RN/LPN

Position Summary

The Nurse provides direct nursing care to residents in an Adolescent Psychiatric Residential Treatment Facility (PRTF II) and is responsible for ensuring the health, safety, and well-being of residents through clinical assessment, medication administration, monitoring of medical and psychiatric conditions, and collaboration with the interdisciplinary treatment team. The Nurse supports Mental Health Technicians (MHTs) through guidance, education, and clinical direction, ensuring that all care is delivered in accordance with facility policies, regulatory requirements, and professional nursing standards.

This role plays a critical part in maintaining a safe, therapeutic, and compliant environment while supporting residents’ individualized treatment plans and responding effectively to medical and behavioral emergencies.

Essential Duties and Responsibilities

Clinical Care and Medication Management

• Administer medications as prescribed, monitor therapeutic effects and potential side effects, and consult with providers regarding changes to the plan of care.
• Conduct nursing assessments, monitor resident health status, and identify changes in physical or mental condition requiring intervention.
• Perform post-intervention and post-restraint/seclusion nursing assessments in accordance with Safe Crisis Management (SCM) and regulatory standards.
• Assess residents for injury following crisis events and initiate appropriate medical responses.

Documentation and Medical Records

• Maintain accurate, timely, and thorough nursing documentation, including medication administration records (MARs), treatment plans, nursing notes, incident reports, and assessments.
• Document changes in resident condition, adverse reactions, and communication with providers and treatment team members.
• Ensure medical documentation meets state, federal, and accreditation standards.

Collaboration and Treatment Team Participation

• Collaborate with the interdisciplinary treatment team to share relevant medical and clinical information and provide nursing input to individualized treatment plans.
• Communicate effectively with providers, therapists, case managers, and direct care staff regarding resident needs and care coordination.
• Participate in treatment team meetings as required.

Staff Guidance and Support

• Provide clinical guidance, direction, and support to Mental Health Technicians (MHTs) related to resident care, safety, and daily operations.
• Assist MHTs with identifying potential health or environmental hazards and provide education on infection control and safety practices.
• Support staff during crisis situations by offering clinical leadership and guidance.

Resident and Family Education

• Educate residents and families on health management, medication education, and healthy lifestyle choices, as appropriate to the treatment setting.
• Provide education in a clear, developmentally appropriate, and trauma-informed manner.

Crisis Response and Safety

• Respond to medical and behavioral crises promptly and effectively.
• Assist in stabilizing residents during crises and coordinate follow-up care as needed.
• Ensure crisis interventions comply with SCM practices, facility policy, and regulatory requirements.

Compliance and Quality Improvement

• Comply with all federal and state regulations, including HIPAA, to ensure the privacy and security of protected health information.
• Explain privacy policies and legal requirements to staff, residents, and families as needed.
• Participate in facility performance improvement and quality assurance activities as directed by the CEO and Director of Nursing.
• Report anomalies or concerns related to nursing performance indicators.

Additional Responsibilities

• Maintain required licensure and complete all mandatory training, including SCM certification.
• Perform other duties as assigned by the Director of Nursing or facility leadership.

Minimum Qualifications

Education

• Licensed Practical Nurse (LPN) or Registered Nurse (RN) required

Experience

• Experience in a mental health or behavioral health setting preferred but not required

Key Competencies

Physical Requirements

1. Frequently required to stand, walk, sit, climb or balance, stoop, kneel, crouch, and reach with hands and arms.

2. Regularly lift and/or move up to 10 pounds; frequently lift and/or move up to 25 pounds.

3. Must possess specific visual abilities, including close vision, distance vision, color vision, depth perception, and the ability to adjust focus.

Professional Knowledge and Skills

4. Responds promptly and appropriately to internal and external customer needs while adhering to all legal requirements regarding the release of protected medical information.

5. Demonstrates knowledge of and ability to correctly utilize:

o Medical terminology

o Medical records and coding principles

o ICD-9/ICD-10

o CPT and HCPCS codes

o Medicare and Medicaid regulations and guidelines

o DSM-5

o Admission and continued stay criteria related to Disorders of Childhood and Adolescence

Interpersonal and Ethical Competencies

6. Demonstrates excellent interpersonal skills by communicating clearly and effectively with internal and external customers.

7. Demonstrates teamwork by assisting other departments as indicated and collaborating to support resident medical care.

8. Treats all internal and external customers with respect.

9. Works ethically and with integrity, upholding facility values in professional demeanor and behavior.

Employees Supervised: None
Supervised By: Director of Nursing

Pay: $24.00 - $32.00 per hour

Work Location: In person

Salary : $24 - $32