Nurse (3.7 Services)

Description

POSITION SUMMARY

The Residential 3.7 (Wolfpack) Nurse works with highly vulnerable patients in our 3.7 residential level of care (Wolfpack Program). The Wolfpack Nurse provides direct care to patients with substance use disorders who also have significant medical or psychiatric conditions. Specific duties include daily check-ins, lab draws, administering injections (such as LAI buprenorphine and LAI psychiatric medications) and care coordination with both internal and external treatment teams, including primary care, specialty medical care, and social service supports. The Wolfpack Nurse joins a dynamic, multi-disciplinary team that includes case managers, addictions counselors, PMHNPs, physicians, withdrawal management nurses and peers, who work together to deliver compassionate, person-focused, best practice care to patients with substance use disorders. The team’s philosophy is rooted in cultivating kindness, harm reduction and trauma-informed care.

Schedule:
Four 10 hour shifts, including one weekend shift.

SPECIFIC DUTIES

• Collaborate with admissions department and medical providers on review of referrals to 3.7 Wolfpack program 
• Collaborate with referral partners and Fora admissions team to ensure efficient and smooth entry into the program
• Perform initial medical intakes for new admissions for review by medical provider. Intakes include documentation of medical history, current medical symptoms & concerns, and medication reconciliation
• Orient new patients to the 3.7 Wolfpack program and collaborate with Wolfpack care coordinator to conduct case management needs assessment
• Implement medical treatment plan, including facilitation of medical groups, health education, lab draws, administering medications, administering injections, providing wound care, nursing assessments, and transition plans
• Facilitate internal care coordination meetings
• Coordinate with outside case managers, hospital staff, PCPs, medical specialists and MH providers, including collection of medical records and direct communication.
• Arrange and assist patients in following through with referrals to other appropriate resources to meet medical needs.
• Complete accurate and timely documentation in patient charts. 
• Support safe and timely administration of residential patient medications via pharmacy coordination, medication audit, and communication with residential staff. 
• As needed, support coverage of other Fora Medical programs, including withdrawal management and outpatient injections of long-acting medications for substance use disorders (vivitrol, brixadi, sublocade) 
• Provide support for on-call needs related to the residential program, including responding to after-hours phone inquiries regarding patient medications and medical concerns
• Prepares timely and accurate incident reports
• Perform additional duties as assigned

ADDITIONAL JOB RESPONSIBILITIES

• Attend staff meetings as scheduled.
• Additional trainings to be completed as assigned in a timely manner.
• Special projects and other duties as assigned.
• Participate in ongoing supervision and consultation.
• Provide leadership to the nursing assistant staff in such a way that the work environment supports and encourages the values of the agency: honesty, empathy, respect, inclusion, and unity.
• Maintain quality treatment services that are responsive to client needs and reflect best practices.
• Establish a therapeutic environment in which staff works together so that clients' needs, individual circumstances, and culture determine the optimal clinical approach.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to Fora policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
• Perform related tasks as assigned.

Requirements

QUALIFICATIONS

EDUCATION AND EXPERIENCE REQUIRED

• Must have graduated with an Associates of Nursing (LPN) or a Bachelor of Science in Nursing (BSN)
• Must have an active nursing license or be able to obtain one within 8 weeks of hire through the Oregon State Board of Nursing
• Basic Life Support (BLS) certification 

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

• Proficient in Microsoft Office Suite esp. Outlook, Excel and Word
• Detail-oriented and organized
• Solid patient care experience is required. 
• Demonstrated effectiveness in presenting ideas, transmitting information, or convey concepts to individuals or groups of people of varying educational, cultural and experiential levels.
• Ability to maintain professional boundaries with patients, the community, and other staff members.
• Ability to work collaboratively with patients, other treatment program staff, team members, and to treat everyone with respect and dignity at all times.
• Written and organizational skills to complete all required documentation.
• Communicates information effectively in writing and verbally
• Strong organizational skills and attention to detail
• Displays initiative and problem-solving skills
• Basic knowledge of substance-use disorders
• Marked ability to demonstrate and utilize self-awareness
• Ability to work in a fast-paced environment, managing multiple priorities and providing compassionate care. 
• Have an understanding of legal and ethical considerations related to substance abuse treatment and patient care. 

OTHER REQUIREMENTS

• For employees with a history of a substance use disorder, Fora Health’s policy requires certification of a minimum of two years’ sobriety.
• Ability to pass a pre-employment or for cause drug tests.
• Ability to pass DHS criminal background.
• Documentation of Tuberculin test and/or evaluation with negative results or evidence of non-communicability.
• Position will require some amount of regular connection to work via cell phone to answer questions and respond to internal and external contacts.

WORKING CONDITIONS

• Prolonged use of computer
• Position may require on-call availability as nurses may be scheduled for stand-by shifts.
• Occasional after-hours phone availability may be required to respond to medication-related questions or urgent medical issues
• Position generally works in an indoor environment with infrequent travel between sites or to special events.
• Possible exposure to communicable diseases which can encompass a variety of illnesses and infections, including COVID, tuberculosis, Hepatitis A, B, and C, and HIV.
• Possible exposure to upset, angry, severely traumatized, disabled or emotionally disturbed adults, adolescents, and families.
• Exposure to potentially hazardous cleaning chemicals, personal protective equipment provided. 
• Fast paced, high volume work environment.