ACT LPN OR RN

About Middle Peninsula Northern Neck Behavioral Health (MPNN BH)

Connecting people to developmental and behavioral health services to create opportunities for healing, growth, and recovery.

Our organization provides services designed to help members of our community achieve their individual goals. MPNN BH has over 60 distinct programs to aid and support all ages and many situations.

LPN

Job Summary

Provides psychiatric nursing support, and wellness initiatives for Assertive Community Treatment (ACT). The employee ensures the provision of the services in alignment with the ACT Fidelity Model to adults with severe and persistent mental illness in the Middle Peninsula Northern Neck Behavioral Health (MPNN BH) area via person centered services to assist individuals in advancing towards personal goals with a focus on enhancing community integration and regaining valued roles, direct service to carry out planned techniques such as rapport building, facilitating basic needs and monitoring mental status along with providing needed support. Delivers all services according to a recovery-based philosophy of care. Services are provided in the community as well as in individual’s homes. Will be required to transport persons served in an MPNN BH vehicle.

Must be able to work a flexible schedule, including some evenings, weekends, and holidays. Must be able to work an after hour on call rotation to provide crisis support to individuals. Supports the implementation and maintenance of electronic medical records and data collection. This position works closely with other staff at MPNN BH using a team approach. Critical component of job is to possess strong interpersonal skills. Employee must exercise tact and courtesy in contact with staff, individuals, families, public, and service providers. Reports to the ACT Registered Nurse (RN) and Team Leader.

Job Responsibilities

• Follows established protocol to ensure the security and safety of the Medication Room and its contents; to include logging, packaging, transporting, and delivering medication received from local and state pharmacies.
• Follows MPNN BH and Board of Pharmacy regulations and policies for the maintenance of an alternative delivery site to include but not limited to, destroying outdated and discontinued medications according to established procedures.
• Utilize a stage-based treatment model that is non-confrontational, considers interactions of mental illness and substance abuse, and has individual-determined goals. Be comfortable with Harm Reduction approaches.
• Performs general and psychiatric nursing duties to include, but not limited to medication administration and education, intramuscular injections, weights, vital signs, consumer crisis intervention, and mental status examinations.
• Transcribe medication orders to the Medication Administration Record (MAR) and provide oversight of MAR completion to ensure accuracy and avoid errors. Nursing staff are responsible for generating MARs for new consumers and updating/printing new monthly MARs for all ACT individuals on medication rounds, medication boxes, and long-acting antipsychotic injections. Provide guidance to ACT teammates as appropriate to correct MARs. Reviews the new month’s MARs prior to the start of the new month to double check for errors in transcriptions from the prior month’s MARs.
• Assists in the provision of medical services, such as delivering and monitoring medications, collaboration with medical providers, assistance with inventorying/ordering/refilling medical supplies and external non-psychiatric medications, and requesting medical records from primary care providers, and other providers.
• Assists and participates in all hospital diversion, hospital care coordination, and hospital discharge/re-integration services, including accessing backup contractual pharmacies/community pharmacies to obtain new/needed medications from discharge prescriptions.
• Administers medication as directed by psychiatric care provider.
• Reports and records medication errors.
• Observes individuals for medication reactions and refers and follows-up for any needed medical evaluation or care.
• Works with the ACT Team Leader, ACT Psychiatric Care Provider and ACT RN in program planning as it relates to medication administration.
• Perform community visits as needed to carry out physician orders; this may include home visits and trips to the local pharmacy.
• Complies with established legislation, mandates, program standards, and MPNN BH requirements regarding the individual’s services and documentation.
• Acts as a liaison with contractual pharmacy on daily medication deliveries and ordering of medications for repacking to help ensure timely delivery and distribution of the individual’s medications.
• Assists psychiatric care provider with obtaining and completion of medication prior authorization forms from various insurance and contracting companies to help facilitate the individuals access to recommended/prescribed medications.
• Participates in team meetings, clinical staffing and supervision
• Other Duties, as assigned

RN

Job Summary

Provides psychiatric nursing support, and wellness initiatives for Assertive Community Treatment (ACT). The employee ensures the provision of the services in alignment with the ACT Fidelity Model to adults with severe and persistent mental illness in the Middle Peninsula Northern Neck Community Behavioral Health (MPNN BH) area via person centered services to assist individuals in advancing towards personal goals with a focus on enhancing community integration and regaining valued roles, direct service to carry out planned techniques such as rapport building, facilitating basic needs and monitoring mental status along with providing needed support. Delivers all services according to a recovery-based philosophy of care. Services are provided in the community as well as in individual’s homes. Will be required to transport persons served in an MPNN BH vehicle.

Must be able to work a flexible schedule, including some evenings, weekends, and holidays. Must be able to work an after hour on call rotation to provide crisis support to individuals. Supports the implementation and maintenance of electronic medical records and data collection. This position works closely with other staff at MPNN BH using a team approach. Critical component of job is to possess strong interpersonal skills. Employee must exercise tact and courtesy in contact with staff, individuals, families, public, and service providers. Provides general supervision to other nursing staff on the ACT team. Requires managing a number of competing work priorities in a time-restricted environment. Reports to the ACT Team Leader.

Job Responsibilities

• Performs general and psychiatric nursing duties to include, but not limited to medication administration, intramuscular injections, weights, vital signs, client crisis intervention, and mental status examinations.
• Coordinates all activities required for the effective and timely procurement, documentation, and delivery of medications to individuals. Maintains effective communication with outside pharmacies and agency pharmacists, orders and packs medications from contractual and community pharmacies for delivery to ACT consumers. Delivers medications to individuals as needed on medication rounds and as part of medication education with goals towards medication competency skills building.
• Utilize a stage-based treatment model that is non-confrontational, considers interactions of mental illness and substance abuse, and has individual-determined goals. Be comfortable with Harm Reduction approaches.
• Transcribe medication orders to the Medication Administration Record (MAR) and provide oversight of MAR completion to ensure accuracy and avoid errors. Nursing staff are responsible for generating MARs for new individuals’ and updating/printing new monthly MARs for all ACT individuals on medication rounds, medication boxes, and long-acting antipsychotic injections. Provide guidance to ACT teammates as appropriate to correct MARs. Reviews the new month’s MARs prior to the start of the new month to double check for errors in transcriptions from the prior month’s MARs.
• Assists in the provision of medical services, such as delivering and monitoring medications, scheduling and accompanying consumers to medical appointments, collaboration with medical providers, assistance with ordering/refilling medical supplies and external non-psychiatric medications, and requesting medical records from primary care providers, and hospitalization/incarceration periods.
• Performs comprehensive assessments for persons with persistent mental illness and co-occurring disorders to determine service, supports and other needs to assist consumers with community stability. Develops treatment plans and completes treatment plan reviews as required.
• Provides linkage, monitoring, and coordination of services, including medical, social, educational, housing, benefits, etc. Assists individuals’ with attending necessary appointments in the community in order to ensure needs are met. Acts as an advocate on behalf of all ACT individuals.
• Provides emergency assessment, treatment and collaboration during work hours and via the ACT emergency phone rotation.
• Provides health literacy in 1:1 and group settings to assist individuals with the development of improved health/wellness, coping, problem-solving and communication skills related to treatment goals.
• Provides training and support with activities of daily living, performs crisis intervention, and facilitates prescreening/hospitalization when necessary. Assists and participates in all hospital diversion, hospital care coordination, and hospital discharge/re-integration services, including accessing backup contractual pharmacies/community pharmacies to obtain new/needed medications from discharge prescriptions.
• Serves as the primary case manager (if required) and performs the required duties for an assigned caseload of ACT individual’s, to include acute cases as necessary. May carry a caseload of five or more consumers.
• Assists with orienting new employees to ACT medical and nursing policies and procedures.
• Establishes and maintains inter-agency working relationships regarding the provision of ACT services and other supportive services. Collaborates with other providers, organizations, agencies, etc. that are involved with the care of ACT individuals.
• Complies with established legislation, mandates, program standards, and MPNN BH requirements regarding services and documentation.
• Participates in daily team meetings, and supervision (individually and in group).
• Provides mental health educational programs to the team and general population when requested.
• Participates in professional development training, seminars, and conferences.
• May be requested to obtain phlebotomy on ACT consumers requiring venipuncture on physician order and in line with standard safety and established clinic protocols.
• Other Duties, as assigned

LPN

Job Requirements

Essential

• Must pass all required Background Checks.
• Must possess a valid Virginia Driver's License with reliable transportation and driving record acceptable to agency insurance carrier.
• Must obtain a TB test with satisfactory results within 30 days of employment, and yearly thereafter as required by licensing authority.

Education and Experience

VA licensed LPN and considerable experience in a hospital, clinic, or community mental health setting with three years’ experience working with individuals having a severe and persistent mental illness

SALARY RANGE: $54,149-$78,885

RN

Education

• Four (4) years of school resulting in the completion of a Registered Nurse program is preferred.
• Two (2) years as an Registered Nurse.

Experience

• At least one year of clinical experience working with individuals who have severe and persistent mental illness and comorbid general medical conditions.
• At least one (1) year of case management experience preferred.

SALARY RANGE: $68,102- $99,202

Benefits include:

• Competitive salary
• Comprehensive benefits package including health, dental, and vision insurance (TLC Anthem BCBS)
• Generous paid time off and holiday pay (12 paid holidays, PTO accrued monthly)
• Professional development opportunities
• Retirement plan through Virginia Retirement System (VRS)
• Work site qualified under NHSC, click the link to check eligibility for loan forgiveness http://www.nhsc.hrsa.gov/

The agency of MPNN Behavioral Health maintains a drug free workplace.

Benefits listed are for full time qualifying employees. EOE