GENERAL SUMMARY

Manages services between the Integrated Care team and the community ensuring that both current diseases, as well as preventative and health promotional needs, are addressed as part of the holistic health approach. Ensures consumers have access to CHCS services relating to mental health and/or substance abuse and reports on reasons consumers were unable to obtain access. Connects consumers with resources and provides referrals to other programs. Supervises the Peer Support Specialists. Conducts center-wide training on Integrated Care services and group services.

ESSENTIAL DUTIES & RESPONSIBILITIES

Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position.

· Coordinates services between the Integrated care team and community services as needed to ensure that both current disease, as well as preventative and health promotion needs are addressed as part of the holistic, whole –person, culturally-sensitive health approach.

· Establishes and maintains routine collaborative meetings between Integrated Care and system partners toward achieving benchmark standards and improving patient care.

· Educates patients about health issues relevant to their care, community health resources, insurance information, financial assistance, pharmaceutical services, etc.

· Participates in Quality Improvement activities, including data collection, tracking, and analysis.

· Participates in various workgroup and committee activities to support departmental and organizational efforts to improve quality of services.

· Supervises the work of staff and interns, as appropriate. Provides feedback and performance evaluations.

· Provides professional recovery-oriented nursing care to individuals by performing assessments regarding the physical and behavioral health status of the client, completing nursing diagnosis, developing a plan of care, and evaluating consumer's responses to nursing interventions

· Maintains pharmaceutical oversight of medication samples for specified units participating in the program through assigned unit level staff, maintaining accurate account of stock medications, controlled substances, and consumer medications.

· Establishes and maintains routine collaborative meetings between Integrated Care and system partners toward achieving benchmark standards and improving patient care.

· Educates patients about health issues relevant to their care, community health resources, insurance information, financial assistance, pharmaceutical services, etc.

· Synthesizes information from treatment records, risk stratification, and other sources to assess program enrollees. Apply evidence-based clinical guidelines for behavioral and physical health issues, in addition, knowledge of care coordination techniques in assessing the needs of recipients and determining interventions to address those gaps.

· Demonstrates excellent customer service and collaborate with physicians, providers, consumers, staff members, visitors, staff, and the health care community.

· Collaborates with Health Home Team and treating providers using available data, such as exams/assessments scores, participant evaluations, and service observations in order to identify health and wellness needs and develop and implement care coordination plan to address treatment barriers.

· Creates informational tools and resources for clients and staff on mental health, physical health, and integrated health services

· Maintains a variety of records and completes reports.

· Develops and coordinates all wellness programming (on-site and off-site), including promotion of activities, tracking attendance, evaluations, and topic. Delivery of wellness education programs.

· Participates in Quality Assurance and Quality Improvement activities, including data collection, tracking, and analysis.

· Provides culturally responsive and trauma-informed services.

· Performs other related duties as required.

MINIMUM ENTRANCE QUALIFICATIONS

Education and Experience

· Current Registered Nurse Certification to practice in the State of Texas

· Two (2) years of nursing experience

Licenses or Certifications

· Current Registered Nurse Certification or LPC, LMSW license

Other Requirements

· Must maintain a valid driver’s license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company’s auto insurance carrier if you drive your vehicle during company business

· Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies

· Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.

COVID-19 Mandate Requirements

Unvaccinated Staff options:

a. Get Vaccinated per the CMS Mandate.

b. Have a medical/religious exemption. Unvaccinated staff will need to test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.

c. Consumer facing staff DO NOT have the option to be unvaccinated without an exemption.

d. If the position is not consumer facing, staff members may continue to be unvaccinated, without an exemption and test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.

Vaccinated Staff options:

a. For employees who are vaccinated and consumer facing, we are continuing to require wearing an N95 mask.

b. For all other vaccinated employees, we are requiring a cloth, surgical or N95 mask be worn in all shared spaces.

c. Vaccinated employees may only go unmasked if in a single occupancy office

PREFERRED QUALIFICATIONS

· Bachelor’s degree or higher in Nursing from an accredited school of nursing

· Previous case management experience preferred

· Bilingual (English / Spanish)

· Experience with or knowledge of well-ness oriented trauma-informed care

· Previous lead or supervisory experience preferred

SUPERVISION

· Supervises the work of staff and interns, as appropriate. Provides feedback and performance evaluations.

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

Knowledge of:

· Applicable software applications

· Care coordination plans

· Federal, State, and local laws, rules, or regulations in area of nursing practice

· Modern office procedures, methods and computer equipment

· Wellness programming

Skill in:

· Mediation and counseling

· Organization and time management

· Performing a variety of duties, often changing from one task to another of a different nature

· Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios

Ability to:

· Accurately organize and maintain paper documents and electronic files

· Comply with and participate in Quality Assurance and Quality Improvement processes

· Create informational tools and resources for clients and staff

· Effectively communicate, both verbally and in writing

· Establish and maintain effective working relationships

· Maintain accurate and complete records

· Maintain the confidentiality of information and professional boundaries

· Meet schedules and deadlines of the work

· Understand and carry out oral and written directions

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.

· Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care.

· The employee must be able to occasionally transfer a consumer.

Job Type: Full-time

Pay: $62,602.00 - $93,905.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• License reimbursement
• Life insurance
• Mileage reimbursement
• Paid time off
• Tuition reimbursement
• Vision insurance
• Wellness program

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Clinic

Ability to commute/relocate:

• San Antonio, TX 78213: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Nursing: 2 years (Required)

License/Certification:

• RN (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: One location

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