Definition and Class Characteristics Tired of the intensity of acute care nursing? Looking for regular hours in a welcoming and inclusive environment? Join our team of dedicated professionals who are committed to improving the lives of vulnerable community members. This position is located in the beautiful Sierra Nevada foothills, known for our beautiful lakes, rivers, and mountains as well as abundant outdoor recreation opportunities. The Nevada County Behavioral Health Department is seeking a Registered Nurse I or II, or a Behavioral Health Nurse I or II, to work as part of a clinical team including a supervisor, psychiatrist, case manager, therapist, and another nurse. This individual provides support for medication refills, nursing assessments, assisting psychiatrists in daily duties, and coordinating services within the clinical team, with primary care and other agencies. We have a friendly, nurturing work environment, and we enjoy the privilege of serving individuals with serious mental illness. The work is always interesting and provides opportunities for collaborative, creative problem solving. We seek individuals who are not only caring, but also bring a sense of humor and fun at the right time.
Behavioral Health Nurse I is the entry level class in this series where incumbents develop skills in medication support and quality management standards and techniques. Under general supervision, a BH Nurse I may administer oral and/or injectable medications, observe and record client response to medication, and provide medication education. Behavioral Health Nurse II
is the journey level class in this series, where incumbents perform the full range of duties as well as performing behavioral health nursing with a high degree of professional skill, exercising independent judgment related to behavioral health nursing activities, coordinating behavioral health education activities, and auditing records for compliance with application regulations.
This position is full-time and fully benefited. The County of Nevada offers an extensive benefit package including, but not limited to, CalPERS retirement; medical, dental, vision, and life insurance; and an FSA. We also offer flexible schedules to our staff!
Why Nevada County? Our leadership values employee development and engagement, promotes open and transparent communication, sets us up to be a high-performing organization, and recognizes our contributions. Our leadership connects with the community, listens to them, and provides important programming to keep us safe and healthy.
We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided with reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Examples of Duties Essential:
Behavioral Health Nurse I:
Behavioral Health Nurse II (in addition to the above):
- Prepares and administers oral and/or injectable medications in accordance with a physician's order; monitors and records patient response to medication and documents any adverse reactions to medication; instructs clients/family/caregiver on safe and effective use of medications
- Audits medical records, department records and contract providers to assure compliance with Federal, State, Medi-Cal and Medicare standards
- Assists Quality Management Coordinator in training office staff and clinicians in Medi-Cal/Medicare documentation standards; reviews and monitors non-compliant medical records
- Takes increased responsibility in the development of community organizations and planning for behavioral health services with community groups
- Appraises community behavioral health needs, and resources for interpretation to administrative and planning groups; understands, interprets and utilizes community resources
- Participates in community health educational activities as a speaker, resource person or a health committee member
- Participates in orientation, teaching and supervision of behavioral health nurses
Knowledge and Skills Required NOTE: The required level and scope of the following knowledge and skills relate to the level of the position as defined in the class characteristics.
• Principles and practices of general and psychiatric nursing as defined by the State of California licensing requirements
• Federal, State and local laws and regulations governing behavioral health/ drug/alcohol documentation requirements
• Quality assurance/improvement standards and risk management requirements
• Automated medical record requirements
• Techniques and methods used in crisis intervention with behaviorally ill clients and/or families
• Methods used to communicate with behaviorally ill individuals
• Medical and psychiatric terminology
• First aid methods and procedures
• Thorough knowledge of medicines, narcotics and psychotropic drugs used in the treatment of behaviorally ill
• Principles of management, supervision and training
• Reviewing and evaluating medical records to determine compliance with Medi-Cal, Medicare, State and Federal requirements
• Training clinicians on auditing requirements
• Providing clear and concise documentation in reports, correspondence and other written materials
• Exercising sound independent judgement within established guidelines
• Working effectively with individuals and families to assist them in obtaining satisfactory outcomes of health problems
• Establishing and maintaining cooperative effective working relationships with those contacted in the course of work
• Administering oral and/or injectable medications and observing, monitoring and recording response to therapy and any adverse effects
• Conducting clinical assessments and evaluations and effectively communicating results to medical staff
• Operating computer programs including word processing, data base and spreadsheets
• Operating office equipment including copy machine, fax and typewriter
Education and Experience Required Behavioral Health Nurse I:
Equivalent to Bachelor's degree from an accredited college or university in nursing or related field and one year of experience under qualified supervision in a behavioral health program. Quality management experience is preferred. Behavioral Health Nurse II (in addition to the above):
Two years of experience in a behavioral health program and one year of experience working with quality management standards and regulations.
Licenses and Certificates: Possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing.
Possession of a valid driver's license within 30 days of hire.
Physical Demands and Working Conditions: Mobility to work in a standard office environment, use standard office equipment and attend off-site meetings, and to bend, reach, and grasp; strength to lift, carry and position supplies and equipment; manual dexterity and sense of touch to conduct physical health assessments and give injections; vision to read handwritten and printed materials and a computer screen and to examine and observe patients; hearing and speech to communicate in person and by telephone.
Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.
Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive. Not all duties are necessarily performed by each incumbent. Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.Closing Date/Time: Continuous