Behavioral Health Nurse (BHN) Clinician/Case Manager- Jail & Court Based Services

This position supports the efforts of Diversion First. As a BHN, you’ll be a part of a team of diverse professionals helping individuals who have had contact with the criminal justice system transform their lives and achieve recovery.

We strive 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 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.

More information about CSB Services may be found at Fairfax-Falls Church Community Services Board Community Services Board (fairfaxcounty.gov).

Jail Diversion Team
The Behavioral Health Nurse supports psychiatric providers with medication management, administer psychiatric injections, conduct risk evaluations, treatment planning, linking to community resources, and clinical assessment. Case management duties include community and office based, collaboration with community partners such as human services providers, criminal justice system partners, and healthcare providers. Provides services driven by client choice through collaborative, motivational, relationships in individualized treatment planning. Must maintain detailed documentation in an electronic health record meeting state, local and federal performance contract, and licensing expectations.  Must have strong organizational and time management skills; and strong clinical skills and abilities.

This position is both office-based and in the community.

Here are some of additional benefits CSB employees enjoy:

• The CSB provides clinical supervision for employees who are registered as licensed eligible mental health in one of the following areas: Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Clinical Psychologist, Licensed Marriage and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Licensed Nurse Practitioner.
• In addition, to recognize and reinforce the importance of professional development and enhance future recruitment of licensed professionals, if approved, the licensure supervisors will receive a stipend of $1,500 paid out biweekly over a 12-month period whether for one or more Department of Health licensure candidates.
• License/Certification Reimbursement - Reimbursement for job related licenses and/or certifications once per year.

(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;
• Research 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 technical and complex nursing procedures (e.g., injections, venipuncture, blood pressure screening, STD check, tube feeding, nebulizations), administer treatments and medications, and use medical equipment in delivering services to clients;
• 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 for “Any combination, experience, and training equivalent to”)
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.
• Driver's License (Required)
• Qualified Mental Health Professional QMHP-T (Trainee) within 1 month of hire and QMHP within 1 year of hire.
• CPR/First Aid-Required within 3 months

NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, a 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.)

PREFERRED QUALIFICATIONS: 

• At least one year of experience providing behavioral health services in community settings.
• Experience working within the criminal justice system (ex: courts, jail, probation).
• Registered Nurse experience with psychiatry, substance abuse, or intellectual disability populations.
• Experience with, and ability to, interpret and follow work processes and procedures; work well with other service agencies; and work well in a team environment.
• Experience administering long-acting psychotropic injections.

PHYSICAL REQUIREMENTS: 

• The Adult Detention Center (ADC) is not barrier free.
• Must be able to walk significant distances within multiple buildings, climb stairs and respond to physical requirements necessary to comply with security and safety regulations.
• Ability to attend offsite, in-person meetings and trainings.
• Ability to drive and travel to numerous locations, including some travel within the Commonwealth of Virginia.
• Ability to use keyboard driven equipment.
• Communicate effectively orally and in writing and observe, process, and document clinical information.
• Communicate with clients and staff in a timely courteous and effective manner, observe and report on client appearance, mental status, medical status, and behavior.
• Lift and transport up to 25 lbs; tactile and auditory ability to perform blood pressure and pulse.
• Must be able to access, input, and retrieve computer data.
• 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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