Registered Nurse (RN)

Job Description

Elwyn seeks a Registered Nurse (RN) to join a multidisciplinary team for the Program for Assertive Community Treatment (PACT).

• Integrates the Prism Model for effective treatment of serious and persistent mental illness into everyday practice and intervention.
• Provides person-centered, strength-based, trauma-informed care.
• Ensures that clients receive effective, understandable, and respectful care that is provided in a manner compatible with client's cultural beliefs and practices and preferred language.
• Carry out medical functions, including essential health and medical assessment and education; coordination of health care providing clients in the community; psychiatric medical assessment, treatment, and education; and psychotropic medication administration.
• Acts as a lead nurse, when designated by the team leader, provides nursing supervision to the team.
• As assigned, designated as the assigned 'medication nurse' for the day.
• Updates medication orders and handles tasks related to medication distribution.
• Affords assessment and triage, in consultation with the team prescriber, any emergent medical problems or needs.
• Provides medication administration and medical services: under the direction of the team prescriber, and in collaboration with other registered nurses on the team, develop, revise, maintain, and supervise team psychopharmacologic and medical treatment and medication policies and procedures, including transcribing, administering, evaluating, and recording medications prescribed by the team prescriber; assess and document medication effectiveness, complications, and side effects; and arrange for required labs according to protocol.
• Maintains the PACT headquarters medical supplies.
• Prevents and manages preventative medical care: tracks, educates, links assessed medical/dental needs with a community provider, collaborates with providers, accompanies to appointments, provides support and advocacy.
• Along with the team, on an ongoing basis, reviews the required outcomes to evaluate community tenure and independence.
• Works with the team to complete the Tool for Measurement of Assertive Community Treatment (TMACT).
• Provides service coordination for an assigned group of clients, including coordination and monitoring the activities of the individual treatment team (ITT); assumes primary responsibility for developing, writing, implementing, evaluating, and revising the overall Community Service Plan in collaboration with the client and ITT; provides therapy utilizing evidence-based practices (i.e., CBT-P, CBT, DBT, CAMS, MI), symptom management, ensuring immediate changes are made in the Community Service Plan as clients' needs change; educate and support clients' families, and advocate for clients rights and preferences.
• Utilizes evidence-based assessment tools that support matching a client's needs to their services.
• In partnership with the client and ITT, develops the Community Service Plan within seven days of the team finalizing the comprehensive assessment.
• Provides de-escalation techniques to aid the client(s) in managing a crisis, providing intervention to decrease risk, manage symptoms, and maintain safety.
• Maintains the electronic card-ex.
• Performs shift management in coordination with other ACT shifts managers.
• Participates in the Daily Organizational Meeting.
• Documents client progress, activities, and outreaches in the Electronic Health Record.
• Practices a Housing First approach.
• Practices engagement skills across the adult lifespan.
• Provides practical help and support, advocacy, coordination, problem-solving, training, and supervision to help clients obtain the necessities of daily living; assist clients in finding and maintaining safe housing, coaches clients to learn and carry out ADLs, assist and support clients to perform household activities, including house cleaning and laundry, teach money-management skills, nutrition education, meal planning, grocery shopping, access transportation, help clients to have and efficiently use primary care, dentist, and other medical specialist, support clients with structuring their time (community resources, social and leisure activities, hobbies, etc.).
• Ongoing assessment, symptom education, direct clinical services.
• Awareness of and offers a range of valuable community activities and linkages that support the client's Community Service Plan.
• Performs other duties as assigned.

Pre-Employment Education/Experience

• Associate's degree in nursing, bachelor's degree, preferred
• 3+ years in leadership, management role, experience in behavioral healthcare, and working with individuals with mental health conditions preferred
• Licensed in the State of Massachusetts as a Registered Nurse
• Preference will be given to candidates that meet the cultural and linguistic needs of the geographic area
• Relevant Post-job Offer Testing/Conditions
• Knowledge and practice of FHR, DPH, and DMH policies, regulations, and standards
• Must complete PACT Module Training within 30 days of hire
• Participate in other FHR required/ recommended training according to the training calendar
• Maintain required clinical license
• Meet or exceed professional development goals
• Demonstrates fidelity to the PACT model
• Ability to make contacts and establish relationships with internal and external supports that allow for the program to function within the more extensive system
• Ongoing education and training in culturally and linguistically appropriate service delivery
• Must possess a current, valid driver's license in state of residence, have a minimum of two (2) years of driving experience within the United States, and have an acceptable driving record