Director of Nursing - Addiction Treatment

The Director of Nursing is responsible and accountable for providing professional nursing care to clients. Directs, plans, coordinates, monitors, and supervises the effective and efficient use of the operations of nursing and the safe delivery of behavioral health/nursing services with a positive, empathetic, and professional attitude. Ensures the development, implementation, and evaluation of policies, programs, and services consistent with the facility’s strategic goals and objectives.

Essential Duties:

·       Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and client centered care. Manages the daily operations of nursing services.

·       Develops, maintains, and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations.

·       Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues, or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of client acuity/care needed.

·       Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing.

·       Makes nursing diagnosis of the medical and emotional status of clients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Provides overall supervision of client assessments and care plans. Coordinates nursing services with all other departments.

·       Participates in daily or weekly management team meetings to discuss client’s status, identify indicators for reassessment of client’s condition, reaction/responsiveness, and involvement of other disciplines. Discusses census changes, client or staff complaints or concerns.

·       Establishes, implements, and monitors the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections.

·       Collaborates with interdisciplinary treatment teams, other departments, and administration to ensure that all client’s physical, biopsychosocial, age, developmental and cultural needs are met.

·       Develops and implements health care related training that assures the best possible delivery of health-related supports and services.

·       Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development.

·       Maintains adequate and appropriate inventory of supplies and equipment for the provision of client services.

·       Oversees the maintenance of client clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.

·       Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance.

·       Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey.

·       Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/client safety issues in conjunction with Risk Management.

·       Assists with direct care as needed.

·       Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion.

This job description is not intended to be all-inclusive.

Employee may perform other related duties to meet the ongoing needs of the hospital.

Requirements

Education and/or Licensure – RN licensed by the Texas State Board of Nursing.  

Experience – At least two year’s supervisory experience, preferably in a detox unit and/or inpatient, partial hospitalization and/or outpatient setting preferred.

Additional Requirements – Must obtain and maintain approved CPR certification, de-escalation training, and ASAM training.

Knowledge Skills and Abilities

·       Detoxification proficiency: identify signs of withdrawal; understand observation and monitoring procedures; understand pregnancy related complications; execute the transfer process including understanding potential complications; execute appropriate interventions; and understand frequently used medications, including their purpose, precautions, and side effects.

·       Have the training, knowledge, and/or experience demonstrating competence in the treatment of the disease of addiction, including the management of withdrawal, client evaluation, motivational counseling techniques, and the taking and recording of vital signs.

·       Can work independently while being a team player.

·       Possess the skills to network with all resources to provide the best customer service with clients or family members seeking help.

·       The ability to ensure a safe and clean working environment complying with Oregon OSHA, Plum Creek Recovery Ranch, and the RN Scope of Practice.

·       Excellent customer service skills to handle continuous customer contact with the public, including citizens who may be ill or injured, upset, and/or distraught, requiring the utmost patience, tact, and discretion.   

·       Ability to exercise sound judgment and good problem-solving skills in pressure situations.   

·       Ability to communicate clearly and concisely with co-workers and the public.

·       Administers medications and monitoring. Takes verbal orders from the Director of Nursing, documents them in the patient record and carries them out accurately and professionally. 

·       Good vision to read documents and view information output from medical equipment.

·       Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word, and Excel.

·       Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.

·       Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups.

·       Well-developed verbal and written communication skills in English; Additional language abilities desirable. Ability to work well under pressure with minimal supervision.

·       Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization

·       Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.

·       Maintains a cooperative and positive attitude and approach with patients, family members, staff and visitors.

·       Ability to successfully manage conflict, negotiating “win-win” solutions.

·       Must be able to multi-task, prioritize with strong time management skills.

·       Exceptional follow through on tasks and assignments

Physical Requirements/Environmental Conditions

Perform the following with or without reasonable accommodations:

·       Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips. 

·       Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.

·       Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound. 

·       Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects. 

·       Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze.

·       Must be able to work and concentrate amidst distractions such as noise, conversation, and foot traffic; ability to handle interruptions often and be able to move from one task to another

·       While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.

Benefits

• Health Insurance
• Vision Insurance
• Dental Insurance
• 401K Retirement Plan
• Healthcare Spending Account
• Dependent Care Spending Account
• PTO Plan with Holiday Premium Pay
• Life Insurance (Supplemental Life, Term, and Universal plans are also available.)
• Short and Long-Term Disability (with additional buy-in opportunities)