The following is a composite representation of the actual positions which make up this classification. It is not intended to cover all possible job requirements or job factors which, if applicable, are included by reference. Lines of supervision and reporting are as shown on an organizational chart. TrueCore has zero tolerance for abuse.

A. Position Definition & Summary:

Provides direction, direct service, and supervision of the facility medical department and functioning. Ensures that the facility is compliant with all Department of Juvenile Justice guidelines (DJJ and State Guidelines related to medical care.) Through the implementation of policies, ensures all components of medication management, sick call and documentation are conducted in accordance with the DJJ health services manual. Monitors, evaluates, and determines appropriate levels of care; assures the delivery of essential health care needs and quality of service provided; provides consultation services to assist in adhering to standards; does related work as required. Has managerial responsibility (both administrative and clinical) for the medical unit. Administers and coordinates the medical/dental/psychiatric services for the unit. Is on 24- hour call to respond to emergencies.

B. Position Expectations and Essential Functions:

• • Administers resident medications prescribed by physician. Ensures that an effective system is provided to review medication oversight and ensure completion of all documentation and forms related to medication
  • Assists with implementation of system to ensure special dietary needs of youth are addressed as they relate to medical and dental issues
  • Ensures that nursing department completes all required admission procedures and documents outcome in a timely manner to include facility entry screening health related history and physical assessment.
  • Ensures facility compliance with Department of Juvenile Justice Health Care Manual
  • Completes statistical reporting monthly as required
  • Completes and ensures that facility LPNs maintain resident, program, department and related documentation.
  • Completes and ensures that facility LPNs carry out general nursing necessary to treatment of residents including sick call procedures
  • Effectively communicates with Health Authority and medical clinic personnel regarding youth needs
  • Carries out clerical and administrative assignments to support resident care and department and organization operations
  • Orients new employees to departments specific policies and procedures as required
  • Supervises employees to ensure completion of documentation as required
  • Participates in all management meetings
  • Ensures and provides for youth immunizations and documents

• Analyzes and assesses comprehensive multi-disciplinary medical records to identify individual health care programs and needs.

• Ensures the proper conduct and management of the medical unit, the conduct of the units staff, the care and treatment services provided, and is responsible and accountable for the delivery of direct treatment services.

• Manages work operations, and has responsibility for employee evaluations and for effectively recommending the hiring, firing, promoting, demoting and/or disciplining of employees of the medical unit.

• Develops the medical units basic policy principles, unified services plan, and operating policies and procedures. Plans, organizes, and coordinates the implementation of same.

• Assists with the recruitment for qualified medical staff.

• Performs individual assessments through observation of physical actions, emotional and behavioral characteristics; based on findings, recommends appropriate services.

• Provides counseling regarding community health resources in preparation for release.

• Schedules conferences with, and acts as consultant to, the contracting authority, community services and health care staff, and community based health agency representatives in order to formulate plans to meet the special health care needs of the population being served and coordinates the delivery of such services.

• Reviews and monitors activities to ensure quality of services and to ensure compliance with applicable policies, procedures, directives, rules, and regulations and performance standards of the contracting authority, the company, accrediting bodies, etc.

• Completes in-depth clinical assessment reporting forms and the nursing care summaries for periodic medical review and independent professional review functions.

• Monitors and evaluates health care treatment; monitors progress in satisfying residents' health care needs in accordance with federal, state and contracting authority rules and regulations.

• Establishes and maintains cooperative working relationships with associates within community services, nursing allied professions, community health agencies, and providers of medical assistance regarding placement of or alternative care for services.

• Based upon needs assessment, prepares and presents training programs to staff in areas such as medication administration, side effects, nuisance disease (scabies, ringworm, etc.), hepatitis A and B, universal precautions, AIDS, seizures and other health related issues impacting upon the delivery of services.

• Initiates investigation of and/or investigates complaints; identifies deficiencies in quality of care and/or possible patient abuse situations, environmental safety or other health hazards in accordance with state and federal health and safety laws; evaluates violations within the parameters specified by law and submits comprehensive reports.

• Participates in inter-disciplinary meetings to plan programs, solve problems, present suggestions, and to share professional material and information as requested.

• Participates in treatment program planning for individual cases.

• Coordinates review activities and maintains on-going liasion with contracting authority representatives and professional review teams.

• Assigns responsibility and delegates authority.

• Develops, assigns, and evaluates proper and effective work methods.

• Analyzes and evaluates nursing care and work performances and prepares reports and recommendations for improvement or development.

• Assists in the planning for provision of adequate physical facilities and the proper utilization of personnel by initiating reports, surveys, and recommendations for staffing and assists in determining qualifications for personnel.

• Participates in developing a program of orientation and in-service training for new and present personnel.

• Prepares reports, evaluates and analyzes the performance of all other personnel in the unit.

• Confers with members of medical and psychiatric staff for complete understanding of patient-care problems.

• Assumes the responsibility of the handling, dispensing, use of and recording of narcotics, medications, equipment, and supplies within the unit.

• Prepares the units budget.

• Is responsible for the evaluation and control of budget expenditures of the unit.

• Resolves complex nursing problems.

• Maintains a dignified and professional approach to employee and public relations.

• Is responsible for the assignment and supervision of any volunteer workers.

• Establishes priorities for patient care.

• Investigates and studies trends and developments in nursing practice and techniques.

• Supervises the keeping of proper and accurate medical and all other records with the units.

• Participates actively in civic, educational, and professional organizations.

• May be required to engage in lifting patients when working in a setting, which provides direct services to those who are non-ambulant or who are semi-ambulant and/or have severe physical handicaps.

• Performs other duties as assigned by supervisor.

C. Position Requirements:

Education:

• Prefer graduation from the accredited college with a Bachelor's degree including or supplemented by successful completion of a curriculum in an approved school of nursing.

• Must have a License as a Registered Nurse and prefer at least three (3) years experience working with youth.

Other Requirements:

• Three (3) years of experience as a professional Registered Nurse, which shall have included clinical nursing, practice in nursing supervision, nursing education, nursing management, or public health nursing.

• Two (2) additional years of experience as specified above may be substituted for the Bachelor's degree.

• Must be 21 years of age or older.

• Appointees will be required to possess a driver's license valid in the state where the work site is located only if the operation of a vehicle, rather than employee mobility, is necessary to perform the essential duties of the position.

D. Knowledge, Skills and Abilities:

• Knowledge of modern health care concepts.

• Knowledge of the legal aspects of nursing documentation and nursing decisions.

• Knowledge of the principles of management, nursing supervision, and/or health care administration.

• Knowledge of rehabilitative, restorative, psychiatric, and pediatric nursing care.

• Knowledge of human growth, development and the aging process.

• Knowledge of effective interviewing techniques in the nursing process.

• Knowledge of modern social and economic health needs and resources in the state where the work site is located after a period of training.

• Knowledge of Medicare/Medicaid regulations after a period of training.

• Knowledge of utilization review and periodic medical review policy and procedures after a period of training.

• Knowledge of federal and state health and safety regulations after a period of training.

• Knowledge of federal regulations as they relate to the Medicaid program and the licensing of long term care facilities.

• Knowledge of organizing assigned nursing and supervisory work and development of effective work methods.

• Knowledge of sterilization, immunization, and diagnoses.

• Knowledge of the preparation and maintenance of accurate medical and other records.

• Knowledge of the precaution to be taken in the use of narcotics and other medications and treatments.

• Ability to physically lift, move, and position patients as needed.

• Ability to assess and evaluate patient health care needs.

• Ability to develop innovative concepts and to apply them to program coordination and cooperation.

• Ability to evaluate objectively the quality of relevant social service and health provider programs in terms of federal and state program requirements.

• Ability to work effectively with representatives of various state and federal organizations and maintain a cooperative working relationship.

• Ability to act in the capacity of resident advocate and case manager under special circumstances as directed.

• Ability to conduct effective investigations and compose clear, concise, accurate, and sound reports containing findings, conclusions, and recommendations.

• Ability to interpret and apply necessary rules, regulations, and policies and the utilization thereof in the development and implementation of staff training programs.

• Ability to analyze, comprehend, and interpret professional nursing problems.

• Ability to organize assigned nursing and supervisory work and develop effective work methods.

• Ability to give suitable assignments and instructions.

• Ability to work harmoniously with associates.

• Ability to develop suitable work schedules for assigned employees.

• Ability to handle, dispense, direct the use of and keep record of narcotics, medications, and other supplies.

• Ability to apply principles, procedures and practices of nursing to specific cases.

• Ability to observe and report symptoms and condition of patients.

• Ability to work with a variety of behaviors.

• Ability to tolerate verbal and mental abuse while maintaining a professional demeanor.

• Ability to perform appropriate crisis intervention involving student behavior, including physically breaking up fights in the classroom.

• Ability to complete pre-service and annual in-service CPR and first aid certification training and self-defense and physical intervention training.

• Ability to pass drug and TB screening and testing.

• Ability to work under pressure; meet inflexible deadlines; set priorities; deal diplomatically with difficult individuals; and supervise others; ability to manage multiple programs; lead management teams and work independently. Adherence to the highest ethical standards essential.

• Ability to administer medications.

• Ability to prepare requisitions for needed medication, equipment and supplies.

• Ability to direct the keeping of clear, sound, accurate and informative reports containing findings and conclusions.

• Ability to prepare detailed correspondence in the course of official duties.

• Ability to establish and maintain essential records and files. Ability to direct the maintenance of suitable records and files.

E. Equipment Utilized

• Ability to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units.

F. Physical Requirements & Work Environment:

• Talking: Ability to express and exchange ideas via spoken word during activities in which they must convey details or important spoken instructions to others accurately, sometimes quickly and loudly. Hearing and Vision: Ability to perceive the nature of sounds with no less than 40 dB loss at Hz, 1000 Hz and 2000 Hz with or without correction. Ability to receive detailed information through oral communication. Work requires a minimum standard of visual acuity with or without correction that will enable employees to complete clerical tasks, and observe youth. Dexterity: Ability to stoop, kneel, crouch, reach, push, pull, lift, grasp, and be able to perceive the attributes of an object such as size, shape, and temperature. Movements frequently and regularly required using wrists, hands and/or fingers. Physical Strength: Ability to exert up to 100 pounds of force occasionally. Position is mainly sedentary work (office work), but may on occasion include physical force execution. Employee may be subject to temperature changes, but the employee is not substantially exposed to adverse environmental conditions as the work is predominantly inside. Language: Ability to write complex sentences, using proper punctuation, and ability to communicate in complex sentences using normal word order with present and past tenses. Processing and Reasoning: Ability to exercise self-control in potentially volatile situations such as in verbal and physical confrontations. Must be able to work and concentrate amidst distractions and noise. Ability to assist youth with problem solving and maintaining self-control in volatile situations.

• The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position the employee is occasionally exposed to outside weather conditions as they relate to travel. The noise level is usually moderate as the primary work environment is a standard office setting. Work environment may involve exposure to noise, dust, fumes, dangerous machinery, chemicals, body fluids, falling objects, and aggressive verbal and physical behavior from students and weather and temperature extremes.

• Persons with mental or physical disabilities are eligible as long as they can perform the essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the company undue hardship, such persons may not be eligible.