Registered Nurse - Norwalk

Utilizes independent nursing judgment to assess patient acuity, determine the urgency of medical concerns,recommend appropriate levels of care, including primary care follow-up, Emergency Departmentevaluation, or activation of Emergency Medical Services (EMS), and consults with the Medical Directorregarding complex or high-risk clinical situations.8. Provides education, support, and care coordination for patients withsubstance use disorders, including harm reduction strategies, overdose prevention linkage to treatmentand recovery services, and collaboration with the interdisciplinary treatment team to support whole-personcare.9.

The Registered Nurse is responsible for overseeing the health, wellness, and psychiatricstability of patients receiving Full-Service Partnership (FSP) and broader outpatient behavioral healthservices.The position is primarily field-based and requires the ability to provide outreach, engagement, nursingsupport, and behavioral health services in community settings including patient homes, residential facilities,schools, shelters, hospitals, and other community-based environments. This is a hybrid role requiringflexibility, including availability for evenings and weekends based on community, events and the businessneed of the Company.Salary Range: $83,200-$112,320Essential Duties and Responsibilities:1. GOAL SETTING: Conducts health and wellness assessments and collaborates with patients inestablishing individualized treatment, wellness, and recovery goals.2. MEDICAL HISTORY: Obtains and reviews routine patient health, social, psychiatric, substance use, andmedical history and integrates assessment of physical health conditions that may impact mental healthfunctioning and treatment. Coordinates physical health services as indicated.3. MEDICATION: Oversees daily operations of the medication room, ensuring secure storage of allmedications in accordance with agency policy and regulatory standards. Monitors medication inventory,stock levels, expiration dates, and tracks the receipt, dispensing, storage, administration, and disposal ofmedications. Maintains accurate medication logs and chain-of-custody documentation. Coordinates withtreatment team providers, pharmacies, and nursing staff regarding medication management andmedication-related concerns. Assists in training and supporting staff on medication handling procedures,infection control practices, medication safety, and universal precautions. Administers and monitorsinjectable medications in both clinic and community settings. Monitors oral medication adherence andconducts medication reconciliation with patients. Organizes and supervises the preparation of prescriptionsand pill organizers in collaboration with patients. Monitoring and administrating injectable medications bothin the clinic and in the field. Monitoring and managing oral medication, including conducting medicationreconciliation with patients. Organizing and supervising the filling of prescriptions and pill boxes incollaboration with patients. Ensures proper disposal of expired, discontinued, or unused medicationsaccording to policy. Administers psychotropic medications (RN only), including long-acting injectableantipsychotics, independently operates weekly injection clinic services under psychiatrist orders andMedical Director oversight, monitors patients for post-injection reactions and medication side effects, andassists psychiatrists in stabilizing patients. Performs medication reconciliation following hospitalization,emergency room visits, or transitions of care. Coordinates laboratory monitoring for psychotropicmedications, including but not limited to lithium, clozapine, valproic acid, and metabolic monitoring labs.Collaborates with pharmacies regarding prior authorizations, medication refill coordination, medicationaccess barriers, and injection ordering.4. DIRECT CARE: Promotes a safe, professional, trauma-informed, culturally responsive, and patient-centered clinical environment. Provides direct nursing care and performs preventive health interventionsincluding blood pressure monitoring, heart rate monitoring, weight monitoring, waist circumferencemeasurements, Body Mass Index monitoring, and assessment of abnormal findings. Performs basic woundand skin assessments, provides wound care within the Registered Nurse scope of practice, monitorshealing, and coordinates referrals for advanced wound care or medical evaluation as clinically indicated.Monitors for medication side effects including metabolic syndrome, extrapyramidal symptoms (EPS),tardive dyskinesia, and other adverse medication reactions, and communicates clinically significant findingsto the psychiatrist and/or Medical Director.5. EMERGENCY PREPAREDNESS: Participates in medical emergency response planning, disasterpreparedness activities, and Masada emergency procedures. Maintains current CPR certification andresponds to medical emergencies within the scope of practice.6. INFECTION PREVENTION, COMMUNICABLE DISEASE, AND EXPOSURE RESPONSE: Serves asthe clinical nursing lead for Masada's Communicable Disease, Exposure and Field Response Manual.Conducts communicable disease screenings, assesses infectious disease risks, and provides clinicalconsultation to field staff regarding safe service delivery, infection prevention, and appropriate use ofpersonal protective equipment (PPE). Coordinates with the Medical Director, Public Health, primary careproviders, and other healthcare partners as appropriate regarding communicable disease concerns andexposure response. Provides staff education and assists in the development and implementation of agencyinfection prevention policies, procedures, and training consistent with applicable regulations and Masadapolicy.7. CLINICAL CONSULTATION AND TRIAGE: Serves as the primary nursing resource for therapists, casemanagers, occupational therapists, substance abuse counselors, peer specialists, Licensed VocationalNurses (LVNs), and other Masada staff regarding medical concerns, medication-related issues, infectionprevention, changes in patient condition, emergency response, and coordination of healthcare services.Utilizes independent nursing judgment to assess patient acuity, determine the urgency of medical concerns,recommend appropriate levels of care, including primary care follow-up, Emergency Departmentevaluation, or activation of Emergency Medical Services (EMS), and consults with the Medical Directorregarding complex or high-risk clinical situations.8. WELLNESS: Provides individual and group wellness coaching including management of chronic medicalconditions, improvement of health through lifestyle changes, tobacco cessation, nutrition and mealplanning, exercise, weight management, stress management, sleep hygiene, and linkage to physicalhealthcare resources as appropriate. Provides education, support, and care coordination for patients withsubstance use disorders, including harm reduction strategies, overdose prevention linkage to treatmentand recovery services, and collaboration with the interdisciplinary treatment team to support whole-personcare.9. SUPERVISORY RESPONSIBILITIES: Attends weekly supervision, staff meetings, case consultations,and multidisciplinary treatment planning meetings as required. Assists in implementing agency policies,nursing workflows, quality improvement initiatives, medication safety practices, and regulatory standardswithin the clinic setting. Provides clinical supervision, oversight, training, and periodic performanceevaluations for Licensed Vocational Nurses (LVNs) and/or Licensed Psychiatric Technicians (LPTs).Delegates nursing tasks consistent with staff scope of practice, competency, and agency policy. SupportsLVNs/LPTs in identifying and responding to urgent or high-risk patient situations, including crisis de-escalation and suicide risk concerns. Participates in the interview, onboarding, training, supervision, andongoing professional development of LVNs and LPTs to support high-quality patient care and adherenceto clinical and agency standards. Provides consultation and problem-solving support to nursing supportstaff regarding daily clinic operations, medication services, patient care issues, and workflow concerns.Escalates significant clinical, safety, performance, or compliance concerns to leadership as appropriate.10. DOCUMENTATION & CONFIDENTIALITY: Maintains strict confidentiality regarding all patient recordsand protected health information. Ensures accurate, timely, and complete clinical documentation related tonursing services, medication administration, patient contacts, assessments, interventions, coordination ofcare, and telehealth services in accordance with agency and regulatory standards.11. COMPLIANCE: Ensures all assigned programs operate in compliance with agency policies, LACDMHrequirement, Medi-Cal standards, Specialty Mental Health Services regulations, county, state, federal, andlicensing requirements. Oversees compliance with documentation standards, medical necessity criteria,timeliness standards, quality management requirements, and utilization review expectations Supports thesuccessful integration of treatment services for all clients and remains informed regarding regulatory,contractual, and programmatic changes affecting service delivery. Supports compliance with audits, sitereviews, and certification requirements by monitoring data integrity, implementing corrective action plans,and operational improvements to ensure accurate data collection and network adequacy.12. QUALITY ASSURANCE AND QUALITY IMPROVEMENT: Participates in quality assurance andquality improvement initiatives involving nursing services, medication safety, infection prevention, clinicaloutcomes, incident review, and regulatory compliance.13. COORDINATION: Provides outreach, engagement, and nursing support services to patients who mayhave difficulty accessing traditional office-based treatment. Coordinates care with psychiatrists, primarycare providers, pharmacies, hospitals, other healthcare providers, family members, caregivers, andcommunity supports. Assists with care coordination following psychiatric hospitalization, emergency roomvisits, or other transitions of care. Supports coordination of telehealth services, virtual medicationappointments, remote patient education, and remote care management services. Contributes to thedevelopment, evaluation, and revision of nursing policies, procedures, and clinical workflows.14. CRISIS: Obtains and maintains LPS designation as required and participates in the agency's 24-hour/day, 7-day/week on-call crisis response system as assigned. Assists with crisis intervention, suiciderisk assessment, safety planning, de-escalation, and coordination of higher levels of care when clinicallyindicated. Communicates critical clinical issues to supervisors, psychiatrists, and treatment team membersin a timely manner.15. SAFETY RESPONSIBILITIES: Must ensure a hazard-free workplace, enforce Company safetycompliance and OSHA safety regulations, conduct employee worker's compensation investigations andfoster a proactive safety culture across the Company. Ensure that employees followestablished safety protocols, procedures and guidelines at all times. Maintaining a safe work environmentincludes promptly reporting injuries, illnesses, hazards, or unsafe conditions to their supervisor ordesignated representative. All EMPLOYEE related injuries or illnesses must be reported immediately to HRand Nurse First Response (NFR) should be notified for an assessment. Nurse First Response is available24/7/365 days, (877) 246-8608.16. TRAVEL: Travels independently and provides field-based services in a variety of community settingsincluding patient homes, residential facilities, schools, hospitals, shelters, board and care facilities, officelocations, and other community environments. Position requires regular community outreach, fieldengagement, and the ability to safely and effectively work in diverse community settings. May transportpatients in accordance with agency policy and procedures. Provides services in the field, in office settings,and through telehealth platforms as clinically appropriate.17. OTHER: Performs other duties as assigned.Position Requirements:Valid Registered Nurse license issued by the California Board of Registered Nursing.At least two (2) years' experience with a TAY/adult mental health population.Valid California Driver's License, proof of automobile insurance, good driving record, and must beable to drive to fulfill the duties of the position.Able to function with a minimum of supervision and be highly motivated to provide excellent careand patient advocacy.Work Environment:The work environment is primarily an office and clinical setting with a moderate noise level. The positionmay require flexibility in work schedule based on operational needs, including occasional early or latemeetings. This position is not assigned to the agency after-hours or on-call rotation.Hybrid schedule with three (3) days onsite at the main office and two (2) days remote, based onorganizational needs. Flexibility required, including travel to other sites as requested.