Per Diem RN

Description

The per-diem Registered Nurse is responsible partnering Program Directors and Social Workers for the oversight of the health and wellness care of youth in the programs. Knowledge of childhood trauma and the impacts upon youth’s physical, spiritual, emotional, mental and vocational health is paramount. Knowledge of standard nursing care, protocols, health and physical safety, documentation, etc. is also required. The Registered Nurse works closely with the Program Managers and Social Worker(s) in the design and facilitation of the program milieu and service delivery system, quality assurance measurements and agency goals. Assesses, treats, cares for, follows-up on and provides documentation for the healthcare needs of youth in care within the scope of practice for a licensed professional nurse in the state of New York. This individual is directly accountable to the Director of Medical Services. This position will be crossed trained in OCFS and OMH.

Primary Job Functions

• Provides the overall oversight to assigned departmental support area; provide direct support to staff in assigned departmental area in accordance with all Glove House, state and regulatory requirements.    
• Guided by organizational values and trauma informed practice in all interactions.
• Treats all children, families, staff and ancillary providers with respect and courtesy.
• Demonstrates and models sensitivity to the cultural background of children, families and co-workers.
• Assures that all processes within the Department operate in compliance with applicable NYS codes, rules and regulations and with Glove House policies and procedures.
• Assesses, treats, cares for, follows-up on and provides documentation for the healthcare needs of youth in care within the scope of practice for a licensed professional nurse in the state of New York.
• Assures the coordination of initial, follow-up and periodic healthcare assessments of residents as required by the agency and governing bodies’ policies, procedures, and regulations.
• Completes and documents the comprehensive initial nursing assessment/evaluation including need for medical, dental, psychiatric, developmental, and provides documentation of nursing assessment after a significant incident (i.e. therapeutic hold, AWOL, injury) per agency policy and procedure.
• Transcribes, interprets, initiates and directs care ordered by healthcare providers (received via prescription, fax, in person, telephone, etc.) within the guidelines of agency policies and procedures or practices.
• Communicates all high-profile healthcare concerns to the Sr. Director Programs and Quality, Program Managers, Director of Medical Services and staff.  
• Collects or oversees the collection of samples necessary for laboratory screening or tests as directed by agency policy or prescribed by a healthcare provider.
• Participates as the healthcare representative for each assigned resident’s treatment team providing education and resource information for all diagnoses.
• Participates in the development of all program policy and procedures to ensure that operations are in conformance with appropriate regulations and standards.  
• Monitors the effects and possible side effects of all medications administered to residents in conjunction with program staff, and oversees that medications are taken by residents as prescribed.  
• May be called upon to ensure adequate staff coverage is scheduled for program needs.
• Provide oversight and direction to ensure the completion and maintenance of all departmental records and documentation.  
• Assures all documentation is completed in a timely fashion.  
• Reviews and accurately documents all healthcare related events in a timely manner in multiple electronic medical records used by the company.
• Oversees or maintains all healthcare records such as psychiatric files, nursing files, healthcare portion of youth’s file, etc. in the absence of the program Licensed Practical Nurse.
• Ensures renewal of necessary medication prescriptions, maintenance of medication and disposal of outdated or discontinued drugs according to agency policies and procedures.
• Coordinates healthcare services for residents between the primary care provider and specialty care providers as necessary. 
• Serves as a healthcare (medical, dental, optical, psychiatric, etc.) medication training and educational resource for the residents, their families, and program staff in the absence of the program Licensed Practical Nurse.
• Monitors the effects and possible side effects of all medications administered to residents in conjunction with program staff, and oversees that medications are taken by residents as prescribed.  
• Required to safely travel on agency business, as required by job demands. Maintain accurate mileage documentation and submit in required agency timeframes.  
• Consistently attends mandated agency and department meetings and participates on standing agency committees and community committees as assigned.

Knowledge, Skills and Abilities

• Health and Wellness for Youth and Families, General Nursing Protocols/Practices, Community resources, Trauma Informed Care Practices, State and Federal regulations, 
• Perform under strong demands in fast-paced, diverse environment
• Handle confidential information appropriately
• Perform at a high level of autonomy, with minimal supervision
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedural manuals.  
• Ability to write exceptional reports and correspondence. Utilizing computer and standard Microsoft Office, learn new computer programming (ie Myevolve, Paycom, et al.)
• Ability to speak effectively before groups of youth, family members, employees, County representatives, State regulatory personnel.
• Ability to deal with problems involving several concrete variables in standardized situations.  
• Work on multiple tasks, while maintaining a high attention to detail, accuracy and quality 
• Demonstrate the behaviors of the Glove House Values
• Interact effectively with individuals/families from diverse backgrounds.
• Set appropriate limits and boundaries with clients; act decisively to protect clients, when necessary.
• Recognize importance of social, economic, environmental factors in the development and resolution of personnel and programmatic issues. Be sensitive to staff cultural and other status characteristics.
• Commit to effectively and efficiently providing high levels of customer satisfaction with positive service delivery results.

Schedule Expectations

The incumbent will work an as-needed scheduled week based upon the needs of the program and the program Licensed Practical Nurse. This position requires flexible scheduling and may include weekends, evenings and holidays. The ability to work flexible hours is required, as is the ability to provide on-call support when scheduled or to meet business needs, including on-site assessment. Travel will be as needed to conduct Glove House business-related activities. Generally, duties of this position require at least 100% time at work/face-to-face time, including on-site assessments during on-call rotation.

RN Per Diem Levels

All RN’s who work an on-call week will receive $200 stipend for the week they work. All RN’s who work an on- call week over the holiday will receive $400. The base rates below will take effect if you pick up a shift for someone or if you are to be deployed. 

Tier 1: The rate will be $46.15. This rate will only be if you were to deploy or fill in for someone while they were out. 

Tier 2: The rate will be $50.13. The requirement will be to be on call once every 5-6 weeks including 2 holidays. This rate will only be if you were to deploy or fill in for someone while they were out.

Tier 3: The rate will be $54.15 The requirement will be to be on call once every 5-6 weeks including being on call for 4 holidays. This rate will only be if you were to deploy or fill in for someone while they were out.

Requirements

• NYS Licensed Registered Nurse
• Must have a valid driver’s license and driving record in accordance with agency standards.
• 3+ years’ experience working as a Registered Nurse, experience working with youth and families is preferred. Experience working as part of a team preferred.