Outpatient Behavioral Health Nurse Manager

Job Title:        Out Patient Behavioral Health Nurse Manager

Job Code:         OPNMBH

Department:        Analenisgi Outpatient

Division:        Nursing    

Salary Level:        Exempt 5

Reports to:        Executive Director of Nursing    

Last Revised:        October 2024

Primary Function

This position is responsible for the oversight, management and supervision of the nursing and support staff responsible for care rendered in the Opioid Treatment Program/Medication Assisted Treatment (OTP/MAT) and Psychiatric outpatient clinics (adult and pediatric).

 This incumbent will ensure safe, efficient and effective daily operations. Dosing clinic is open 365 days a year.  Nursing shifts for dosing clinic are 10 hours except on weekends and holidays.  Strict adherence to state and federal regulations, CIHA policies and accreditation standards related to patient care, staffing, maintenance of facility, safety, clinical, medical, risk management, financial, community relations and other duties assigned as pertinent to the position are followed. The Outpatient Behavioral Health Nurse Manager will adhere to the vision and mission of CIHA and participate in the execution of the strategic plan for behavioral health and substance use services and ensure the nursing staff does the same. The person in this position works closely with the Medication Assisted Treatment Manager, the Director of Behavioral Health and the Executive Director of Nursing. 

The OP BH Nurse Manager will manage and oversee a variety of substance use disorder treatment functions to include supervision, program development, training and development of staff and will also be a part of outreach development of community partnerships. The Nurse Manager will work collaboratively with all other CIHA and EBCI programs in order to provide integrated services and treatment for clientele. The Nurse Manager will be responsible for program reports and audits and follows all oversight requirements, policies and procedures as well as assisting in program and policy development.  

Job Duties and Responsibilities

•    This person will become knowledgeable regarding all departments that they manage and be able to step in and work side by side to provide patient care, in the event that assistance with coverage is needed. 

•    Able to multi-task in a fast-paced environment, apply professional judgement in solving difficult issues, and to communicate in a clear, precise and professional manner.

•    Knowledgeable regarding the Federal Guidelines for Opioid Treatment Programs and Substance Abuse and Mental Health Administration (SAMHSA) guidelines 43CFR Part 8

•    Ensures compliance with 42 CFR Part 2 (Federal Confidentiality Regulations) and 45 CFR, Parts 160 & 164 (HIPAA).

•    Ensures conformance to acceptable standards of nursing practice, including all

Cherokee Indian Hospital policies and procedures, rules and regulations required for nursing licensure.

•    Defines departmental nursing program goals and objectives and evaluates

programs. 

•    Develops/ maintains an organizational culture that fosters staff professional development and provides adequate supervision and support.

•    Facilitates healthy team development and skill building integral to the delivery of CIHA services.

•    Provides administrative supervision inclusive of performance reviews, disciplinary actions, hiring/separation authority and time and attendance for assigned clinics.

•    Provide clear and kind feedback to staff regarding their performance on a regular basis, complete formal annual performance review of all direct reports 

•    Work with the Employment Relations Department to develop and administer performance improvement plans (PIPs) and progressive discipline as needed

•    Schedules, conducts and participates in all staff meetings no less than quarterly.  Keeps documentation of what was covered in meeting and who attended.

•    Reviews work schedules, assignments, patient classification and charge nurse reports to assess daily, the appropriate number and level of personnel required to provide quality patient care.  Recommends and carries out changes in personnel and assignments accordingly.

•    Schedules and approves leave, identifies leave abuses and initiates necessary action to correct the abuse.  Counsels subordinate employees on individual personnel problems for direct reports.

•    Maintains accurate and complete personnel records, miscellaneous documents, reports, statistics, etc.

•    Must be able to drive (when needed) for business purposes to other program locations such as to the Cherokee Detention Center and if needed to KAN. If employee drives his/her personal automobile for business, employee must have valid North Carolina driver’s license and comprehensive automobile insurance coverage, as required by law.

•    Actively participates in preparation for surveys and inspections conducted by licensing or accrediting bodies, the State, and any other agency site visits as dictated by the state laws or regulations.

•    Participates in team meetings; assists Directors with new initiatives and projects and in seeking funding sources; assists in fulfilling reporting requirements.

•    Attends interdisciplinary meetings, planning sessions, committees and serves on CQI teams to promote quality and performance improvement.\Ensures patient progress is accurately documented by staff in all patient charts. Provide reports as requested.

•    Participates in the development, administration and evaluation of the nursing

department's annual budget and conducts departmental activities in consideration of budget constraints.

•    Collects relevant data and statistics for documentation and prepares special projects and reports for the nursing department.

•    Ensures completion of all monthly report requirements.

•    Oversees chart reviews to ensure the delivery and documentation of services in compliance with licensure and payer regulations and standards. Ensures 10% of charts are audited monthly with some representation of active and discharged patients.

•    Perform other duties as assigned.

Education / Minimum Qualifications    

•    Must have an active unrestricted valid Registered Nurse license within the state of North Carolina or a state that is accepted as reciprocity.    

•    A Bachelor’s Degree in Nursing or higher is preferred, or enrolled in a Bachelor’s Degree in Nursing program within 6 months of hire along with formal documented leadership education that will be documented in the applicants file.

•    Minimum of 2 years of supervision and/or management of nursing staff experience preferred or Advanced Practice Degree in Nursing acceptable. (MSN or Doctorate)

•    A strong background in Psychiatric Nursing required.

•    Current Basic Life Support (BLS) active or signed up for the next available class at CIHA required.

•    Must have a valid driver’s license. 

•    Proficiency rated at 1 year of nursing experience required.

Job Knowledge    

•    Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of patients of all ages. Specifically, in Infancy (Birth-1Year), Toddler and Early Childhood (2-5 years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years), Adolescence (16-20 years), Adult (21-64 years), Elderly (65- years).

•     Knowledge of the nursing process and its application to clinical practice.

•    Knowledge of the biological aspects of the disease process of illness in order to recognize complications and therapeutic interventions required.

•    Knowledge of psychiatric nursing treatment and psychotherapeutic interventions,

laws and regulations pertaining to psychiatric nursing, the uses and effects of

psychotropic drugs and narcotics, patient safety practices and locked facility

security, theories, principles and techniques of group and individual psychotherapy, symptoms and behavior patterns of emotionally disturbed and mentally ill patients, mental health community resources and services, and health education, interviewing and counseling techniques.

•    Knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions.

•    Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established time frames and work in stressful situations.

•    Knowledge of the occupational functions of multi-disciplinary health care teams.

•    Knowledge of the culture and medical health profile of the patient population.

•    Knowledge of available health care programs and community resources.

•    Knowledge and ability to teach and counsel patient/family and staff on health maintenance and disease prevention.

•    Knowledge and skills in operating specialized medical equipment, such as: monitoring devices, suction pumps, oxygen equipment, etc.

•    Knowledge and skills in operating a computer and ability to use word processing and spreadsheet programs.

•    Knowledge of legal and ethical aspects of nursing.

•    Ability to communicate to and interact with persons (staff, health care professionals, individuals in the community) with different functions, levels of knowledge, and requirements.

•    Ability to supervise nursing personnel and delegate work.

•    Knowledge of Joint Commission accreditation standards, nursing quality improvement standards, personnel regulations and safety standards.

•    Knowledge of clinical teaching methodologies and methods of evaluating the effectiveness of teaching strategies.

•    Ability to gather and analyze data and communicate findings

Complexity of Duties    

The work involves a wide range of activities performed in an independent manner and requires decision-making and problem-solving abilities related to data collection, planning, implementing, evaluating, and modifying methods and techniques.  The nature of the assignments requires flexibility and ability to make rapid adjustments from performing administrative and supervisory management functions to interacting with physicians, hospital and area administrators, hospital services and nursing services outside the organization.  Consults with the Executive Director, Division of Nursing, and clinical and supervisory staff members in professional and patient care/activities. 

Guidelines consist of professional standards of practice as determined by the nurse practice act, nursing, and medical policy and procedures, standing orders, and hospital and agency policies.  Complies also with SAMHSA, FPM, DHHS, PHS, and IHS regulations.  These guidelines are not always specifically applicable to all situations and independent judgment is required to analyze and determine the appropriate course of action in problem solving related to the specific situation.  Evaluation of work performance is accomplished through reports, conferences, and effectiveness in meeting the objectives of the service.

Supervision Received    

The Executive Director, Division of Nursing is the immediate supervisor.  The Executive Director, Division of Nursing sets the overall objectives and resources available.  The Nurse Manager exercises independent judgment in planning and carrying out the assignment and in changing or modifying plans based upon program needs and standards.  Work is reviewed for effectiveness in meeting expected results.

Responsibility for Accuracy    

The incumbent’s responsibility for accuracy is critical in achieving and maintaining The Joint Commission accreditation requirements that would negatively affect meeting accreditation and having potential of losing revenue generated from Medicare and Medicaid collections. 

The incumbent’s performance affects the health, recovery, and rehabilitation of patients, and the quality of care provided.  Evaluations and observations are used to modify and develop clinically appropriate treatment plans.  The incumbent has a positive effect upon the recovery of the patient and is responsible for the development of policies and procedures, which serve as hospital guidelines.

Contact with Others    

Contacts are with patients, families, hospital personnel, medical services and community agencies. Contacts with patients, families, and hospital personnel are to exchange, provide, and obtain information concerning the patient's physical and psychosocial health care problems and needs.  Contacts with nursing and medical, administrative and other hospital departments are to monitor and evaluate the quality of care and implement corrective actions. 

Confidential Data    

The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge.  The Act carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action. 

The incumbent is responsible for the development, application, and implementation of EEO requirements and the EEO program guidelines established by the HRSA Office of Equal Employment Opportunity.  In addition, the incumbent is directly accountable for the achievement of tangible EEO progress and results relative to minorities and women with the jurisdiction of the immediate organizational unit supervised.  Sets the tone and carries out the leadership role by: initiating affirmative EEO action, selection, details, reassignments, training awards, career ladders and/or lattices, hiring; redesigning jobs; developing and promoting minorities and women and acting as a positive model in EEO matters for the benefit of subordinate supervisors and employees.   Seeks out and utilizes the appropriate personnel generalist, EEO deputies and/or counselors applicable training resources, etc.  Reports will be submitted concerning EEO matters, as required.

Mental / Visual / Physical    

Work in various services within the nursing department requires considerable walking, standing, bending, pushing, and lifting in helping patients.  These same activities are required in moving equipment and medical supplies.  The ability to cope with the volume of patients, personnel problems, and constant changes is required. May occasionally lift over 15 pounds. 

Environment    

The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant chemicals, and explosive gases.  May be necessary to work when Administrative leave is granted if patient care would be compromised. 

Extent of Supervision

Manages the work of between 7 to 12 personnel in licensed professional, ancillary support, and clerical positions.  Is responsible for planning work to be accomplished, setting priorities, assigning work, evaluating the performance of subordinates, counseling subordinates on technical and administrative matters, interviewing, selecting and assigning new employees or reassigning those currently employed, hearing and resolving complaints; effecting minor disciplinary measures and resolving complaints; effecting minor disciplinary measures and identifying development and training needs of subordinates.  Promotes the incentive awards, equal employment opportunity, upward mobility and other special programs.  Schedules and approves leave.

Customer Service    

Consistently demonstrates superior customer service to patients/customers by displaying behaviors and skills consistent with CIHA guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.