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The Richmond Behavioral Health Authority is seeking a talented and compassioniate Lead Registered Nurse to join our Medication Assisted Opioid Treatment Program. Performs complex professional and advanced human support work in the care and treatment of patients in a public health program, planning, organizing and supervising the daily operation of medication management as a part of a team that includes the prescriber, pharmacist, other nursing staff, counselors, case managers and peers recovery specialists. Performs administrative work administering medications, providing medical assessments, ordering medications, managing medication administration records, drawing blood, managing urine screens, documenting activities, attending clinical staffing and training meetings, and related work as apparent or assigned. Performs intermediate professional work assessing client needs, developing, implementing and monitoring service delivery and assistance plans, coordinating and monitoring services with other agencies, counseling and assisting clients, maintaining records and files, preparing reports, and related work as apparent or assigned. Work is performed under the supervision of the Program Manager and Medical Director.
Essential Functions
Leads oversight of all nursing duties in the medication assisted opioid treatment program.
Assists the prescriber in conducting physical and mental assessments of patients; monitors and documents patient symptoms.
Triages patient appointments with prescriber.
Provides education to patients about the impact of opioid addiction on physical health, and monitor related medical conditions such as TB, HepC , HIV/AIDS and STDs, working with case management and counseling staff to refer patients to medical care resources.
In consultation with the pharmacist, provides education to patients about potential drug interactions.
Obtains physician orders; orders medications; collaborates with pharmacy; transcribes orders. Assists with acquiring pre-authorizations of medication refills per pharmacy/insurance request.
Administers medications both intramuscularly and orally.
Completes medically-related assessments including taking vital signs.
Draws blood and performs urine drug screens; labels specimens via computer printout; administers and interprets TB tests; processes gel top blood tubes via centrifuge; assists, monitors and tracks lab results.
Assesses patient service needs, capabilities and appropriateness for services; presents options and services based upon a needs assessment.
Maintains thorough documentation of daily activities including nursing, treatment services, crisis intervention, case management, reimbursement, and productivity statistics.
Attends and participates in staff meetings as required.
Coordinates, schedules and ensures appropriate level of nursing services to patients to include monitoring, administration and documentation of injections, vena punctures and other nursing services; collaborates with treatment providers.
Provides clinical and administrative supervision to Pharmacy nurses.
Conducts quality audits on medical records of patients, including electronic database used to record methadone dosing, and trains nursing staff to address deficiencies.
Monitors nursing interactions in Pharmacy and provides training in conjunction with Pharmacy and Clinical staff.
Responds to medical emergency situations, including the administration of naloxone to reverse opioid overdose, and calls emergency medical services for consumers and staff when warranted.
Maintains inventory of medical supplies, including coordinating with Pharmacy to order take-home bottles and other stock supplies with the approval of the Program Manager.
Provides care coordination services to patients as necessary.
Attends professional conferences and trainings as required.
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