• Trains, leads, and supervises night nursing and patient care assistant staff under the direction of the Nurse Manager.
• Supports the Nurse Manager in the above duties for entire nursing/tech staff in Nurse Mgr’s absence.
• Collaborates with the Nurse Manager on completion of supervisions, performance reviews, IR review, timecards, hiring interviews and other duties as assigned.
• Shares 24/7 staffing call with Nurse Manager
• Conducts intakes and daily afternoon phone check-ins with patients in Ambulatory Withdrawal Management Program
• Coordinates with WM Outreach Peer on the care of patients in Ambulatory WM Program.

• In collaboration with medical department leadership, supports direction of nursing and patient care assistant service programming and supports interdepartmental coordination of care.
• Ensures safe, quality care through adherence to medical policies and procedures.

• Follow medical policies and procedures for providing medical care for patients withdrawing from drugs and alcohol as well as for patients requiring medical monitoring in residential care. These duties include but are not limited to: monitoring vital signs, performing lab testing, nursing assessments, transition planning and medication administration
• Triage patient medical concerns appropriately, referring patients with medical needs to LIP.
• Monitor, interpret and organize medical paperwork, records and lab results.
• Interpret lab results and notify LIP for critical values.
• Maintain an accurate medication administration record.
• Perform accurate medication reconciliation from screening to admission to discharge.
• Maintain accurate count and storage of all controlled medications.
• Performs additional duties as assigned.

• Inform patient of confidentiality rights, program procedures that safeguard them, and the exceptions imposed by regulations. Protect patient rights to privacy and confidentially in the communications of patient information.
  • Develop collaborative relationships with all members of the treatment team and any other agency with whom the patient is engaged.
  • Explain to the patient, in clear language, the necessity for and process of referral.
  • Collaborates and communicates issues/concerns with the treatment team on clinical and non-clinical issues about patient transitions.
• Attends and participates in all treatment team meetings as assigned.
• Attends all supervision meetings as assigned.
• Maintains and strengthens good working relationships with clinical team members and management.
• Communicates and coordinates effectively with staff from other departments.
• Performs related tasks as assigned.

• Role model healthy styles of communication and behavior, by using non-violent communication, verbal de-escalation, and demonstrating appropriate physical and emotional boundaries. Maintain professional boundaries with the patients at all times.
• Facilitate patients’ engagement in the treatment and recovery process; utilizing motivational enhancement techniques and nonviolent communication.
  • Provide education and support to patients regarding medical issues related to withdrawal, prescribed medications, and transition services
  • Obtains informed consent Obtains consent for withdrawal management services, including admission, protocols, medications and referral.
• Provides information & education about nursing care of patients with substance use disorders, harm reduction, and trauma informed care to nursing & PCA staff and nursing students.
• Describe the health and behavior problems related to substance use, including transmission and prevention of HIV/AIDS, TB, STDs, and other infectious diseases.

• Understands and adheres to the principles of trauma-informed care
• Understands basic evidence base behind medications to treat addiction
• Understands and adheres to principles of harm reduction
• Performs additional duties as assigned

• Demonstrate ethical behaviors by adhering to established professional codes of ethics that define the professional context within which the counselor works, in order to maintain professional standards and safeguard the patient.
• Adhere to Federal and State laws and agency policies and procedures regarding the treatment of substance use disorders.
• Recognize the importance of individual differences that influence patient behavior and apply this understanding to clinical practice.
• Participate in ongoing supervision and consultation.
• Practices appropriate self-care.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to Fora policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access
• Maintain any licensure held at time of hire.

• Provide schedule and staff coverage for withdrawal management program 24/7 within, but not exceeding required staff: patient ratio.
• Be available on call by phone or cell phone for consultation and to answer questions as outlined in the On Call for Consultation procedure.
• Monitor withdrawal management budget and ensure that staffing and supply costs are within budget parameters.
• Maintain expected withdrawal management census.
• Ensure all withdrawal management staff documentation is accurate and timely.
• Document supervisory issues with staff.
• Provide a consistent, comprehensive training program for new staff.
• Ensure staff are timely on required trainings.
• Provide leadership, support and guidance for residential and withdrawal management staff.

• Registered Nursing License for State of Oregon
• BLS certified.
• Experience in mental health, addictions required

• Proficient in Microsoft Office applications
• Communicates information effectively in writing and verbally
• Strong organizational skills and attention to detail
• Displays initiative and problem-solving skills
• Intermediate knowledge of substance-use disorders
• Marked ability to demonstrate and utilize self-awareness
• Intermediate understanding of motivational interviewing
• Intermediate understanding of mental health disorders and symptom presentation
• Intermediate understanding of trauma-informed care
• Working knowledge of ASAM and DSM 5 Substance Use Disorders

• Verification of Sobriety, per Oregon Administrative Rules (OAR) standards
• DHS Background Check Approval
• Successful completion of Drug Test upon hire
• Documentation of Tuberculian test and/or evaluation with negative results or evidence of non-communicability

• This position works in an indoor office environment and also periodic travel to other sites.
• Position does not consistently require overtime. Adjustment of work schedule may be required.
• The withdrawal management program is operated 24 hours a day, therefore, shift assignments may include days, evenings, nights, weekends and holidays.
• Possible exposure to communicable diseases which can encompass a variety of illnesses and infections, including tuberculosis, Hepatitis A, B, and C, and HIV.
• Possible exposure to upset, angry, severely traumatized or emotionally disturbed adults, adolescents, and families.
• Exposure to potentially hazardous cleaning chemicals, body fluids, sharps equipment and medication; personal protective equipment provided.
• Fast paced, high volume work environment.

ABOUT FORA HEALTH

Looking for a meaningful career? At Fora Health, we employ a team of passionate, diverse and caring people who are committed to carrying out our mission to provide treatment, care and advocacy for all who are affected by substance use disorder. We are seeking dedicated individuals to join our experienced team of professionals in the fight to overcome the stigma of addiction and mental health. Come join one of Oregon’s largest and most reputable providers of substance use disorder and co-occurring mental health treatment for adults!

Fora Health is committed to providing a wide range of accessible, coordinated, and well-integrated services that benefit the community and support our clients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports Fora's mission, each employee will, at a minimum:

1. Have knowledge of substance use disorders.
2. Recognize the importance of family, social networks, and community systems in the treatment and recovery process.
3. Respect the diversity and uniqueness of all people.
4. Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care.
5. Uphold the highest standard of customer service to clients, referents, and all community partners.

BENEFITS

• Regence BlueCross BlueShield medical insurance
• Comprehensive dental and vision insurance
• Employer-paid basic life and accidental death & dismemberment insurance
• Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance)
• Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs
• 401K plan with Employer Matching up to 6%
• 4 weeks paid vacation, one floating holiday & sick leave
• 10 observed holidays, paid bereavement and paid jury duty days
• Flexible schedules
• Employee Assistance Program
• Discounted 24 Hour Fitness membership from $6.99/month
• One free employee meal on days worked at our Cherry Blossom location
• Online education tools for CEUs
• Critical shift compensation up to double hourly pay rate and shift premiums for certain positions
• Employee referral bonus
• Education grant program reimbursement for continuing education expenses after 90 days of employment
• Loan forgiveness for eligible medical and clinic positions
• Free parking at our two facilities

Employees may be eligible for education grants:

• National Health Service Corps (NHSC)
• NURSE Corps
• Public Service Loan Forgiveness (PSLF)

Fora Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Fora Health encourages applications from those who are in recovery. Please note that we require individuals in recovery to certify that they have at least two years of continuous sobriety upon hire.

Fora Health is a second chance employer and complies with applicable laws regarding consideration of criminal background for employment purposes. Fora Health conducts a background check for all positions upon offer of employment. Government regulations, contractual requirements, or the duties of certain jobs may require us to take appropriate action to address prior criminal convictions.