Registered Nurse Outpatient - Program for Assertive Community Treatment (PACT)

Frontier Behavioral Health’s presence in Spokane is more than 100 years strong, allowing our non-profit organization to understand the varied needs of our clients and the larger community.  Our programs are designed to provide evidence-based treatment to adults, youth and seniors who are dealing with a wide range of behavioral health issues.  As a Trauma-Informed Care Organization, we firmly believe in recovery and that our clients can lead fulfilling and meaningful lives, and we consider it an honor and a privilege to assist them in their journey.  If you want to have a positive impact in the lives of others come join us!

WHY CHOOSE FRONTIER BEHAVIORAL HEALTH?

• At Frontier Behavioral Health, we value our employees and recognize the importance of EVERY employee’s contribution to our mission.

• Our behavioral health services make a positive difference in the lives of those we serve and contribute to the health, safety, and quality of life for everyone in Spokane County.

• At FBH we have a variety of client services, including outpatient, inpatient, community outreach, crisis services, partnerships with schools, law enforcement and more.

• Our evidence-based, culturally appropriate, trauma informed behavioral health services address the diverse needs of those we serve.

PACT is an intensive and highly integrated approach for community mental health service delivery. The multidisciplinary team shares a caseload of individuals who experience symptoms of the most serious forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders. Many individuals also experience substance abuse, victimization and trauma, psychiatric hospitalizations, arrests and incarceration, homelessness, and additional significant challenges. The symptoms and complications of mental illnesses lead to serious functioning difficulties in several areas of life, often including work, social relationships, residential independence, money management, and physical health and wellness.

In collaboration with a psychiatric care provider, the team nurses assist with medication management and administration, through documentation as well as monitoring clients for medical problems or side effects. Nurses will communicate and coordinate services with other medical providers, engage in health promotion, prevention, and educational activities. The nurse will educate other team members to help them monitor psychiatric symptoms and medication side effect and work with clients to develop strategies to maximize the taking of medications as prescribed.

PACT operates from 8 a.m. to 5 p.m., 7 days a week. The PACT team participates in rotating weekend shifts to provide coverage for our clients during non-business days. If a weekend shift is worked by a PACT employee, the PACT employee will be able to take a different day off that same week.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Provide symptom and medication assessment, evaluation, education, and management to individual with persistent mental illness. This includes consultation with Psychiatrist, MHCP, hospital, community providers, client, and client’s family/guardian for care.

• Process and sign medication orders, complete medication refills and prior authorization for specific medications based on provider request.

• Administer medications to consumers as directed by FBH Psychiatrist.

• Ensure access to medications through timely refills, by obtaining sample medication per order and by appropriate use of FBH discretionary funds or patient assistance programs for medications.

• Ensure pertinent medication related information is conveyed to hospital staff in the even of client hospitalization.

• Participate in rotating weekend and holiday shifts as needed.

• Assist in development and delivery of staff and/or consumer education in the form of group classes or trainings.

• Identify and include the client’s support network and applicable involved community partners in care coordination.

• Develop and implement care plans, measurable objectives, and obtainable goals, in collaboration with the client, evaluating client progress and adjusting as needed.

• Assist clients in identifying and accessing resources and collaborate with community resources on behalf of clients.

• Assist clients in the development of healthy coping mechanisms in individual or group settings.

• Maintain client records and all other required documentation in a timely and confidential manner in accordance with agency policies and procedures

• Conduct risk assessments, develop and implement safety plans, and provide crisis intervention and stabilization services as needed, including facilitating access to inpatient facilities for behavioral health care.

• Represent the agency and its services to the community in a positive and professional manner.

• Participate in required staff meetings, including regular supervision and daily clinical staff meetings.

• Participate in any required training, consultation calls, and onsite visits or review when required by contract.

• Accept delegation and follow through with specific expanded assignments and responsibilities within FBH system such as quality improvement teams, task groups, committees, consultations, mentoring or training responsibilities.

• Establish and maintain collaborative working relationships with; clinical, administrative, support staff, community partners, clients, and family/natural supports.

• Demonstrate teamwork and goal-oriented productivity.

• Perform FBH charting requirements, correspondence, Workday and other paperwork in a complete and timely manner.

• Operate as a member of multi-disciplinary team and ensure services are provided in the community and clinical setting in required by contract.

• Requires travel to see clients in the community and travel between work sites either via FBH owned Vehicles and/or personal vehicle. ​

• Other duties as assigned.

QUALIFIED CANDIDATES WILL HAVE:

REQUIRED:

• RN licensed in the State of Washington.

• Active BLS within 90 days of hire and must maintain active BLS.

• Must have an unrestricted and valid driver’s license, be able to pass a motor vehicle screening and driving test, have active car insurance, and be willing to use their personal vehicle in the course of work. 

PREFERRED:

• One year of experience working with adults with severe mental illness.

KNOWLEDGE, SKILLS & ABILITES:

• Knowledge of Washington Administrative Codes and statues pertaining to the treatment and delivery of mental health services, or ability to obtain within 3 months of employment.

• Knowledge of service delivery models including groups, skills training brief/focused therapy, community-based interventions for adults with serious and persistent mental illness, or ability to obtain within 3 months of employment.

• Ability to communicate and engage effectively with individuals of varied backgrounds, trauma experiences, cultures, education level, and socio-economic status.

• Must possess excellent communication skills, including the ability to send and receive oral and written messages, in a clear, positive, prompt, and appropriate manner, while maintaining customer confidentiality.

PHYSICAL, SENSORY & ENVIRONMENTAL:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• This position provided client services in community settings on a daily basis.  Community settings include but are not limited to residences, group/congregate living settings, hospitals, shelters, the streets or anywhere in the community at large. Some environments may not be ideal in terms of cleanliness or being habitable.

• Daily travel between locations is required.

• The ability to drive a vehicle, traverse distances up to several city blocks and on various terrains, navigate stairs, get in and out of vehicles frequently is required. Daily use of a computer is required.

• May be required to lift 10 - 20 pounds. 

PAY RANGE (Salary/Exempt): $82,386.88 - $100,370.85

• All pay is based on longevity at Frontier Behavioral Health; thus, the starting pay is $82,386.88 annually.  

#IND1

Our Benefits and Perks are Amazing!

​WE BELIEVE IN WORK LIFE BALANCE:

• Paid Time Off – Employees accrue up to 26 days of PTO in the first year of employment!

• Plus 9 Paid Federal Holidays!

• Sick Leave – Extended Sick Leave and Paid Sick and Safe Time.

• Some positions qualify for a Compressed Workweek option resulting in up to additional 26 days off per year.

BENEFITS: www.fbhwa.org/careers/benefits 

• Medical, Dental and Vision

• Retirement – We offer an impressive 403b plan including standard 3% employer contribution plus an additional 3% employer match.

• Flexible Spending Accounts

• Life Insurance – Company paid coverage that starts the first of the month following 6 months from your date of hire.

PERKS: www.fbhwa.org/careers/perks 

• Signing Bonus!

• No-cost licensure supervision for those pursuing clinical licensure.

• Federal and State Loan Forgiveness Program for qualifying Programs.

• Reimbursement of License/Certification application fee that is required for the position.

• Free Employee Assistance Program

• Staff Discounts at various FBH partners throughout Spokane!

Benefits described above are based on employees who hold .5 FTE positions or greater and/or some benefits vary based on FTE. PRN positions are not benefit eligible or eligible for a sign on bonus.