If you're a dedicated and compassionate Registered Nurse looking for a career opportunity that matches your passion, join our team at North Central Health Care as a Registered Nurse in our Behavioral Health Hospital in Wausau, WI. With competitive pay and unrivaled benefits, you will work with multi-disciplinary team that appreciate the positive impact you provide each and every day! NCHC's Acute Care teams help make a difference for the individuals we serve who are facing both temporary and chronic mental health and addiction challenges. We offer flexible shift options that meet you and your family’s needs.

Sign-on Bonus up to $10,000 available! As a token of our dedication to hiring exceptional professionals in nursing, NCHC is pleased to extend a sign-on bonus up to $10,000 for Registered Nurses joining our Behavioral Health Hospital team.
12 hour shifts. Shift options include:
6 AM - 6 PM
6 PM - 6 AM
Pay range of $32.50 - $40.50 per hour.
For our Realistic Job Preview go to -* https://www.norcen.org/careers/realistic-job-previews/direct-care-realistic-job-previews/*
Additional Information: Starting base wage is $31.00 - $38.00 along with a $1.50-$2.50 shift differential depending on the shift.

• Candidates with 3 or more years of experience start at $38.00 per hour base wage plus any eligible differential pay. (make sure to adjust this bullet for non-RN step positions)

Work with great teams in a place where you make a positive impact on peoples’ lives and do it with flexible shift options that meet you & your family’s needs (four nine-hour shifts or three twelve-hour shifts weekly!), while setting yourself up with one of the best retirement plans in the nation! North Central Health Care’s behavioral health direct care teams help make a difference for the individuals we serve who are facing both temporary and chronic mental health and AODA struggles.
It is never too early to plan for retirement!

• As an employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS), which is among the best funded and best managed public pension systems in the country.
• The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. The WRS is a strong public pension plan because of its stable funding, unique plan design and robust governance. These factors set the WRS apart from the vast majority of other plans in the United States. With some $142 billion in assets, it is the 8th largest U.S. public pension fund.
• Participating staff contribute 6.9% and NCHC will match this at 100% each pay period!

Full-time and Part-time openings available.

Education and Experience Requirements

• Required: *Current Professional Nurse Registration from the Wisconsin State Board of Nursing

Current BLS (CPR) Certification
Less than one year experience
Ability to use a computer-based system for data entry, planning, and documenting care
Effective oral and written communication skills

• Preferred: *Bachelor’s degree in Nursing earned at an accredited four year college or university.

Certification in psychiatric nursing
Any combination of education and experience that provides equivalent knowledge, skills and abilities may be considered.

Essential Duties and Responsibilities:

• Supervises the nursing care of all assigned patients.
• Delegates tasks to and supervises ancillary nursing personnel.
• Supervises, directs and assists employees with direct patient care and provides direct patient care within time management limits.
• Monitors and coaches employee performance.
• Contributes, participates, and supports the Interdisciplinary Team (IDT) approach to providing quality care for patients.
• Knowledge of accurate application of the nursing process, assessment, planning, implementation, and evaluation as relates to patient care.
• Comprehensive knowledge of professional nursing theory and practice.
• Maintains regular and predictable on-site attendance.

When Designated Charge Nurse Responsibilities:

• Delegates the shift’s tasks to all of the nurses and techs in the unit and coordinate with physicians who might need assistance
• Monitors the daily staffing of the unit
• Assess acuity of Unit and ensures the staffing grid is being followed
• Identifies open IP beds
• Collaborates with the Providers to optimize bed availability
• Assigns beds/rearranges beds as needed
• Collaborates with Psychiatrists to monitor unit acuity and patient needs, and update no roommate and line of sight orders
• Monitors and assesses line of sight and no roommate orders. Ensures no roommate is designated accurately in the TIER census
• Works collaboratively to avoid diversions
• Assesses clients in the Crisis Center as requested
• Assists MMT and CBRF with med entry/med pass of controlled substances
• Attends Morning Rounds with the treatment team
• Monitors 15 min check sheets
• Monitors non-noted orders
• Ensures policy and procedures are being followed during the shift
• Provides a report off to the on-coming charge nurse
• Other duties as assigned by the Nurse Manager or Director of BHS

Other Responsibilities:

• Perform other work related tasks as required as assigned

Organizational Expectations and Competencies

• Completes annual leadership, job specific and core competencies as required by North Central Health Care and/or various regulatory agencies based on entity and/or job title.
• Provides Person-Centered Service

With a proactive approach and caring attitude by fostering a culture of trust and safety that is valued and respect based
Clinical Competencies

• Qualifications and provision of care are in accordance with national acceptable standards of practices.

Department Specific Competencies

• Assesses the situation and responds appropriately to Dr. Green situations using MOAB techniques (HR)
• Identifies behaviors, prioritizes interventions and demonstrates ability to de-escalate aggressive behaviors (HF)
• Demonstrates knowledge of policies and procedures for restraints/seclusions (HR) (PP)
• Applies the SBAR (situation-background-assessment-recommendation) format to assist in structuring communication between team members as means to completely, accurately transfer patient information, and making care decisions (HF)
• Clinical documentation and EMR records are accurate and completed in a timely manner – including progress notes, contact notes, ISP, and trauma
• Demonstrates knowledge about and treatment of substance abuse, dependence and other addictive behaviors.
• Substance Abuse (HF)
• Understands range of substances commonly used, their effects, and causative factors contributing to usage patterns
• Monitors for signs of emotional distress, inadequate coping, and inappropriate medication-seeking behavior
• Encourages alternative coping strategies in managing distress
• Coordinates treatment services for mental illness and substance abuse
• Suicide Risk Assessment/Homicidal Risk Assessment (HR) (HF)
• Determines behavioral and mental health status and current level of functioning
• Assesses risk for suicide and coping styles
• Assesses potential for harm to self and/or others
• Administers suicide assessment and precautions
• Appropriately uses other assessments as needed, including social assessments and AODA screening
• Understands, follows, contributes to, and writes treatment, crisis, and discharge plans as appropriate
• Creates a safe, welcoming environment while facilitating group activities, discussions and meetings
• Understands HIPAA regulations and ensures release of information is consistent with NCHC’s privacy policies
• (HF)
• Completes 4-hour Ethics and Boundaries Training bi-annually
• Demonstrates adherence to accepted ethical and behavioral standards of conduct
• Completes hand hygiene per CDC recommended guidelines (HF, HR)
• Educated on communication with nonverbal individuals or individuals with limited verbal skills
• Educated on prevention and management of behavior that is harmful to self and others

Program Specific Competencies

• Demonstrates proficiency in Pulmonary Breath Test (PBT) (HF) (Crisis, CBRF, & Ambulatory Detox)
• Substance Abuse (HF) (Crisis)
• Assesses patient's potential for high-risk behaviors
• Temporary Individual Service Plans - ISP (HF) (CBRF & Mobile Crisis)
• Assesses patient using appropriate tests and measurement tools.
• Performs age-evaluations to establish an appropriate ISP from evaluation findings.
• Completes appropriate documentation in a timely manner in accordance with the facility guidelines.
• Completes annual training in Standard Precautions, Med Administration, Choking & First Aid, Fire Safety, and Challenging Behaviors (CBRF)
• Manages program admission waitlist (CBRF)

• *Care/Treatment Plans

• Establishes, follows and revises care/treatment plans
• Understands what to include in care/treatment plans (Nursing diagnosis, Measureable goals, Interventions, Expected outcomes, Goals…)

Infection Prevention and Control

• Understands levels of precautions and how to appropriately respond
• Accesses resources related to infection prevention and control
• Appropriately utilizes hand hygiene and PPE for type of precaution
• Documents and responds to precautions as appropriate (staff and patients)

Pain Management

• Understands pain management regulations
• Uses appropriate pain scales for patient
• Identifies and monitors for signs, symptoms and complaints of pain
• Identifies and uses non-pharmacological pain interventions
• Sets pain goals with patient
• Performs interventions to achieve effective pain management
• Documents pain assessment and management interventions
• Understands the consequences of untreated pain

Skin Care

• Promotes prevention of additional impaired skin integrity and pressure injuries
• Promotes healing of additional impaired skin integrity and pressure injuries
• Prevents development of additional impaired skin integrity and pressure injuries
• Suicide Risk Assessment
• Identifies when to assess for suicide risk
• Takes appropriate actions as indicated

Diabetic Management

• Assesses patient for signs and symptoms of hyper/hypoglycemia
• Performs blood glucose monitoring and responds appropriately to findings, notifying physician per parameters
• Understands protocol for medication coverage
• Appropriately conducts carb counts
• Manages diabetic equipment

Bowel and Bladder Management

• Understands when and how to use a catheter
• Appropriately uses tools, resources and equipment (bladder scanner)
• Oversees development of bowel and bladder plans
• Properly uses/recommends incontinence products
• Understanding risk factors in bowel and bladder management

Job Specific Competencies

• Assesses, evaluates, reports, and documents on patient status and plans appropriate nursing care Demonstrates and delegates select nursing tasks and procedures to subordinate staff members
• Demonstrates effective leadership skills in supervising ancillary nursing personnel and delegating appropriately
• Prepares staffing for oncoming shift using the staffing matrix
• Coordinates staff and patient care for scheduled shift among Crisis Center, Crisis CBRF, Inpatient, and ADU Utilizes supportive delegation with all staff
• Knowledge of accurate application of the nursing process, assessment, planning, implementation, and evaluation as relates to patient care
• Demonstrates comprehensive knowledge of professional nursing theory and practice through care of patients Efficiently performs job duties by managing multiple priorities and utilizing time management best practices Effectively communicates using oral and written communication skills with staff, patients, family, community members, and community partners
• Effectively uses a computer-based system for data entry, planning, and documenting care and treatment Restraint/Seclusion (HR & PP)
• Bases use of restraints/seclusion on the patient's assessed needs such as potential harm to self and other
• Analyzes the situation to determine least restrictive methods possible to provide safest and most clinically indicated restraint necessary for the situation
• Properly documents restraint/seclusion occurrences
• Performs one-hour restraint assessment and documents results
• Follows up on any abnormalities or complications due to restraints/seclusion
• Understands and can explain:
• The role of the Crisis Center
• The role of the Physician/Advanced Practice Nurse Practitioner (APNP)
• The Ambulatory Detoxification Unit criteria and care
• The role of guardians
• Understands and follows:
• BHS Ambulatory Detox policies and procedures
• Admission criteria
• Criteria for when to call the psychiatrist/medical provider
• Accurately performs, completes and documents the following:
• CIWA / COWS
• Opiate Withdrawal
• WI-UPC
• Suicide Risk Assessment
• Nursing Assessment
• Comprehensive Assessment
• Mental Status
• Homicide Risk Assessment
• Self-Harm Assessment
• Falls Risk Assessment
• ROI
• Allergies
• BAC
• Diabetic Assessment
• Blood Sugar
• Height / Weight / VS
• Pain Assessment
• Skin Assessment
• Advanced Directives
• Braden Scale
• AIMS
• Psychotropic Medication Consent
• Treatment Plan with all diagnosis and medications addressed
• Possession List
• Screening Questionnaire - Nutrition and Pain
• Dietary Slip
• Aftercare Plan
• Medication Reconciliation
• Admission and Discharge notes
• Patient Monitoring and Safety Checks
• Hourly Rounding
• Discharge Against Medical Advice
• Participation in groups
• Monitors for signs and symptoms of withdrawal
• Involves family/significant other in treatment when appropriate
• Prepares group facilitation and facilitates nursing modality group therapy
• Demonstrates proficiency in emergency transfer of patient to general hospital
• Enters medication orders into TIER, performs order read back, and appropriately manages/monitors medications brought from home
• McGeers/Control Logs

• *Competencies

• Demonstrate organizational, leadership, management, clinical, department, program, common position and job specific competencies as required by North Central Health Care and/or various regulatory agencies based on job title.
• Complete organizational, leadership, management, clinical, department, program, common position and job specific education as required by North Central Health Care and/or various regulatory agencies based on job title.
• Qualifications and provision of care are in accordance with national acceptable standards of practices pertinent to role based on job title.
• Knowledge of regulatory and accreditation standards along with federal, state and local codes pertinent to role based on job title.

Core Value Standards of Behavior
It is expected that all employees will demonstrate behaviors that support excellence as defined by North Central Health Care’s Core Value Standards of Behavior.

Physical and Working Environment

Medium Work: Frequent lifting. Must be able to lift a minimum requirement of 25 pounds unassisted.

Physical Activities: List the minimum % of time required for each Physical/Mental Requirement.

Physical/Mental Requirements

<10%

10-30%

31-50%

51-70%

71-90%

>90%

Climbing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Turning or Twisting

X

Bending

X

Standing

X

Walking

X

Sitting

X

Carrying

X

Pushing

X

Pulling

X

Reaching

X

Grasping

X

Feeling

X

Data Interpretation

X

Decision Making

X

Verbal Communication

X

Verbal Comprehension

X

Written Communication

X

Written Comprehension

X

Problem Recognition

X

Problem Solving

X

Hearing

X

Near Visual Acuity

X

Far Visual Acuity

X

Depth Perception

X

Color Vision

X

Smelling

X

Repetitive Motions

X

Exposure to Hazards:
Limited exposure to workplace hazards.

Working Conditions:
Indoors
Background Noise
Exposure to infectious diseases or other possible infectious materials including: blood, fecal matter, OPIM...
Required to function around unruly or physically disruptive individuals

Acknowledgement and Compliance
All requirements of the described position are subject to change over time where I may be required to perform other duties as requested by NCHC. Further, I acknowledge that this job description is neither an employment contract.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Job Type: Full-time

Pay: $32.50 - $40.50 per hour