PD-LICENSED VOCATIONAL NURSE I/II **Crossroads**

** In addition to our competitive salaries, we pay a shift differential for certain shifts in our 24-hour programs as follows: (Only 1 differential -whichever is highest will apply at a time).

• 6% additional pay for overnight (NOC) shift from 11 pm to 7 am
• 4.5% additional pay for evening shift from 5:30 pm to 10:59 pm
• 4.5% additional pay for weekend shifts from 12:01 am on Saturday thru 11:59pm on Sunday

1. →Provide medical treatment, crisis intervention, medication support and rehabilitation services, within scope of practice, in an inpatient/outpatient milieu setting for individuals with mental illness.*
   • →Serve as a member of the treatment team.
     • →Provide treatment services, training, and support to clients, both individually and within groups, to help improve skills related to physical and mental health care needs;
     • →Evaluate clients for symptoms of illness, responses to treatment, general behaviors and general physical condition; observe condition of clients and report unusual conditions; initiate therapeutic interventions;
     • →Assist in providing a variety of therapy techniques, such as primary process and life skills groups;
     • →Interview and assess patients and other appropriate persons to determine if patient is in need of voluntary or involuntary psychiatric detentions (5150 holds) or hospitalization; follow up on high risk cases; identify appropriate treatment services;
     • →Participate in crisis intervention; in the case of client’s being a danger to self or others, determine the extent of the threat; de-escalate that threat;
     • →Note physician orders and follow through, as needed;
   • →Implement client medication support systems, including maintenance of medicine supply and upkeep of medical equipment, and ensure compliance with applicable health and safety or other regulatory requirements.
     • →Administer subcutaneous and intra-muscular medications under the direction of a physician.
2. →Assist clients in seeking and/or receiving medical care, such as coordinating and scheduling client visits with physicians.*
3. →Provide crisis consultation to families and public and law enforcement agencies; maintain effective relations with hospitals, outside case managers, and other community agencies.*
4. →Complete clinical records and other required documentation, in accordance with Agency, payor and regulatory requirements, utilizing paper or computer technology.*
5. →Provide transportation in personal or Agency vehicle, including but not limited to the transportation of clients and/or program supplies for Agency business.
6. →Administer First Aid in emergency situations.*

1. →Ensure program facilities are clean and well kept, encouraging clients and/or staff in necessary tasks.
2. →Implement systems to monitor First Aid supplies and disaster plans.*
3. →Attend and participate in staff, program, Agency and community meetings and training, as required.
4. →Participate in management of team/program discretionary resources available to meet client needs.

KNOWLEDGE, SKILL, AND ABILITIES REQUIRED: (E = Essential; D = Desired)

1. →Completion of an accredited Licensed Vocational Nurse or Licensed Psychiatric Technician program and at least one year of full-time paid human services experience. (E)
   • →Additional education, certifications, and experience:
     • →One year of experience in a mental health setting when in Social Rehabilitation Certified Facilities; (E)
     • →Experience in implementing medication support systems; (E)
     • →Previous experience working with the target population. (D)
2. →Current registration with the State of California as a Licensed Psychiatric Technician or Licensed Vocational Nurse or a temporary certificate issued to practice by the Board of Vocational Nurses and Psychiatric Technician Examiners of the State of California. (E)
3. →Current First Aid Certification or successful completion of First Aid Certification within 30 days of hire. (E)
4. →Certification in writing 5150 holds or obtain certification within six months of hire. (E)
5. →Meet government and/or regulatory standards for continuing education credits and recertification, including a minimum of 20 hours of directly related professional training, if assigned to a residential facility. (E)
6. →Effective utilization of computer technology for communication, information tracking, and accessing of online resources; proven proficiency in typing/keyboarding—minimum 40 net wpm—and a basic proficiency level in Microsoft Office applications and Windows-based databases; (E) familiarity with UNIX-based databases. (D)
7. →Demonstrated ability to:
   • →Work independently and in a small team environment; be resourceful, initiate own work, and follow through; (E)
   • →Engage and communicate effectively with others in both verbal and written English; carry out written and verbal instructions in English; (E) proficiency in a second language to perform these functions; (D)
   • →Monitor and support developmental growth and the recovery process; (E)
   • →Implement, monitor and support treatment processes; develop physical health portions of individual treatment plans; (E)
   • →Assess general health conditions, reactions to medications or other treatment, and the need for medical intervention; (E)
   • →Maintain clear, accurate, and complete medical charts and client records and prepare reports; (E)
   • →Manage multiple tasks and demands; effectively manage time and meet required timelines; (E)
   • →Employ tact and diplomacy, exercise good judgment, and act calmly in emergency situations; make appropriate interventions; (E)
   • →Work from a strengths-based, harm-reduction, social rehabilitation model; (E)
   • →Work effectively with persons of different value systems, ethnicity, cultural backgrounds, language capabilities and disabilities; (E)
   • →Work collaboratively with individuals identified as those with serious mental illness who meet the following criteria: histories of hospitalization, institutionalization, including with the criminal justice system, substance abuse, low engagement in medication treatment, and difficulty in participating in structured activities and living independently; (E)
   • →Work with populations identified as high risk and/or considered underrepresented in the County Mental Health system with multiple barriers; (E)
   • →Exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions. (E)
8. →Demonstrated ability to work with participants who:
   • →May also have histories of assaultive behavior; (E)
   • →May have resided in long term care facilities for extended periods; (E)
   • →May have patterns of service that relied almost exclusively on emergency and institutional care; (E)
   • →May have cognitive difficulties and medical co-morbidities and are considered medically fragile and may also be developmentally disabled; (E)
   • →May have long-term patterns of homelessness and criminal justice involvement. (E)
9. →Knowledge of:
   • →Practical nursing theory and best practices in psychiatric nursing procedures in clinics, residential settings, and/or hospitals; (E)
   • →Clinical techniques for assessment, treatment, and rehabilitation of people with mental illness; problem resolution and conflict resolution techniques; (E)
   • →Community resources, including those required to meet the non-mental health needs of the target population; (E)
   • →Mental Health Services Act (MHSA) and Wellness Recovery Action Plan (WRAP). (D)
10. →Special Requirements: Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Momentum practices. (E)
11. →A valid California Driver License, with access to a reliable vehicle/for driving a company vehicle, current proof of auto liability insurance, and a clean DMV record. (E)
12. →Physical requirements needed to perform the essential functions of this job, with or without accommodation:
    • →Hearing and talking on telephone and in person; standing, walking, sitting, pinching and finger flexion are required constantly (over 2/3 of the workday); (E)
    • →Lifting, carrying, pushing, pulling, bending, stooping, crouching, and kneeling are required occasionally (under 1/3 of the workday); (E)
    • →Balancing, climbing and crawling are generally not required.
    • →Must be physically able to assist clients and/or staff in the evacuation of program facilities in emergency situations. (E)