Registered Nurse (RN) - SAGE

Job Definition

The RN is a member of the SAGE (Support, Advocacy, Growth and Employment) multidisciplinary team consisting of nurses, psychiatric providers, case managers, substance use counselors, employment specialists and peer specialists responsible for providing the full range of case management services to homeless and formerly homeless, mentally ill adults. The Registered Nurse works primarily with clients in need of psychiatric and other medical attention, providing medication coordination/management, client education, health assessment and related services. Work is done under the supervision of the Clinic Nursing Supervisor.

Major Duties and Responsibilities

• Provide direct nursing services, including clinical assessments, medication administration, wound care, foot care, and other treatments.
• Triage, assess, and support clients to acquire primary care, urgent care, prenatal care, mental health care, and reproductive, sexual health, dental, vision and specialty care, as appropriate. Coordinate care within DESC and with external health care providers as needed.
• Provide life-saving efforts in the case of a client medical emergency in the building, until higher level of care arrives.
• Educate clients about acute and chronic conditions, self-care, medications and their effects, and other relevant health topics.
• Lead therapeutic, educational, and support groups focused on client health, medication, behavior management, and other relevant topics.
• Coordinate care transitions with internal DESC and external partner health care providers.
• Be able to use critical thinking, clinical judgment, patience, and flexibility in frequent contacts with clients. Have strong communication and customer service skills.
• Build trusting relationships with clients who may be wary and difficult to engage by employing a warm and accepting approach that includes trauma informed care, harm reduction and motivational interviewing. Demonstrate a commitment to this approach through language and behavior.
• Participate in supervision, program meetings and in-service trainings.
• Comply with the agency's clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance activities.
• Participate in verbal de-escalation and be willing and able to assist other staff as needed to maintain a safe and secure environment.
• Other duties as assigned.

Minimum Qualifications

• Registered Nurse, licensed in the State of Washington, in good standing. If licensed under the Nurse Licensure Compact Multistate License (NLC MSL), compliance with RCW 71.12.740 and NLC MSL Rule 402.2 is a condition of employment.
• Interest or experience in working with clients who are difficult to engage and maintain in traditional mental health programs.
• Be able to pass a Washington State Criminal background check.
• Knowledge of Harm Reduction strategies.
• Ability to relate to a wide range of people, demonstrate highly developed communication skills, and have a desire to serve homeless, mentally ill clients.
• Ability to remain open and receptive to constructive feedback.
• Ability to communicate and coordinate with staff from diverse backgrounds.
• Ability to work effectively with clients displaying a wide range of peculiar or disturbing behavior.
• Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.

Preferred Qualifications

• Knowledge and skill in working with co-occurring mental health and substance abuse disorders; with homeless or formerly homeless individuals; and crisis intervention and stabilization experience.
• Familiarity with recovery principles, integrated treatment of co-occurring disorders, intensive case management, illness management, and relevant evidenced based/emerging best practices.
• Bilingual in Spanish/English.
• Strong applicants can demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and sometimes stressful environment.