Psychiatric RN

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Time Type

Full time

Department

Behavioral Health Urgent Care

All Locations

10 Gove Street – Taylor Building, 1601 Washington Street, 20 Maverick Square – Cradock Building

Position Summary

In general, all registered nurses are prepared by training and experience to hold ultimate responsibility for direct and indirect nursing care, including providing nursing care, health maintenance, teaching, counseling, planning and

restoration for optimal functioning and comfort. The scope of practice for the BH Psychiatric Registered Nurse is focused on the indirect assistance of patients and the psychiatric provider team in the management of critically important communication with respect to coordination of the psychiatric care of patients. In the role, direct care of patients includes psychoeducation and

teaching, counseling, especially with respect to medication management, and triage with respect to symptom and crisis management.

Excellence in nursing practice also includes clinical skills and capabilities beyond baseline competence. These include the ability to conduct a comprehensive assessment that incorporates an advanced and sophisticated integration of clinical information, and the ability to translate that assessment into a superior plan of care for the patient/family/care team. The BH

Psychiatric Registered Nurse is expected to possess and demonstrate competence in these more advanced clinical skills.

This position is primarily focused on in-basket and care coordination work - triaging messages, managing refills, responding to patient concerns, and supporting psychiatric providers embedded in both standalone psychiatry departments at the South End site and in primary care-integrated settings in East Boston. This position may involve direct patient visits and requires

strong clinical judgment, excellent communication skills, and the ability to work efficiently within an EHR system (Epic).

In addition, excellence in this position includes global skills and capabilities beyond baseline competence. These include demonstrating a comprehensive understanding of each BH departmental service line, demonstrated interest in long term growth goals, showing initiative, using critical thinking to problem solve independently, exhibiting leadership qualities, and effectively engaging with the multidisciplinary clinical team in the BHUCS, the Satellite Emergency Facility (SEF), the other clinical departments at EBNHC and affiliated sites, and NSMH

Essential Duties and Responsibilities

General Practice Competencies

Assess the health status of individuals and accurately record the related health data:

• Navigate the medical record
• Collect data on medical and behavioral health/symptoms from a patient

Analyze and interpret recorded data, and make informed judgments as to the specific elements of nursing care mandated by a particular situation:

• Correlate new data and symptoms with the existing medical records
• Determine indication for the appropriate response level from the other team members within established guidelines

Plan and implement nursing intervention, including all appropriate elements of nurse care, prescribed medical or other therapeutic regimens mandated by the particular situation, scientific principles, recent advancements and current knowledge in the field:

• Review documentation to assure consistence with current planned regimen
• Communicate with the multidisciplinary team and educate the patient on test results, new care plans and/or other relevant health care information including the use of newly prescribed medications and psychotherapies and/or changes in the current regimen
• Dispense medication by mouth, nebulizer, IM, IV, and SC as ordered by an MD/NP/PA/DO or per protocol

Provide and coordinate health teaching required by individuals and families to maintain the optimal possible level of health:

• Educate on health maintenance, current health status, and changes in health status

Evaluate outcomes of nursing interventions, and initiate change when appropriate:

• Assess and reassess patients as needed
• During data collection and patient interviews, review the current plan of care to determine appropriateness and areas of weakness
• Communicate status of plan of care with other members of the health care team

Collaborate, communicate and cooperate as appropriate with other health care providers to ensure quality and continuity of care:

• Report to the other team members through documentation in the medical record a comprehensive integration of newly acquired information with the patient’s history and related changes in the nurse’s plan of care
• Report to other caregivers, through the medical record or verbally as needed, the patient’s physical and behavioral health status. Incorporate information from other caregivers into the patient’s care plan as appropriate

Serve as a patient advocate, within the limits of the law:

• Integrate the vital patient advocacy function into the nursing role in a continuous effort to encourage patient self-determination to the fullest degree possible through patient and family education and facilitation of a process whereby patients are encouraged to give voice to the concerns, questions, and preferences they may have regarding their care. Utilize the information gathered in the role of patient advocate to inform other providers caring for the patient of special needs and concerns and ensure the appropriate systemic changes and care of plan modifications to the degree possible based on specific patient need.

Knowledge, Skills, and Abilities Required

Education

• Graduation from an accredited nursing program required. BSN preferred.

Experience

• Minimum of two years of relevant nursing experience, in community health behavioral health, emergency and/or ambulatory care setting, psychiatric facility. Previous experience in telehealth, patient portal messaging and care coordination.
• Familiarity with trauma informed care, the administration of long acting injectables and de-escalation techniques, a plus.

Skills/Abilities

• Current Massachusetts RN licensure
• ACLS, BLS, and PALS certification required
• Psychiatric Mental Health Board Certification preferred
• Strong ability to communicate effectively both in writing and verbally
• Bilingual (Spanish) preferred
• Strong understanding of psychiatric conditions, medications and symptom management
• Proficient in EHR systems management (Epic experience strongly preferred)
• Strong ability to multitask and work in a fast-paced, high volume, hybrid (in person and telehealth care) environment

Schedule and Pay

• Monday - Friday; 8:00am - 5:00pm
• Starting Pay at $44.00 and up to $64.00 hourly based on experience
• Monitors and triages psychiatric provider in-basket messages (patient calls, MyChart, refill requests, lab follow ups, etc.).
• Following triage, prioritizes urgent concerns, escalates safety issues, and communicates critical information to providers as needed.
• Reviews and processes medication refill requests per established protocols.
• Provides telephone or portal-based patient education and support regarding medications, side effects, and treatment adherence.
• Documents all patient interactions accurately and promptly in the EHR.
• Coordinates care with pharmacy, primary care, and behavioral health teams.
• Assists with care coordination, referrals, prior authorizations.
• Participate in team huddles, care coordination, and quality improvement efforts.
• Maintains awareness of psychiatric medications and basic psychopharmacology.
• Demonstrates the ability to work independently, apply solid time management skills and to also work collaboratively as part of a multidisciplinary care team.
• Recognizes the unique safety needs of elderly, pediatric, and severely ill psychiatric patients ensuring they receive assistance as needed.
• Follows established departmental policies and procedures for environmental safety and infection control. Actively participates in EBNHC programs and committees.
• Responsible for own continued professional growth and development. Participates in required departmental activities and meetings.
• Exhibits flexibility to adapt to changes in department needs, scheduling and job content.
• Performs other duties as assigned.
• Interacts with patients in a professional and respectful manner, which reflects the needs and concerns of the individual. Maintains a positive attitude. Uses communication devices appropriately.
• Promotes a sense of teamwork through demonstration of self-direction and self-motivation. Solves problems independently or knows when to seek consultation. Provides leadership to other support staff on the practice team. Works cooperatively and respectfully with others at all levels of the organization.
• Displays outstanding customer service skills when interacting with all EBNHC customers according to the ACE model.
• Responsible for the recognition and management, with the care team, of administering Section 12, Risk of Suicide, and Restraints. Will be fully trained to identify these risks and implement mitigation strategies to maintain patient safety per policies.

EEO & Accommodation Statement

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request

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E-Verify Program Participation Statement

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.