Registered Nurse (RN) Job at The Center for Health Care Services (San Antonio)
The Center for Health Care Services (San Antonio) San Antonio, TX 78213
GENERAL SUMMARY
The Registered Nurse provides professional nursing services for consumers, assists with laboratory, EKGs and other medical treatments, psychosocial, makes assignments to LVN and unlicensed staff. Maintains pharmaceutical oversight of medication samples, and completes associated documentation for the consumer and program and must be capable of providing psychiatric emergency services.
ESSENTIAL DUTIES & RESPONSIBILITIES
Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position.
· Administers injections, draws labs, and completes applications for clients as needed.
· Aids in the Utilization Management function as needed by collecting, reviewing, and authorizing Medicaid and non-Medicaid covered emergency Mental Health hospitalization for consumers throughout the Center's system.
· Assist with laboratory collection, EKGs, and other medical treatments/interventions appropriately, taking initial health history on new patients.
· Collaborates and communicates with law enforcement, outpatient clinic, hospitals, and other providers.
· Conforms to the Texas Nurse II Practice Act and the Board's rules and regulations as well as all Federal, State, and local laws, rules, or regulations affecting the RN's current area of nursing practice.
· Coordinates medication distribution with the Center's pharmacy contract, maintains accurate account of stock medications, controlled substances and consumer medications as needed.
· Coordinates with case managers as need regarding client care as needed.
· Educates consumers on health related topics and responds to questions or concerns.
· Examines patients in preparation for visit with prescriber as needed.
· Maintain pharmaceutical oversight of medication samples for specified units participating in the program through assigned unit level staff.
· Makes nursing care assignments to LVN and unlicensed observation staff of various skill levels, instructing and supervising staff as needed.
· Participate in multi-disciplinary quality assurance program to evaluate and ensure staff proficiency, quality of patient care, error reporting, environmental safety, and comprehensive documentation.
· Provide professional goal-directed nursing care to individuals by performing nursing assessments regarding the health status of the client, completing nursing diagnosis, developing a plan of care in conjunction with the case managers, evaluating consumer's responses to nursing interventions.
· Provides comprehensive nursing care for acutely and/or critically ill patients whose conditions warrant expert and complicated treatment.
· Performs other related duties as required.
MINIMUM ENTRANCE QUALIFICATIONS
Education and Experience
· Associate's Degree in Nursing
· Two (2) years of nursing experience, with at least one (1) year in psychiatric, mental health/intellectual disability or substance abuse setting
Licenses or Certifications
· Current Registered Nurse Certification to practice in the State of Texas
Other Requirements
· Must maintain a valid driver’s license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company’s auto insurance carrier if you drive your vehicle during company business
· Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies
· Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
COVID-19 Mandate Requirements
Unvaccinated Staff options:
a. Get Vaccinated per the CMS Mandate.
b. Have a medical/religious exemption. Unvaccinated staff will need to test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
c. Consumer facing staff DO NOT have the option to be unvaccinated without an exemption.
d. If the position is not consumer facing, staff members may continue to be unvaccinated, without an exemption and test once a week at the employee’s own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
Vaccinated Staff options:
a. For employees who are vaccinated and consumer facing, we are continuing to require wearing an N95 mask.
b. For all other vaccinated employees, we are requiring a cloth, surgical or N95 mask be worn in all shared spaces.
c. Vaccinated employees may only go unmasked if in a single occupancy office.
PREFERRED QUALIFICATIONS
· Bachelor’s Degree in Nursing (BSN)
· Bilingual (English/Spanish)
SUPERVISION
· Responsibility to supervise LVNs, Integrated Care Technician, Recovery Support Specialists, CMA’s, CNAs
COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES
Knowledge of:
· Applicable software applications (including Microsoft Office)
· CHCS nursing requirements and standards of practice
· Federal, State, and local laws, rules, or regulations affecting the current area of nursing practice
· Medical diagnosis and applicable medications
· Mental health nursing practices
· Modern office procedures, methods and computer equipment
· Phlebotomy
Skilled in:
· De-escalation and conflict resolution
· Organization and time management
· Performing a variety of duties, often changing from one task to another of a different nature
· Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios
Ability to:
· Accurately organize and maintain paper documents and electronic files
· Effectively communicate, both verbally and in writing
· Establish and maintain effective working relationships
· Maintain accurate and complete records
· Maintain the confidentiality of information and professional boundaries
· Meet schedules and deadlines of the work
· Monitor patients for adverse reactions to medications
· Respond to patient needs
· Understand and carry out oral and written directions
· Verify active order for labs and injections and confirm labs ordered
PHYSICAL DEMANDS
· Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
· Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care. The employee must be able to regularly lift and/or move up to 40 pounds and occasionally must lift and/or move up to 50 pounds. The employee must be able to occasionally transfer a consumer.
Job Type: Full-time
Pay: $29.90 - $45.15 per hour
Benefits:
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Free parking
- Health insurance
- Life insurance
- Loan forgiveness
- Paid time off
- Tuition reimbursement
- Vision insurance
Standard shift:
- Day shift
- Evening shift
- Night shift
- Overnight shift
Weekly schedule:
- 3x12
- Monday to Friday
- Weekend availability
Application Question(s):
- Have you ever been employed with the Center for Health Care Services?
- Are you open to working variable shifts?
- Are you open to working weekends?
Education:
- Associate (Required)
Experience:
- Nursing: 2 years (Required)
- in psychiatric, mental health, disability or substance: 1 year (Required)
License/Certification:
- RN Certification to practice in the State of Texas (Required)
Shift availability:
- Day Shift (Preferred)
- Night Shift (Preferred)
- Overnight Shift (Preferred)
Work Location: One location
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