Grassroots has an opening for OMHC Medical Director, Director of Nursing and Health and Safety Officer, Crisis Servicesis responsible for providing outpatient psychiatric evaluation and medication management services at the Grassroots Outpatient Mental Health Clinic. The OMHC Medical Director provide psychiatric services to adult and youth clients with behavioral health issues. The OMHC Medical Director oversees the medical operations of the OMHC. Director of Nursing is responsible for the overall and day-to-day management of the Substance Use Disorder (SUD) Crisis Stabilization Center (CSC) nursing department to include quality of services, staff hiring and termination, staff training and supervision, development of policies and procedures related to SUD services, development of operational protocols for SUD services, taking inventory and ordering medical supplies, and delegation of tasks among nurses. Responsible for leading the nursing team, as well as providing direct client care. Provides 24/7 on-call support to the CSC. The Health and Safety Officer is responsible for the oversight of the Health and Safety Program. Full time employment with 40 hours onsite.

EDUCATION AND EXPERIENCE:

• Master’s or Doctorate Degree in Nursing with focus on Psychiatric nursing.
• Psychiatric Nurse Practitioner licensure/certification required valid in the State of Maryland.
• Graduation from a state-certified advance practice program specializing in psychiatry/mental health.
• Ability to work with both adult and youth/child populations.
• Active, unrestricted license as a Registered Nurse at the bachelor’s degree level.
• A minimum of 3 years of experience working with individuals with mental health issues and/or substance use disorders.
• A minimum of 3 years of supervisory/management experience in the field of nursing.
• Preferred experience in a community setting.
• Possession of a valid Maryland driver’s license required.

SKILLS AND ABILITIES:

• Excellent oral and written communication skills.
• Presentation/training skills including small and large group presentations and trainings.
• Ability to function successfully in an environment requiring immediate response to urgent situations.
• Spontaneous supervision of staff in real-time.
• Knowledge of and familiarity with local and statewide community resources.
• Analytical and problem-solving skills.
• Computer skills with various software and the internet.
• Ability to work effectively in a multi-disciplinary team.

POSITION RESPONSIBILITIES:

• Responsible for providing psychiatric and substance use disorder services to clients in a variety of clinical settings during scheduled hours. Scope of services includes outpatient psychiatric evaluations, substance use disorders evaluation, and treatment, and medication management services.
• Assess, diagnose, and treat adults, adolescents, and children experiencing symptoms of a behavioral health disorders.
• Prescribe, recommend, or discontinue drugs and treatments to treat mental, emotional, or behavioral disorders in accordance with the Collaborative Practice Agreement and the state’s Nurse Practice Act.
• Collaborate with counselors, social workers, peer recovery specialists or other treatment team members to coordinate client care.
• Responsible for timely and accurate completion of medical records, including assessment, treatment plan, progress notes, outcome measures, and billing entries.
• Counsel clients during appointments, as necessary.
• Design/participate in the development of individualized treatment plans, incorporating best and leading practices into treatment interventions.
• Examine or order laboratory or diagnostic tests for clients to provide information on general physical condition and mental disorders.
• Collaborate with guardians, relatives, and significant others on client’s conditions and treatment when clinically appropriate.
• Prepare and submit assessments, progress notes, reports, and summaries to entities/agencies (funders, insurance companies, etc.) as required.
• Responsible for making independent decisions based on protocols developed utilizing national guidelines for treatment interventions.
• Assesses, monitors, and cares for clients admitted to the CSC.
• Assists in training/orientation of new nursing staff and ongoing training of existing nursing staff by organizing seminars/courses to educate staff and introducing new procedures and protocols.
• Assists in the ongoing development and modification of policies and procedures related to program services.
• Evaluates staff performance and provides corrective measures if necessary.
• Provides supervision to all nurses as required.
• Communicates with the leadership team regarding nurse performance, staff issues, and changes to treatment protocols.
• Maintains scheduling for all employed nursing staff by monitoring the calendar to minimize any gaps in coverage, assisting with securing any needed coverage, and communicating any schedule changes/concerns to the Assistant Director of Crisis Services.
• Regularly assesses inventory of medications and medical supplies and orders medications/medical supplies as needed.
• Ensures storage of medication in compliance with all requirements and regulations.
• Provides quality assurance by ensuring accurate and clear documentation of any nursing services.
• Remains calm under pressure and is able to quickly and effectively delegate staff responsibilities during busy shifts and crisis situations.
• Coordinates with other nurses and SUD staff to determine organized measures to best care for clients.
• Collaborates with the Deputy Director of Crisis & SUD Services, Medical Director, Nurse Practitioners, and others on the leadership team to ensure that SUD staff are equipped with the knowledge and skills to provide services that are client-driven, culturally competent, strengths-based, and outcomes-focused.
• Meets with leadership staff regularly to discuss program operations, and keeps the Sr. Director of Crisis and Clinical Services informed of any program needs, emergency situations, or unusual incidents.
• Provides support with facilitation of team meetings as requested.
• Provides on-call support to the SUD team by being available via telephone 24/7 for nursing consult, schedule changes, and any time-sensitive program needs.
• Manage performance improvement processes for programs/operations that are directly supervised including preparation of annual Performance Improvement Plans and Performance Analyses.
• Administrative duties: Prepares monthly and quarterly reports, participates in the Leadership Team for the agency, ensures accurate and clear documentation of clinical services, participates in grant writing and reporting, adheres to all agency required documentation for leave time, absences, travel, etc., keeps the Sr. Director of Clinical and Crisis Services informed of program needs, emergency situations, and unusual incidents.
• Accreditation duties: Prepares documentation for accreditation for all agencies, aware of all standards and compliance with quality assurance, keeps agency in compliance with all accreditation agency requirements.
• Coordinates the safety training drills to ensure the program is in compliance with said plan and all regulatory agencies.
• Conducts internal self-inspections to enhance and maintain the organization’s health and safety practices.
• Coordinates with other program management an environment that conforms to all legal, regulatory, and accreditation health and safety requirements.
• Responsible for the planning, implementation, and oversight of a comprehensive health and safety program.
• Provides broad support for training initiatives and the fiscal stability to support ongoing health and safety programming and practices is provided.
• The buildings operated by are well maintained and in compliance with all local health, safety, sanitation, building, and zoning requirements.
• Community Outreach: Includes participation on community meetings or task forces as requested by the Director of Clinical and Crisis Services, collaborates effectively with funders and community partners, makes presentations to community groups, provides training to partners and community groups, participates in local and statewide crisis and behavioral health networks.
• Provides the following services of a nurse practitioner in addition to the above leadership responsibilities:
• Admits clients to the CSC and completes necessary documentation
• Facilitates new patient consultation and health history review
• Performs physical examinations and screenings of patients
• Detects and addresses changes in patient condition
• Prescribes Medication Assisted Treatment and Withdrawal Management medications as appropriate
• Prescribes additional comfort medications as appropriate
• Evaluates responses to treatment and medication
• Assesses, plans, and provides nursing care to clients
• Communicates with the on-call prescriber to arrange for prescribing of medication and consult about medical issues
• Administers medications prescribed by the CSC prescriber
• Arranges for further medical attention when necessary
• Completes COWS/CIWA and vital sign checks with clients in the CSC, including pulse, blood pressure, temperature, and oxygen saturation
• Partners with other behavioral health staff to provide a range of services to admitted clients, including screening, assessment, brief intervention, referral to treatment, removing barriers to treatment, harm reduction counseling, withdrawal management services, medication-assisted treatment (MAT) education, safety assessment/planning, treatment planning, discharge planning, and follow-up services.

SECONDARY RESPONSIBILITIES:

• Participates in management/leadership meetings
• Other duties as assigned, required or needed

AGENCY-WIDE RESPONSIBILITIES:

• Participates in supervision, in-service training, and staff meetings.
• Maintains good working relationships with coworkers and positively contributes to group morale.
• Completes all administrative duties including time sheets, leave requests, etc.
• Participates in special meetings, committees, or special projects as needed.
• Uses appropriate channels of communication to resolve conflicts with other staff.
• Interacts with staff, clients, and visitors in a professional and courteous manner.