RN Care Manager Homeless Outreach Team

The RN Case Manager delivers integrated nursing and case management services for individuals with behavioral health, substance use, and medical needs. This role provides assessments, direct nursing care, care coordination, and health education while collaborating with interdisciplinary teams and community providers to support continuity of care, recovery, and improved health outcomes.

POSITION SPECIFIC

DUTIES & RESPONSIBILITIES:

* Provide professional nursing care to individuals with serious mental illness, substance use disorders, and co-occurring conditions.

* Conduct and document nursing assessments.

* Administer and monitor prescribed medications in accordance with provider orders.

* Support health promotion and disease management by providing nursing education related to behavioral health conditions, physical health comorbidities, medications, relapse prevention, and wellness activities within the RN scope of practice.

* Coordinate nursing care and services with treatment team to promote continuity of care and safe treatment transitions.

* Provide nursing follow-up after hospital or emergency department utilization.

* Monitor client engagement, service utilization, and adherence to treatment plans and clinical guidelines, identifying changes in condition or risk and escalating per protocol.

* Apply evidence based and trauma informed nursing principles in the care of individuals.

* Provide nursing crisis intervention.

* Engage clients and, with appropriate consent, families or designated supports in nursing education, care coordination, and reinforcement of provider directed treatment plans.

* Accompany clients to medical or behavioral health appointments as needed to provide nursing support, education, and advocacy within the RN role.

* Assist clients in accessing community based resources to support stabilization, recovery, and whole person wellness.

* Maintain documentation of nursing assessments, interventions, medication administration, client responses, and coordination activities in compliance with organizational policy, OBN standards, and applicable regulations.

* Participate in quality improvement, utilization review, and outcome monitoring activities,  to support program effectiveness and compliance.

QUALIFICATIONS

education:

* Bachelor's Degree in Nursing (BSN) Preferred

* Associate's Degree in Nursing (ADN) Required.

EXPERIENCE:

* ADNprepared nurses must have a minimum of thirty-six (36) months of professional nursing experience in behavioral health and/or substance use disorder treatment.

* BSNprepared nurses preferred to have a minimum of six (6) months of professional nursing experience in behavioral health and/or substance use disorder treatment

PERFORMANCE

COMPETENCIES:

* Communication

* Decision Making

* Engagement

* Initiative and Accountability

* Interpersonal

* Learning

* Organizational Alignment

* Quality of Work

KNOWLEDGE/SKILLS/ABILITIES:

* Adaptability:
The ability to adjust to changing priorities, unexpected situations, and new challenges while remaining productive and effective.

* Interpersonal

Skills:

The ability to establish and maintain professional relationships with clients, families, caregivers, colleagues, and community partners.

* Initiative:
The ability to work independently with limited supervision and produce results in a timely, accurate and meaningful manner.

* Cooperation:
The ability to work effectively with others is important for successful multidisciplinary teamwork. This includes the ability to work cooperatively, to contribute positively to group dynamics, and to share knowledge and resources.

* Critical Thinking:
The ability to solve complex problems and make informed decisions by objectively assessing information, evaluating available resources, considering multiple perspectives, and applying sound judgment.

* Detail Oriented:  The ability to consistently review and verify information for accuracy, detect errors, and take steps to correct them.  This quality is essential for producing high-quality work and ensuring tasks are executed with precision and completeness.

* Autonomy:
Having the self-discipline to initiate and prioritize work, remain self-motivated, manage time…