Advanced Practice RN I Job at Health & Human Services Comm
The San Antonio State Supported Living Center (SSLC) is seeking a Psychiatric Advanced Practice RN to join an interdisciplinary team of professionals to provide clinical care to residents of the SSLC. As a State Supported Living Psychiatric Advanced Practice RN, you will work at the SSLC campus with a dynamic group of staff and professionals who are dedicated to providing supports and services for individuals with intellectual and developmental disabilities. This is a team environment where staff clinicians collaborate to provide comprehensive care and services. To learn more about the SSLCs, see https://hhs.texas.gov/services/disability/intellectual-or-developmental-disabilities/state-supported-living-centers-sslcs/learn-about-our-state-supported-living-centers#abilene-state-supported-living-center
The most important characteristic about State Supported Living Center employees is that we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. Our vision statement is “Individuals served at State Supported Living Centers will experience the highest quality of life, supported through a comprehensive array of services designed to maximize well-being, dignity, and respect.”
The state of Texas offers many benefits to employees, including competitive salaries, career advancement, health and dental insurance, and paid vacation and sick leave.
The Psychiatric Advanced Practice RN performs highly complex psychiatric care under the clinical supervision of an assigned psychiatrist. Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications, to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals, in accordance with their scope of practice. Performs all other duties as assigned by the supervisor, including planning, assigning, and/or supervising the work of others. Works under the clinical and administrative supervision of the Medical Director and/or other delegating physician or psychiatrist with extensive latitude for the use of initiative and independent judgment. May also work collaboratively with physicians and psychiatrists via telemedicine.
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Operates within the scope of licensure to promote and maintain a therapeutic and safe psychiatric milieu. Provides acute and long-term psychiatric care to individuals, including daily assessment of the individual’s mental health status when warranted. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.
Prescribes medications, including antipsychotics, obtain timely medications consents, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a Medical Doctor (MD).
Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials and training expertise. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise
Provides comprehensive psychiatric care, which includes conducting at least quarterly psychiatric clinics and rounds. Conducts periodic reviews of hospitalized patients when on-call for evaluation of the reported change in status or condition of individuals under treatment
Provides psychiatric diagnosis and the review of the positive behavior support plan (PBSP) and/or psychiatric support plan (PSP), including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
Develops accurate and timely documentation, which includes annual summaries, use of chemical restraints and evaluating the correctness of assessments, and compliance with policies and procedures.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Must be a registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.
Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS OIG List of Excluded Individuals/Entities. Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center employees are subject to Random drug testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process.
COVID-19 Precaution(s):
Personal protective equipment required and provided
Temperature screenings
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Vaccines available for employees
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 66P/R/C, 290X, 46YX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at: http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx
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HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
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