Behavioral Health Nurse (BHN) Clinician/Case Manager

The Fairfax Falls Church Community Services board has an exciting opportunity to work with multidisciplinary team at the Fairfax Detoxification Center, in a community-based residential setting. 

This position provides integrated services addressing substance use and mental health disorders, as well as co-occurring primary care needs. Programming includes medical and clinically managed detoxification, case management, and referral services.

The nursing staff is responsible for clinical, medical, and primary care issues, including serving as a liaison to community resource pharmacies and community medical providers. This role provides clinical collaboration with physicians/medical staff and the mental health treatment team regarding medical support services to clients.

Key responsibilities include:

• Provides nursing assessment, outreach, support services, crisis intervention, education, COVID-19 testing, and life skills training to Fairfax County citizens who are seriously mentally ill or actively detoxing from substances and/or have co-occurring mental health and substance use disorders.
• Conducts and gathers relevant research information on medical services and educating program staff.
• Provides accurate and timely written documentation on clients and the program.
• Visually observes and assesses the physical and mental status of clients; monitors vital signs and behaviors.
• Administers medications, including PO medications and injections.
• Documents medication administration accurately in the electronic health records (EHR).

Qualified candidates will be committed to integrated, client-centered care for individuals with serious mental illness and substance use disorders.

The CSB strives to create a work environment that facilitates professional growth by broadening your skill base with extensive training and development, modeling best practices in employee relations, employee recognition programs and advancement opportunities along with providing a highly competitive wage and benefits package. Since 1969, the Fairfax-Falls Church Community Services Board has served individuals of all ages who have mental illness, substance use disorders, serious emotional and/or developmental disabilities. Our vision, aligned with the goals of One Fairfax, is that everyone in our community has the support needed to live a healthy, fulfilling life. Fairfax County is a dynamic and diverse community spanning over 400 square miles. With over 1.2 million residents, Fairfax County is the most populous jurisdiction in Virginia. Operating as part of Fairfax County government's human services system the CSB provides a wide array of services offering opportunities for career growth and advancement.

Position may be underfilled as a BHN Clinician/Case Manager in Residence; the underfill requirements are stated below in the Employment Standards section. 

Here are some of additional benefits CSB employees enjoy:

• Fairfax County is home to a highly diverse population, with a significant number of residents speaking languages other than English at home — including Spanish, Asian/Pacific Islander, Indo-European, and many others. We encourage candidates who are bilingual in English and another language to apply for this opportunity. A foreign language skills stipend of up to $1,600/year (full-time) may be given for qualified bi-lingual employees.
• License/Certification Reimbursement - Reimbursement for job related licenses and/or certifications once per year.
• To find out more about the benefits of working with Fairfax County Government, please visit the CSB Careers Page.
  
  

Note: To learn more about careers that make a difference, watch our video "CSB Celebrates 50th Anniversary of Providing Care."(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)

• Provides nursing services to clients, including administering injections, collecting vital signs, administering tests and interfacing with other nursing staff;
• Provides nursing support to psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness;
• Administers, schedules and coordinates medication clinics/medical services, including delivery of medication, monitoring medication room, and inventorying medications;
• Complies with state pharmacy guidelines in ordering, storage, and disposal of medications;
• Monitors client responses to psychobiological and nursing interventions, medications and other treatments;
• Performs quality assurance review;
• Performs physical/mental health assessments, including laboratory testing of new clients at intake and to clients on an ongoing basis as case manager;
• Monitors and assesses clients to identify contributing or co-occurring mental health issues;
• Monitors and assesses clients for risk of harm to self and/or others;
• Coordinates client plan of care to assure interventions are consistent, safe, timely and appropriate.
• Assess continuity of care and evaluates coordination of interventions by interdisciplinary team to ensure consistency with the plan of care;
• Provides nursing assistance and information to clients through the telephone "nurse of the day" service;
• Manages medical needs and urgent care needs of clients;
• Monitors and assesses medical status of clients in the process of detoxification;
• Develops a therapeutic relationship with clients, provides supportive counseling, psycho-education, and health teaching for both individuals and groups;
• Serves as case manager for clients for whom medication compliance is essential for remaining out of the hospital;
• Participates on inter-/intra-agency case management teams, providing nursing consultation and
• effective integration between clinical and psychopharmacology services; as well as primary care services;
• Documents assessments, treatment plans and quarterly reports on clinical status of clients;
• Plans, develops and leads group and individual psycho-education, health education and wellness programs;
• Provide teaching on disease, management strategies, emergency care and drug information when appropriate;
• Researches available community, private and government resources to support patient self management of disease, recovery and relapse prevention.

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)

• Knowledge of nursing standards, theories, principles, practices, methods, processes, and procedures;
• Knowledge of federal and state pharmacy and medication clinic regulations and guidelines;
• Knowledge of documentation, nursing diagnosis, and quality assurance;
• Knowledge of human growth and development, anatomy and physiology, pharmacology (e.g., side effects, contraindications), preventive medicine, epidemiology, and nutrition;
• Knowledge of psychiatric, psychological, and/or sociological terminology and concepts;
• Knowledge of substance use disorders and addiction signs and symptoms, assessment techniques, treatment interventions and approaches;
• Knowledge of available community resources for referral or the ability to rapidly acquire such knowledge;
• Ability to perform emergency treatment(s), with limited supervision, for life threatening conditions;
• Ability to manage a caseload;
• Ability to perform mental and physical health assessments and apply treatment approaches/modalities;
• Ability to assess and monitor the effects of medications;
• Ability to assess level of risk for harm to self or others;
• Ability to develop and implement treatment plans/programs for individuals and groups;
• Ability to work as case manager in a multi-disciplinary team;
• Ability to maintain effective working relationships with co-workers, public and private organizations, community groups, and the general public;
• Ability to communicate effectively, both orally and in writing;
• Ability to maintain records and prepare reports.

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following: (Click on the aforementioned link to learn how Fairfax County interprets equivalencies.)
Graduation from an accredited college or university with an associate degree in nursing; plus two years of post-licensure experience as a nurse.

CERTIFICATES AND LICENSURES REQUIRED:

• Possession of a current license to practice as a Registered Nurse in the Commonwealth of Virginia or a multistate licensure privilege to practice as a Registered Nurse in Virginia.
• CPR/First Aid (within 3 months of hire)
• Valid driver's license.

UNDERFILL REQUIREMENTS:  
This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S27, $80,776.80 - $141,359.50). The employment standards for the BHN Clinician/Case Manager in Residence is:

• Any combination of education, experience, and training equivalent to the following:   Graduation from an accredited college or university with an associate degree in nursing.

Click here to view the complete details and KSAs for the BHN Clinician/Case Manager in Residence. Upon completion of an underfill agreement (which will require that the employee meet the employment standards stated above in addition to obtaining competencies and licensures defined by the hiring agency) the employee will be elevated to the level of BHN Clinician/Case Manager.

NECESSARY SPECIAL REQUIREMENTS:

• The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, driving record check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter.
• This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies.)
• Licensed providers may not “opt out” of being a Medicare provider.   

PREFERRED QUALIFICATIONS:

• Extensive experience working with substance abuse and/or psychiatry nursing, medical/surgical.
• Experience with effectively communicating with diverse bilingual/multi-lingual populations.

PHYSICAL REQUIREMENTS:
Ability to provide nursing care/assistance to clients with varying needs. Ability to sit, walk, stand, bend and write as needed to complete duties of job. Ability to observe client's behavior/appearance and converse with coworkers. Ability to transport clients in county vehicle. All duties performed with or without reasonable accommodations.

SELECTION PROCEDURE: 
Panel Interview and may include a practical exercise.
 
Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.  

Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. TTY 703-222-7314. [email protected]. EEO/AA/TTY.

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