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Registered Nurse in Knoxville, IA at Resources For Human Development, Inc.

Date Posted: 1/2/2019

Job Snapshot

  • Employee Type:
  • Location:
    Knoxville, IA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Position Summary
The Assertive Community Treatment (ACT) Registered Nurse provides the medical and psychiatric assessment and direct care as appropriate to state laws and as prescribed by a licensed physician. These services are designed for the consumers diagnosed with a serious and persistent mental illness and having met the criteria for participation in the ACT program.
These responsibilities of the nurse on the ACT team include: initial nursing assessment of the medical and psychiatric status of the consumers, collaboration with the physician, instruction regarding disease process, medication, symptom management and activities and interventions to enhance well-being. In addition, the Registered Nurse will assume an active role in the team process designed to maximize collaborative efforts.
The CROSS MHDS ACT program will have an office in Knoxville Iowa, and a satellite location in Leon Iowa. The ACT program will support participants residing through the seven counties of the CROSS MHDS Region. This position will also support the operation of the program on a rotating on-call, evening, and weekend schedule
Essential Duties and Functions
             Implement, maintain, and coordinate the medical treatment for ACT consumers.
             Perform medical functions regarding basic health, medical assessment and education.
             Complete initial and annual Health Assessments.
             Obtain physician's orders for prescription(s) for consumers and get them filled:
             Ensure medication order sheets are signed by the staff medical provider.
             Record injection medication on the mediation administration record.
             Inform team members of any needs consumers have for medication or laboratory work.
             Provide locked security for medications and set aside a private designated area for set up of medications.
             Administer medications and provide injections to consumers as directed by doctor
             Check consumer medication trays and fill them as needed
             Provide services at times and locations convenient to consumers.
             Provide on-call, after-hour support to consumers as scheduled.
             Provide face-to-face services in the consumer's home, in public places, wherever necessary.
             Make contact with consumer within 5 business days of receiving a referral.
             Ensure consumers have access to and utilize the ACT after-hours on-call staff for emergencies or after-hour support.
             Provide on-call coverage as part of staff rotation.
             Provide medical education to consumers.
             Maintain confidentiality for consumers.
             Provide transportation to medical appointments or other agency events.
             Crisis intervention.
             Provide assistance with family (in home family education and relationship building)
             Utilize Motivational Enhancement Therapy (MET) and Stages of Change techniques to engage and provide services to consumers.
             Utilize recovery-based, person-centered treatment approaches and harm reduction strategies with consumers.
             Assume lead roles with designated consumers.  Develop, coordinate, and implement          treatment, rehabilitation, and support services for these cases.
             Provide relapse prevention training and on-going education as outlined in the treatment plan of consumers.
             Provide assertive outreach when necessary to engage consumers.
             Assure continuity of care when consumer is in the hospital, jail, respite, etc.
             Actively participate in the engagement of new clients into the ACT program many of whom are transitioning from a residential, or inpatient acute level of care.
             Engage in collateral consultation and service coordination planning meetings.
             Submit accurate and on-time chart documentation and reports.
             Submit accurate and on-time mileage reimbursement documentation.
             Document telephone and face-to-face contacts with consumers.
             Document all collateral contacts and community-based activities.
             Perform quarterly self-audits of all nurse and psychiatrist documentation to ensure accuracy.
             Maintain up-to-date consumer charts, statistical forms; and other information and documentation as required.
  1. Must be a Licensed Registered Nurse
  2. The ability to make ethical clinical decisions in demanding situations
  3. The ability to interact professionally with clients, their families and other professionals
  4. Organizational skills; ability to complete documentation timely and accurately
  5. Experience required: 3-5 years working with persons with severe mental illness and substance use/abuse issues


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