Nursing Senior Manager

Description

Days Off: Saturday & Sunday

Shift: Office Day

• Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage)
• Other Benefits : Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

About DESC:

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions. Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.

DESC operates five shelter/emergency housing programs, 19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.

JOB OVERVIEW:

The Downtown Emergency Service Center (DESC) is currently recruiting a Senior Nurse Manager to oversee nursing services within our ORCA POD Team (Patient Outreach Division) as well as our Opioid Recovery & Care Access (ORCA) Center, which will offer four overlapping types of services:

• •Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by the Seattle Fire Department.
• •Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with OUD, regardless of whether an opioid overdose has recently occurred.
• •Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis.
• •Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation.

DESC clinical teams provide a wide range of services for eligible individuals within King County, with responsibility for providing on-going case management, psychiatric services and medical services to adults living with mental illness and/or substance use disorder. The Senior Nurse (RN) Manager has responsibilities for overseeing nursing participation in multi-disciplinary teams within which medical staff work in close collaboration, to provide appropriate and comprehensive behavioral health treatment services, as well as Medications for Opioid Use Disorder (MOUD). Members of the ORCA POD and ORCA Center provide medication coordination/management, client education, health assessment, outreach and related services in collaboration with the multi-disciplinary teams.

The Senior Nurse Manager will provide clinical and administrative direction and coordination of efforts to Nursing Supervisors and Registered Nurses within the ORCA teams and other teams as assigned. The Senior Nurse Manager will be responsible for assuring compliance with all relevant Washington State Administrative Code (WAC), Revised Code of Washington (RCW), Drug Enforcement Administration (DEA), Department of Health, and contract and procedure requirements associated with the operation of a community mental health center. This position has administrative duties associated with planning, including implementation of new initiatives, hiring, and quality assurance/improvement, and the Senior Nurse Manager will have responsibility for coordinating medical services with other team leadership. Work is done under the supervision of the Nursing Director and in regular collaboration with other clinical managers and supervisors.

MAJOR DUTIES AND RESPONSIBILITIES:

• •Direct medical aspects of client care within multidisciplinary teams of social workers/case managers, SUDPs, peer support specialists, psychiatric nurses and nursing supervisors, psychiatric providers (MD and ARNP), pharmacists, employment specialists and other mental health and housing staff.
• •Along with the Nursing and Medical Director, oversee medical aspects of care, including monitoring and administration of medications in a manner that meets unique client needs.
• •Provide clinical and administrative supervision of nursing staff. Establish and maintain practice standards and protocols. Ensure compliance with all related licensing, DEA, and other regulations.
• •Coordinate performance evaluations on a scheduled basis, and direct maintenance of supporting documentation in confidential supervisory and personnel files.
• •Collaborate closely with the ORCA Program Manager, ORCA Medical Lead, and ORCA nurse supervisors in the strategic structuring, recruitment, hiring, orientation, training and supervision of a float pool of nurse practitioners and nurses to work as needed to fill gaps in ORCA staffing.
• •Establish and maintain high quality practice standards for all ORCA Center staff.
• •Oversee budgets, staffing and contractual obligations of the ORCA POD team.
• •Supervise and evaluate assigned staff, encompassing clinical performance, work efficiency and output, and team collaboration.
• •Incorporate an equity framework for all aspects of work across the ORCA Center in collaboration with other leaders.
• •Oversee crisis care, case management and nursing services provided by RNs
• •Along with the nursing supervisors, conduct orientation and training for new nurses.
• •Provide and direct education to clients regarding their treatment, medical and mental health condition.
• •On-going assessment of mental status, positive impacts and side effects of treatment.
• •Supervise hiring and scheduling of nursing staff, including per diem staffing hours.
• •Provide or coordinate specialized training and consultation to other staff members, including in housing programs, on medical/mental health/substance use issues relating to clients and their care.
• •Direct nursing participation in psychiatric consultation, supervision, program meetings and in-service trainings; direct participation in clinical reviews and case conferences.
• •Participate in the development and implementation of psychiatric procedures to ensure consistent and appropriate clinical care. Recommend changes to client care activities as needed. Conduct or direct related QA & QI activities.
• •Comply with the agency’s clinical accountability policies and procedures; supervise maintenance of current and complete clinical records; participate in quality assurance reviews.
• •Comply with applicable program research and evaluation procedures.
• •Ensure implementation of program elements in congruence with principles of recovery-based services and harm reduction.
• •Maintain knowledge of DESC personnel policies, procedures and collective bargaining agreement. Ensure compliance with same.
• •Supervise client assessments for the range of health care needs, including linkage and on-going connection to relevant urgent, primary and specialty health services.
• •Advocate for clients’ access to community resources and services, especially primary health care services, ensuring that clients’ needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
• •Participate in planning and organizing of group treatment services for consumers served by clinical programs.
• •Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.
• •Other duties as assigned.
• •Pro