PT CLINICAL NURSE

JOB DESCRIPTION
Job Title: Clinical Nurse
Department: Medical
FLSA Status: Non-Exempt

SUMMARY
The Clinical Nurse ensures that the daily operations of the nursing department are maintained to promote quality of care to clients through assessment, medication management and direct client care.  

ESSENTIAL FUNCTIONS

• Completes medical screening and/or assessment of new clients immediately upon admission, according to level of care protocols
• Delivers quality client care through assessment, monitoring and communicating observations and findings with physicians and other members of the medical and as needed clinical treatment team.
• Coordinates admissions with Admissions Department and obtains admission orders from physicians for appropriate level of care and medical needs.
• Monitor medication process for individuals in detox and residential services, including supervision of medication distribution and supervision of self-administration of medication.
• Prepares Medication Administration Record (MAR)
• Promotes restoration of health, client and family education and serves as a client advocate.
• Maintains and adheres to established infection control/employee health program.
• Maintains compliance with all program policies and procedures, as well as all state and accreditation standards.
• Coordinates with Medical Director, Nursing Manager, and Executive Director to keep all informed of current departmental activities, plans, and developments through both oral and written reports.
• Provides assessments, history and physical reports.
• Develops detox treatment plan.
• Coordinates emergency medical care for medical and psychiatric emergencies.
• Ensures that documentation on all client care meets company and regulatory standards.
• Provides CD and/or medical education groups regarding medication and health care issues, i.e., nicotine cessation, STD, HIV, TB and Hep.
• Attends daily and weekly staff meetings and required trainings.
• Serves on various organizational teams/committees and consults with departments as needed.
• Coordinates lab work with venipuncture and medical appointments and referrals.
• Cross-trains and supports other departments as needed or requested by supervisor.
• Experienced with medical detoxification protocols and associated medical needs.
• Desire to work with clients suffering from Substance Use Disorders and related medical conditions.
• Work experience in a 12-step program is preferred.

  The job duties listed in this job description may not be inclusive of all requirements of this position.  Other duties may be assigned by your supervisor.

SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CERTIFICATES, LICENSES, REGISTRATIONS
Associate or Bachelor’s degree in Nursing required
Unencumbered RN or LVN License required


COMPUTER SKILLS
To perform this job successfully, an individual should have knowledge of Microsoft Office (Word, Excel, and Outlook), Google Suite, and have the ability to chart on an electronic medical records system.


PHYSICAL DEMANDS
 While performing the duties of this job, the employee is regularly required to stand, sit, talk,
hear and use hands and fingers to operate a computer, telephone, or keyboard.
Ability to sit at a desk and computer for an extended period of time.
Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for
performance of job duties.

WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.