RN Care Manager | ACT

Department Details

The Assertive Community Treatment (ACT) team is a vibrant mix of mental health professionals from various fields, working together to achieve common goals. The client base served is adults with serious and persistent mental illness (SPMI). Work location is flexible with opportunities to go into the community, home, and clinic setting with clients.

The role of a RN on the ACT team is to provide comprehensive, client-centered nursing care and support to individuals with complex behavioral health needs. The RN collaborates with clients, local pharmacies, healthcare providers, and other members of the treatment team to promote medication adherence, coordinate medical care, and assist clients in navigating the healthcare system. This role is integral to ensuring continuity of care, promoting overall health and wellness, and delivering high-quality nursing services within a community-based setting. The RNs on the ACT team participate in a team-nursing model, working collaboratively with other RNs to share responsibilities, support one another, and ensure clients receive coordinated and comprehensive care including medication drops, administration of injections, and completing various mental health assessments as needed.

The RN role does have a required on-call component for after hours and weekends, additional compensation for this time. Call rotation is typically one week every 4-6 weeks depending on preference.

Summary

Responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care. Collects and relays information (assessment, screening, diagnostic testing results and risk stratification) to providers on both hospital and clinic patients enrolled in the approved programs.

Job Description

• Develops and provides individualized patient education based on assessed needs.
• Develops and implements individualized care plan.
• Assists with the coordination of patient care across the continuum by collaborating with the inter-professional team and community partners.
• Works with the clinical team and may manage the disease registries by identifying and following up with patients not meeting clinical and evidenced-based goals as well as Sanford approved clinical guidelines.
• Provides services that focus on health and wellness.
• Provides healthcare leadership, coordination of services, and the implementation of evidence-based practice to support the overall goals of the designated setting and/or program.
• Applies population health care management strategies to panels of patients.
• Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and population specific standards as designated in their assigned clinical setting.
• Functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure.

Qualifications

• Bachelor's degree in Nursing preferred or Associate's degree in Nursing required.
• Graduate from an accredited nursing program required.
• Currently holds an unencumbered RN license with the Minnesota State Board of Nursing.
• Basic Life Support (BLS) is required and must be obtained within six months of employment.
• Must possess a valid driver's license.