Clinical Support - Convenient Care - WO - Registered Nurse

Thundermist's Mission - To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles.

Please note, effective September 1,2021, all Thundermist employees are required to have an initial dose of vaccine to prevent Covid-19. Effective October 1, 2021, all employees of RI licensed health care facilities must be fully vaccinated against Covid-19. Employees may be deemed exempt from this requirement based on documentation from their health care provider.



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Title: Registered Nurse - BH MAT Reports To: Director of Nursing/Nurse Manager
Department: Medical Job Grade: 9C
Employment Status: Exempt Date: September 2022

General Responsibilities
The Behavioral Health (BH) and Medication Assisted Treatment (MAT) Registered Nurse provides culturally competent, compassionate, and therapeutic centered care focused on patients experiencing mental health and substance use disorders. Nurses work as part of a multidisciplinary team in a Patient Centered Medical Home (PCMH) setting aimed at establishing healthy patient and care team relationships. The nurse offers comprehensive screening, assessment, care coordination services, disease education, self-management support, preventative care, medication administration, and coordination of sick visits and additional services as needed.

Required Qualifications
• Current State of Rhode Island Registered Nurse license
• BSN preferred
• Two or more years of nursing experience in a Behavioral Health and/or Co-Occurring Disorder setting preferred
• Knowledge of disease management, case management, and chronic care principals
• Experience in Community/Public Health and/or Family Medicine setting preferred
• BLS CPR certification required
• Psychiatric RN, Case Management, Substance Use Disorder, or Pain Management certification beneficial

Primary Contacts
External
• Hospitals
• Outside Agencies
• Specialist Offices
• Laboratory Services
• Specialty Pharmacies
• Correctional Facilities

Internal
• Patient, Family, Supports
• Behavioral Health, Medical Providers
• Behavioral Health Clinicians
• Internal Pharmacists
• Peer Recovery Specialists, other Ancillary Staff
Work Schedule Demands

Business hours are set to meet the needs of Thundermist and its patients. Nurses will be scheduled during normal hours of operation which may include evenings and weekend hours, with occasional unscheduled overtime. Based on an employee's skills and experience, they may be asked to perform duties outside of this job description to meet the needs of the organization. As a health care organization, we rely on employees being on time and present for their scheduled shift. All Thundermist staff are expected to arrive prior to the start of their shift so they are prepared to start on time.

Physical Effort/Environment
• Moderate physical activity, walking, standing, stooping, and occasional lifting
• Manual dexterity for injections, computer use, patient education/demonstration, etc.
• Potential exposure to blood-borne pathogens, infectious diseases, and bio-hazardous materials
• Knowledge of safety and infection control standards of practice
• Organization skills, time management

Communication Skills
Has sensitivity to the patient population we serve, by identifying cultural, social, and economic characteristics. Applies verbal and non-verbal communication skills in patient interactions and utilizes teach-back, active listening, written materials, and visual aids. Able to document clearly, competently, and concisely in the medical record. Ability to maintain confidentiality of information (HIPAA) and communicate in a professional manner with patients, families, other staff, and outside contacts.

Significant Job Functions
Behavioral Health: Provides nursing support and direct care through partnerships with patients, behavioral health, and medical providers to help patients achieve their mental health wellness goals.
• Coordinates timely access to psychiatric appointments for patients seeking to establish or continue care
• Administer injectable medications (inclusive of long-acting injectable medications) and monitors patients for reactions/side effects, assessing AIMS scores
• Care coordination and referral to higher levels of care (i. e. , inpatient, partial program, intensive outpatient care, external psychiatric care services)
• Monitor for adult and pediatric psychiatric admissions and discharges and coordinate aftercare
• Assists healthcare providers with administrative requests within the electronic health record (e-jellybean management)
• Triage SI/HI crisis calls

Medication Assisted Treatment: Provides nursing support and care management services to patients presenting for MAT, including all duties related to patient care which include, but not limited to:
• Intake assessment: review of medical history, substance use history, pain issues, mental health, current use, current prescribed and OTC medications, assess COWS scores, family history, and review of social history and supports
• Monitor Care Management Clinical Dashboard for hospitalizations/ED visits for MAT patients and coordinates aftercare related to SUD
• Monitor Clinical Dashboard for opioid OD ED related visits and provide outreach, support, and education related to treatment and harm reduction
• Work with an interdisciplinary team on withdrawal management
• Utilizes Prescription Drug Monitoring database
• Induction stabilization management, observed dosing
• Provides education and support
• Engages other team members as needed (i. e. , Peer Recovery Specialist, Patient Care Coordinator, MAT Clinicians, Primary Care, Behavioral Health Clinicians, and Social Services)
• Coordinates timely access to MAT treatment (i. e. , Suboxone, Sublocade) for new and existing patients and works with prescribers to identify patients who would benefit from treatment, set treatment, other medical, and behavioral health goals
• Monitors patient MAT visit attendance and retention in the program. Performs outreach to re-engage patients, including post hospitalization and during the early recovery phase.
• Coordinates, supports, and administers MAT treatment and care for OB patients including any wrap-around services throughout the pregnancy
General:
• Performs screenings including routine labs, random UTOX, EKG's, pill counts as directed by a health care provider
• Assesses, observes, and reports behavioral changes to providers/prescribers
• The nurse uses their clinical judgement to apply a nursing diagnosis related to the medical or behavioral health needs of the patient and develops appropriate interventions
• Coordinates and facilitates medication ordering, delivery, and administration when appropriate with the pharmacy/specialty pharmacy
• Medication administration and monitoring
• Triage telephone calls and web messages evaluating client's needs/health care needs
• Provide patient education regarding medication side effects and symptom management
• Reviews and obtains signed consents, contracts, and treatment agreements as required
• Assists other members of the care t.