Registered Nurse (RN)

Registered Nurse - Crisis Receiving for Behavioral Health (CRBH)

Department: CRISIS Programs

Location: CRBH

Reports to:  Director, Crisis Receiving for Behavioral Health

Status: Full-Time, 11 am – 7 pm, Sunday-Thursday with shift flexibility as needed

FLSA:  Exempt

Pay Range:  $122,283.20-$158,974/annual

EEO-1:  Professional

Organization Information

WellSpace's mission is "achieving regional health through high quality comprehensive care." We believe that everyone deserves to be seen, no matter who you are, where you come from, where you work, or what place you call home. At WellSpace, we see you!  

We are driven to serve the whole person through comprehensive, integrated care, spanning medical, dental, behavioral health, and supportive services across the region. We do this by building a team of exceptional colleagues who are dedicated to our mission and becoming part of the communities we serve. 

As the region's largest Community Health System, WellSpace utilizes a Confluence Model to integrate an internal network of healthcare modalities, including Federally Qualified Health Centers (FQHC), Certified Community Behavioral Health Center (CCBHC), Drug Medi-Cal and Specialty Mental Health programs, California's second largest 988 Suicide and Crisis Lifeline Center, an independent Risk Bearing Organization (WellSpace Nexus), and more into a seamless confluence of care.

To ensure the highest quality of care, WellSpace is accredited by the Joint Commission for Ambulatory Care, Behavioral Health and as a CCBHC. Further, it is certified by the Joint Commission as a Primary Care Medical Home and a Behavioral Health Home. WellSpace's crisis programs are accredited by the American Association of Suicidology and the International Council for Helplines. 

Position Summary

The Crisis Receiving for Behavioral Health (CRBH) Registered Nurse provides care to patients seeking crisis-receiving services and education, support and leadership to nursing staff utilizing reflective proactive, staff development, support and oversight to build and model a strengths-based, client-centered culture.  The CRBH Registered Nurse provides care to people in a behavioral health crisis and coordinates the administration of medical services to patients.

Required Qualifications

• Current license as an Registered Nurse with the State of California required.
• Two plus year’s related experience in clinical experience with diverse adult population preferred; OR an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job.
• Current CPR and first aid certificate or willingness to be trained required within first (90) ninety days of employment.
• Experience working with unhoused community members and people in a behavioral health crisis.
• Knowledge of community resources including Medicare, Medi-Cal, Supplemental Security Income (SSI) and the county’s General Assistance Program.
• Knowledge of medications, usages, interactions and effects including interactions while intoxicated.
• Ability to observe, assess, and record symptoms, reactions, and progress; react calmly and effectively in emergency situations.
• Educate staff, patients and/or families and to provide instruction on proper care and treatment in addition to best practices and adherence to certifying and regulatory standards of care.
• Maintain detailed records.
• Ability to establish and maintain positive, professional relationships.
• Computer literacy including use of email, Microsoft Word and Excel and Electronic Health Records.
• Ability to work holidays, weekends, and alternate shifts as needed to maintain required staffing levels.
• Communicate clearly and concisely, both verbally and in writing.
• Bilingual in Spanish preferred; or other languages desirable.
• Ability to work holidays, weekends, and alternate shifts as needed to maintain required staffing levels.
• Ability to research best practices and most current regulatory and certifying agency requirements in order to write program policies and processes.
• Commitment to HIPAA and ability to abide by standards of professional ethics and maintain confidentiality.
• Assist and support the Center/Department/Program to meet standards of High Reliability.
• Must be willing to successfully complete the credentialing process.

Essential Responsibilities

• Trains nursing staff, interns, volunteers and new hires in nursing duties, policies and processes.

• Oversees nursing functions and compliance with established guidelines, protocol and best practices.

• Performs RN duties for patients needing crisis receiving services, including preparing rooms, rooming patients, taking medical histories, recording vital signs, taking temperatures, completing assessments, and performing venipuncture and immunizations as authorized and needed.

• Provides education and oversight to ensure best practices in client care and adherence to certifying and regulatory standards are met by all nursing staff.

• Follows standardized CRBH policies and protocols for patient treatments and conditions such as medication management, nebulizer treatments, glucose monitoring, hemoglobin finger sticks.

• Remains actively involved in recruiting, interviewing and hiring all nursing staff.

• Provides education and best practice updates at all staff meeting and during in-services.

• Assesses and develops strategies to address knowledge and skill gaps of nursing staff.

• Provides adequate orientation, professional opportunities and study time to remediate gaps in necessary knowledge skill by coordinating with nursing supervisor.

• Writes CRBH policies and processes using best practice standards.

• Provides useful feedback and confronts and develops a plan with nursing staff to remediate gaps in necessary knowledge in coordination with nursing supervisor.

• Builds confidence and skills of nursing staff.

• Provides input for evaluation and administrative data of nursing staff including annual leave, annual review, disciplinary action, etc.

• Utilizes agency policies and procedure or develops needed policy and procedure to guide implementation including adherence to Joint Commission and other agency standards.

• Audits and ensure timely and accurate data input and utilization of the electronic medical record and practice management system.

• Ensures implementation of quality improvement strategies.

• Provides routine surveillance of potential client care and compliance issues.

• Assists in implementing agency outcomes and interventions.

• Maintains relationships based on trust, support and growth with team colleagues and community members.

• Ensures nursing staff utilizes professional principles and concepts of motivational interviewing, coaching and reflective practice to model therapeutic relationships, client centered care and solution focused approaches.

• Provides regular case conferences with CRBH Director and Deputy Chief of CRISIS Programs and conducts team meetings with nursing staff.

• Reviews patient electronic health records and medical charts.

• Encourages client and staff general wellbeing through health promotion.

• Refers patients to higher level of care and specialists.

• Keeps accurate records for reporting to various funding and inspecting agencies.

• Monitors nursing staff practices for adherence to Joint Commission standards and adherence.

• Other duties as assigned.

Benefits

Successful candidate will receive regionally competitive salary, above average health benefits at reduced costs, company paid life insurance & long-term disability insurance, additional voluntary retirement plan with company match and no vesting schedule requirement.

• Paid bereavement and jury duty leave
• 11 paid holidays per year
• Paid time off
• Paid sick leave
• Flexible Spending Program
• Company paid malpractice insurance for all providers
• Professional development hours offered annually

Physical Demands and Work Environment

The work environment is characteristic of a medical clinic environment.  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands to handle, or feel.  The employee is also required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.   The employee must also possess hearing and speech to communicate in person and over the phone.  The noise level in the work environment is usually quiet.

The employee may be in contact with individuals and families in crisis who may be ill, using substances and/or not attentive to personal health and safety for themselves or their homes. The employee may experience a number of unpleasant sensory demands associated with the client’s use of alcohol and drugs, and the lack of personal care.  The employee may also be exposed to bodily fluids (blood, urine) and hazardous chemicals.

WellSpace Health is committed to the principals of equal employment.  We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.  It is the intent of WellSpace Health to maintain a work environment free of harassment, discrimination, or retaliation because of age, race, religious creed, color, national origin, ancestry, physical disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding and/or related medical conditions), gender, gender identity, gender expression, sexual orientation, military or veteran status, or any other status protected by federal, state or local laws.  WellSpace Health is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WellSpace Health is an Equal Opportunity Employer