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:
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 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 resilience of our communities. POSITION OVERVIEW: Responsible for the day-to-day coordination of client medical care, oversees all administrative functions in the program medical department. Supervises all RN in the department. KEY ESSENTIAL FUNCTIONS: Oversee all aspects of the medical/nursing department(s) in the program. Implement and integrate medical protocols into the management of client medical diagnoses. Directly supervise nurses assigned to this role. Will meet weekly with each of these nurses and document each meeting. Complete weekly Dayforce for this staff, and annual evaluation. Administer medication to clients within scope of practice. Provide support to staff who oversee client’s medication administration procedures. Venipuncture for lab draws. Medical representative at interdisciplinary team meetings. Coordination of AMAP training with the director of medical quality. Assist in addressing the medical component of audits conducted by regulatory bodies and CARF standards as well as internal audits. May coordinate, prepare and distribute all routine administrative medical reports, as required by any licensing and / or regulatory bodies. Participate in client education programs on relevant health related issues. Provide staff with ongoing education and tools in order to ensure appropriate responses to medical concerns at all times. Assist in pharmacy reviews and medication security procedures. Collaborate with community hospital leadership and staff to promote collaboration and continuity of care across settings for clients during all phases of hospitalization. Work closely as a liaison with psychiatric and primary care prescribers. Participate in ongoing agency medical leadership meetings. Perform ongoing Electronic Health Record reviews to ensure both regulatory compliance as well as opportunities for Quality Improvement. Assure that any medical problems / issues are communicated to the Primary Care Practitioner and Administrator(s) as necessary, including a follow-up. Other tasks as indicated by leadership. Team Process Participates in intakes, assessments, and discharge with medical follow-up. Participates in regular staff meetings and training. May be asked to travel to offsite meetings and training courses. Documentation Follow up on incident reports as appropriate. Perform ongoing Electronic Health Record reviews to ensure both regulatory compliance as well as opportunities for Quality Improvement. CORE COMPETENCIES for the position include: Excellent leadership skills. Excellent resident engagement skills. Strong verbal and written communication skills. Attention to detail. Ability to work independently as well as with a team. Willingness to work with all age groups living with the impact of trauma and experience mental health challenges. Compassion and respect for vulnerable individuals. Patience and understanding for the sometimes-slow process of stabilization and recovery. EDUCATIONAL/TRAINING REQUIRED: Minimum education level of a BSN or RN. Position may require specialized expertise in mental health, developmental disorders, crisis intervention, or other areas as deemed appropriate for the program’s needs. Should be familiar with standard reporting requirements as dictated by Office of Mental Health to whom the division is accountable. EXPERIENCE REQUIRED/LANGUAGE PREFERENCE: Bilingual preferred, (Spanish) Some work experience with a similar population in an outpatient behavioral health setting COMPUTER SKILLS REQUIRED: Ability to use Microsoft Office including Outlook and Word. Ability and willingness to learn new systems and application software. VISUAL AND MANUAL DEXIERITY: The candidate should be able to read paper and electronic documents and perform data entry into various computer programs. Manual dexterity and hand-eye coordination to travel independently using public transportation and/or vehicle. WORK ENVIRONMENT/PHYSICAL EFFORT Ability to walk up and downstairs. Travel between programs.
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:
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: Russian 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) Add line: The NPP may be asked to cover for other NPPs and/or assist with administration of long acting medication when nurse unavailable.
