(Archived) Registered Nurse- Gran Recovery

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The Registered Nurse provides professional nursing care in a day services program for clients being treated for mental illness or addictive disease. Performs initial assessments of clients presenting mental health or alcohol/drug problems. Interviews client/family, takes vital signs, performs any necessary routine tests, and reviews available background information. Documents observations, medical history, physical and psychosocial examination results, and initial analysis of diagnostic data. Formulates individualized nursing treatment plan based on assessments, physician's/clinician's plan of care, and the client's level of need and functional ability. Writes treatment plans that are clear, complete, grammatically correct, and properly coded and which meet Medicaid, insurer, CARF, and other required standards for diagnoses, content, justifications for treatment, and treatment time frames.

Performs direct client care including medication management, administration of injections, and instruction to the client on self-care. Observations and records in the client's progress notes responses to treatment and any new symptoms or other changes in the client's condition. Notifies the physician or clinician of significant side effects or other adverse reactions observed or reported. Makes suggestions to the treatment team regarding any needed changes to the clients treatment plan, adjusts nursing care plan accordingly, and secures necessary authorizations and re-authorizations.

This is a fast paced environment.

Maintains medical records that meet all applicable standards. Writes clear, concise progress notes that relate directly to the service plan and properly document treatment outcomes.

Provides group and individual training and supportive counseling to adult mental health clients and their families as needed. May provide crisis intervention and after-hours, on call services as assigned.

INDG

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