CSCD JTC RN

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Full Time Lancaster, TX, US

30+ days ago Requisition

Salary: $80,000.00 Annually

Job Summary:

Delivering nursing services, such as conducting comprehensive assessments, taking vitals, interviewing prospective clients, and completing client admission forms and medical history. Responsible for coordinating nursing processes and auditing medical records for accuracy. Responsible for knowing intake and medical policies and procedures, and assures adherence to the same. Acts as liaison with physicians, psychiatrists and other medical professionals to assure appropriate care.

Duties & Responsibilities:

May assist the medical supervisor with Interviewing and overseeing the training and development of staff. Ensures compliance with established personnel policies and achievement of objectives for professional growth and development of staff.

Documents and charts client assessment data, medical needs, scheduled appointments, treatment plan, and so forth; transcribes physician orders. Audits medical charts to review comprehensive assessments. Ensures accuracy of diagnosis and care is appropriate to meet clients’ treatment and medical needs. Ensures records meet contractual requirements and comply with all local, state and federal laws. Identifies and resolves discrepancies. Maintains confidentiality of records in accordance with established policies and procedures.

Assists medical consultants by setting up room and supplies for scheduled procedure, explaining procedure to clients and eliciting their cooperation, passing instruments and supplies, accepting and labeling specimens. Also reports client observations, evaluations of medical problems and potential barriers to achieving functional state of health to support recovery.

Serves as professional resource to other nursing staff in evaluating unusually complex cases and devising appropriate treatment responses.

Assists in the development and implementation of policies and procedures related to medical services. Interprets and enforces CSCD’s overall objectives, as well as funding agencies policies and procedures; advises and assures adherence to same.

Assists in conducting initial health screenings and assessment of clients’ condition, and contributes information to aid in planning and evaluating care to meet identified medical needs.

Responsible for client medical case management which includes determining developmentally appropriate referral sources for clients requiring further medical, dental, or psychiatric diagnoses or treatment, and scheduling appointments; coordinating client transportation to scheduled appointments; conducting follow-up to ensure successful implementation of care plan and completion of necessary exams, tests and treatments; evaluating client response to treatments; instructing clients in self-care; and completing discharge plan summaries.

Performs triage of clients presenting symptoms, and performs both complex and routine treatments as prescribed by physician or as warranted by assessed condition, in accordance with established protocols. Refers more complex injuries or illnesses to appropriate health care professionals.

Administers or supervises client self-administration of medications as prescribed by physician. Monitors clients for reactions, side effects, or contraindications; and confers as necessary with physician or pharmacist on withholding or continuing medications. Contacts pharmacy to order prescribed medications. Dispenses nonprescription medications as necessary and appropriate.

Conducts educational classes and seminars for clients and staff…