Salary : $71,676.80 - $92,289.60 Annually
Location : Tacoma-Pierce County Health Department, WA
Job Type: Regular
Job Number: 25-00003
Division: Strengthening Families
Program: SF - Substance Abuse Services
Opening Date: 12/06/2024
Closing Date: Continuous
Job Summary Be part of a collaborative care model that relies on the Nurse
Care Manager (NCM) to ensure delivery of high-quality addiction treatment while effectively and efficiently utilizing the time of providers prescribing Medication to treat Opioid Use Disorder (MOUD). You will have a central role in an interprofessional collaboration between the NCM, medical providers, and other members of the care team (counselors, other nurses/MAs, office staff) to provide comprehensive care during all phases of treatment, including patient screening, assessment, education, care planning, medication dispensing, stabilization, and maintenance. Additionally, NCMs are responsible for ongoing medical management, coordination of follow-up care, telephone monitoring, relapse prevention, overdose education and support for patient self-management.
If this sounds like you, j oin our Substance Abuse Services Program as a Nurse Care Manager - Registered Nurse in our Strengthening Families Division.
This is a Full-time (1.0 FTE), Regular position. Some of what you'll do: - Schedule medical appointments and prepare cases for physician or ARNP each day: phlebotomy results, reason for appointment, any current contracts, recent UA results (last 3); for pregnant patients print pregnancy informed consent (if not already signed).
- Monitor follow-ups and consults to ensure that patients have attended, and to determine rescheduling necessity or increased number of appointments needed.
- Coordinate with phlebotomy nurse for scheduling lab work; follow-up to ensure lab work is completed within 14 business days of order.
- For new patients, ensure that review of consent to treatment and explanation that the treatment goal is stabilization is conducted within 30 days of induction: report back to medical team about outcome and next steps.
- Perform complex practical nursing assessments and health screening of patients using established, standardized protocols to collect patient vital signs.
- Assist physician or ARNP with examinations as needed.
- Provide instructions to patients regarding the course of treatment outlined by the physician or ARNP and/or to educate about services, health problems, etc.
- Coordinate with front desk and assessment staff for medical induction appointments.
- Enter courtesy dosing orders and diagnosis codes.
- Run PMP reports for annual physicals, and as needed.
- Track patients on benzodiazepine agreements to include medication registration and pill count.
- Take turns being on-call after hours for hospitals to verify patient methadone doses.
- Assist in training new medical staff to policy, procedure and protocol.
- Dispense oral methadone in accordance with physician orders and DEA regulation.
- Accurately read PPD test results.
- Pre-pour doses for patients with 1x/month and 2x/month take-home status.
- Accurate record keeping of methadone received from supplier and dispensed to patients to include logging in new methadone stock and properly numbering/stacking bottles in safe, running/printing end-of-day reports, putting them in correct order and signing them.
- Maintain a clean and orderly examination room and dispensary.
- Re-stock medical supplies as needed and notify RN Supervisor when medical supplies need to be re-ordered.
- Attend mandatory staff meetings and complete required trainings.
- Backup duties when RN Supervisor is unavailable - attend weekly Medical Staffing; e-mail medical induction synopses to clinic coordinator; submit SAMHSA requests; order medical supplies and methadone from supplier.
- Provide emergency care for clients in medical distress until emergency medical responders arrive.
- Additional duties as assigned, includes emergency planning and response. The work you do might require you to participate in the Title XIX Medicaid Claiming Program.
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What you bring to the table - Knowledge of the fundamentals of providing patient centered care.
- Ability to work daily with patients who often have extremely difficult life circumstances and experience stigma, discrimination, and marginalization.
- Knowledge of professional nursing principles, practices, and techniques.
- Knowledge of and ability to assess client's medical records.
- Skill in communicating orally using tact and diplomacy to gain concurrence and cooperation.
- Skill in analyzing, compiling, recording data, i.e., client records, pharmacy records, etc.
- Ability to provide effective leadership through coaching, training, facilitation, and delegation.
- Demonstrates strong communication and patient service skills, both in person, over the phone and via electronic methods.
- Demonstrates dynamic critical thinking skills, clinical judgment abilities, visionary capabilities, creativity, tact, empathy, and flexibility.
- Demonstrates clinical proficiency in managing complex situations; ability to perform triage functions, take substance use and medical histories.
- Demonstrates professional and compassionate conduct, flexibility, reliability, and accountability.
- Demonstrates leadership ability and has experience and willingness to lead change.
Who should apply Graduation from an accredited school of nursing
and three years of registered nursing experience.
Desired - Bachelor's of Nursing from a program approved by the National League for Nursing.
- Two years of recent clinical experience as an RN working in a clinic/outpatient setting.
- Fluency in a second language.
- Previous experience in a lead capacity.
- Prior experience in a methadone clinic or mental health nursing setting.
- Enthusiasm for supporting patients who often have extremely difficult life circumstances and experience stigma, discrimination, and marginalization.
Required Certifications and Licensure - Possession of a valid Washington State Registered Nurse License.
- Possession of a valid driver's license and an acceptable driver's abstract prior to employment.
- BLS Certification in CPR.
Working Conditions & Physical Requirements Work Setting: - Work is performed in a indoor clinical setting with periodic outdoor "curbside" dosing throughout the day.
- Your office will be set up to provide personal safety, including social distancing, screening, sanitation, disinfection, and masks.
Physical Demands: - Sitting/standing/walking; fine motor dexterity; ability to lift, push and pull up to 50 pounds.
Tools and Equipment: - Ability to operate a computer with Windows 10 products (Word, Excel, Outlook) and electronic health records.
- Duties require the use of standard office furniture and equipment (e.g., desk, filing cabinet, computer, printer, telephone, fax machine, copy machine, etc.)
- Ability to use standard medical equipment (thermometer, scale, blood pressure cuff, breathalyzer, O2 sat monitor, stethoscope) to perform assessments.
- Medication dispensing equipment (electronic pump/tubing, hand-pump, electronic sealer).
Travel: - Some travel may be required, and is typically local or regional, to attend training.
- Driving a vehicle requiring a license.
When public health responds to an emergency you may be assigned duties that are outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department.
for more details on reasonable accommodations, safety, risk management and more.
Benefits Tacoma-Pierce County Health Department offers an excellent pay and benefits package, combined with the opportunity to provide innovative Public Health services to our community, making this a rewarding place to work!
Salary: Salary ranges are listed on the job announcement and are based on the unique skills, education, and experience for the position. Salary offers are typically made at the starting pay step and are reviewed annually. You will get an annual cost-of-living adjustment that increases the salary range as well as an annual step increase on your anniveristy date. All salary offers are subject to administrative approval.
Medical, Vision, and Dental Insurance: The Department pays a significant portion of these premiums for employees, their spouse or domestic partner, and dependent children, with an FTE of .80 or greater. Employees with an FTE between .50 and .80 pay a pro-rated portion of their premiums. Medical, vision and dental coverage begins the first day of the month following date of hire.*
Life Insurance: The Department provides a term Life Insurance policy equal to the employee's annual salary, up to a maximum of $50,000.* Affordable voluntary, spouse, and dependent life insurance is also available.
Long Term Disability Insurance (LTD): The Department provides a base LTD policy which provides 40% income replacement for participants who are unable to work due to illness or injury for greater than 180 days. Buy-Up LTD is available at group rates and provides 60% income replacement to participants who are unable to work due to illness or injury for greater than 90 days.
Retirement: Eligible employees participate in the Tacoma Employees' Retirement System (TERS). TERS is a defined retirement benefit plan funded by both the employee and the Department. We also have a 457 Deferred Compensation retirement program available which allows individuals to set aside a portion of their income on a tax deferred basis.
Additional Benefits include: Generous paid vacation**, sick, personal, and holiday leave**; Flexible Spending Arrangement (FSA); Employee Assistance Program; On-site Fitness Center; Commute Trip Reduction program; Donated Leave Program; Direct Deposit; Service Awards; Safety Programs / Rewards, and Executive Benefits Plan.
*Temporary Employees (hired for greater than 3 months): The Department provides medical, dental, and vision benefits, $12,000 base life insurance effective the first of the month following 3 months of employment. **Paid vacation, sick leave and holiday leave accrual begin following 6 months of temporary employment.
Living in Tacoma-Pierce County: Please Note: - There may be restrictions to the above benefit programs or policies not listed. The provisions of this bulletin do not constitute an expressed or implied contract. Any provisions contained herein may be modified and/or revoked without notice.
- Employee pay is distributed through Direct Deposit. For this reason, employees are required to have an open checking or savings account, at their choice of banking institutions, upon employment.
We are an Equal Opportunity Employer. For assistance, contact our civil rights coordinator Darlene Mendoza, MJR, Office of Human Resources/Risk Management at or (253) 649-1660.
01
Do you have a current Washington State Registered Nursing License, in good standing?
02
This position requires at least three years of registered nursing experience. Please describe how you meet this requirement. If you do not have this experience, please indicate n/a.
03
How many years of experience do you have working in medication-assisted treatment programs, such as methadone?
- 10 or more years of experience.
- 7-9 years of experience.
- 5-6 years of experience.
- 3-4 years of experience.
- 1-2 years of experience.
- Less than 1 year of experience.
- I do not have this experience.
04
Please describe your experience working in medication-assisted treatment programs, such as methadone. If you do not have this experience, please indicate n/a.
05
Do you have any experience working as a RN in a medication-assisted treatment clinic, mental health or correctional facility?
06
How many years of experience do you have working in a lead capacity?
- 7 or more years of lead experience.
- 5-6 years of lead experience.
- 3-4 years of lead experience.
- 1-2 years of lead experience.
- Less than 1 year of lead experience.
- I do not have lead experience.
07
This position will work Monday - Friday, 5:00am-1:30pm. Are you able and willing to work this schedule?
08
This position requires proof of a valid driver's license and acceptable driver's abstract prior to employment. Can you meet this requirement?
09
Please describe your experience providing care to patients who often have extremely difficult life circumstances and experience stigma, discrimination, and marginalization. If not, please indicate n/a.
Required Question