving quickly to the scene, performing CPR, and utilizing appropriate emergency protocols. Proficient in lifting, transferring, and repositioning clients safely when needed, ensuring the comfort and safety of both clients and staff. Maintain the physical stamina to perform nursing duties throughout the shift, including prolonged periods of standing and walking, while remaining attentive to patient needs. Ability to navigate a variety of environments, including tight spaces, while maintaining a focus on patient care and safety.
