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Behavioral Health Nurse Manager
Behavioral Health Nurse ManagerCherokee Indian Hospital Authority • Cherokee, NC, United States
Behavioral Health Nurse Manager

Behavioral Health Nurse Manager

Cherokee Indian Hospital Authority • Cherokee, NC, United States
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Job Title : Behavioral Health Nurse Manager

Job Code : NM BH

Department : Analenisgi Inpatient

Division : Nursing

Salary Level : Exempt 6

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 providing care on the Analenisgi Inpatient Nursing Unit and the nursing

services rendered at the Kanvwotiyi Residential Behavioral Health location.

This person will ensure safe, efficient and effective daily operations. Strict adherence to

state and federal regulations, CIHA policies and accreditation standards related to patient

care, staffing, maintenance of the units, safety, clinical, medical, risk management,

financial, community relations and other duties assigned considered pertinent to the

position. The Inpatient 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 Clinical Service Manager, the other facility nurse managers

and the Executive Director of Nursing.

The Inpatient 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 in 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

Administrative :

  • 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.

  • Makes daily and as needed rounds to observe the condition of patients and monitors
  • the nursing staff's patient care activities.

  • Participates in the recruitment and retention of quality nursing staff and initiates an
  • on-going plan of guidance, counseling and evaluation that will foster the

    professional growth and development of the nursing service staff.

  • Receives and resolves all informal complaints, forwarding unresolved issues to the
  • Executive Director, Division of Nursing for review and assistance.

  • 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.

  • Maintains and promotes positive and constructive communications and activities
  • within nursing services, other departments, tribal, and community agencies for

    purposes of coordinating and understanding of goals and objectives relevant to the

    population served.

  • 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 Employee 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 the meeting and who attended.

  • 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.

  • Participates in developing and revising nursing policies and procedures for units
  • managed.

  • Must be able to drive (when needed) for business purposes to other program
  • locations such as 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.

  • Provides advisory and consultative support to nursing staff on a wide range of
  • patient care and administrative matters. Directs and implements nursing activities

    for emergency planning.

  • Alone or in collaboration with the Officer of the Day, assumes responsibility for
  • managing or obtaining proper assistance for the management of non-nursing

    emergencies occurring within the hospital during assigned tour-of-duty.

  • Participates in team meetings; assists with new initiatives and projects and 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.

  • 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.

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

  • 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.

  • Bachelor's Degree in Nursing or higher 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 Substance Use / Psychiatric Nursing required. Examples of
  • this documented in the applicants file required

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

  • Must obtain Advanced Cardiac Life Support (ACLS), must be obtained within 6
  • months of date of hire if applicant does not have an active card

  • Must have a valid North Carolina driver's license.
  • Proficiency rated at 1 year.
  • 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-1

    Year), 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 principles and practices of effective employee supervision.
  • 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 of processes and procedures for establishing, revising, continually
  • monitoring, and evaluating standards for the practice of nursing.

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

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

  • Knowledge of problem oriented medical record methods.
  • 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 JCAHO 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

    prob

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    Nurse Manager Behavioral Health • Cherokee, NC, United States