With operational oversight by a Program Manager, the Advanced Registered Nurse Practitioner provides medical oversight to a team of Mobile Registered Nurses and Behavioral Health Crisis Responders and works in a non-emergency operational capacity as part of a crisis response team aimed at providing appropriate and therapeutic services to those experiencing behavioral health crisis. This position will focus on establishing operating protocols and best practices for crisis unit responders regarding behavioral and mental health crises, the identification and treatment/management of underlying medical conditions, and the prevention or further exacerbation of chronic illnesses.
The Advanced Registered Nurse Practitioner coordinates with crisis unit responders as the base station prescriber and authorizer of medication and dosing for behavioral, mental, or non-emergency medical health medications and develops plans of care in conjunction with other practitioners involved in the patient’s care. This position works extensively with the Program Manager to establish policies and procedures and may also be utilized in additional ways to facilitate program scope expansion. Duties:
Physical Requirements & Working Conditions:
- Lead a team of mobile crisis unit responders to provide immediate assistance to individuals experiencing behavioral or mental health crisis. Provide medical oversight and prescribe medication to control symptoms and management of behavioral/mental/non-emergent medical health until patient care is established with ongoing care provider.
- Contribute to policy and procedure development for crisis unit responders.
- Coordinate treatment recommendation with mental health professional and social work interventions.
- Participate in team care planning and patient navigation to assure safe transitions of care and long-term care attainment.
- Perform comprehensive health assessments and diagnose and treat complex illnesses.
- Provide therapeutic interventions, such as splinting, suturing, wound care and minor procedures.
- Diagnose, treat, and arrange appropriate follow up for the patient to ensure continuity of care.
- Educate patients and families on how to treat their acute illness and manage their health.
- Effectively navigate difficult conversations related to end-of-life issues and goals of care.
- Communicate effectively with patients, family, the medical power of attorney, primary care provider, and all individuals involved in the patient’s care.
- Attend training sessions and clinical team meetings.
WHY WORK FOR THE CITY? The City of Tacoma offers a generous program of employee benefits:
- Working conditions may include both an indoor and outdoor environment.
- Requires manual dexterity, balance, eyesight and hearing.
- Incumbents in this position may be subjected to hazardous chemicals, adverse weather conditions, communicable diseases and possible verbal and physical abuse from hostile and disorientated individuals, as well as those who may be under the influence of illicit drugs or suffering from mental illness.
- In order to foster a transparent and equitable work environment, all candidates, regardless of their qualifications and experience, will start at step 1 of the salary range listed above. Please see below for further information about benefits offered by the City.
- Outstanding working conditions and an exceptional quality-of-life environment.
- Medical coverage for eligible employees, spouses and dependents, including children up to age 26.
- Vision care with VSP for employees and eligible dependents enrolled in the Regence PPO medical plan with vision benefits.
- Dental coverage for eligible employees and their elected dependents, including dependent children up to the age of 26.
- Deferred compensation allowing tax-deferred savings as authorized under Section 457 of the IRS Code.
- Personal time off.
- Paid holidays.
- A great pension plan.
Qualifications QUALIFICATIONS: Minimum Education*
Master's degree from an advanced nursing education program accredited by a national nursing accreditation body recognized by the US Department of Education Minimum Experience*
5 years of experience in acute care (ED, ICU, Internal Medicine) Desirable Experience*
3 years of behavioral health, mental health, and substance abuse nursing care
2 years of supervisory experience
*Medication-Assisted Treatment (MAT) Waivered Prescriber or ability to become waivered within 30-days Licensing, Certifications and Other Requirements
- State of Washington Advance Registered Nurse Practitioner (ARNP) license (active/unsanctioned)
- Prescriptive authority per 21 U.S.C. Statute 823 (g)(2)
- Successfully pass pre-employment background check and drug screen
- State of Washington Driver's License
Knowledge & Skills
This position requires a high degree of communication skills, organizational skills, ability to analyze and prioritize caseloads, ability to interpret and consolidate vague information from multiple sources, clear and concise documentation and assessment skills, use of discretion and good judgment, and sound decision-making. This position requires an individual who can work autonomously and in a team setting. In addition, applicant must:
- Have knowledge of healthcare technology, equipment, supplies, and materials used for medical treatment and care.
- Have knowledge of current patient privacy and medical records laws.
- Adhere to clinical and safety standards, protocols, and performance metrics.
- Have knowledge of Washington State laws relating to nursing care, including RCW 18.79.050, 18.79.250, 18.79.256, 69.41.030, 69.50.101, and WAC 246-840-420.
- Have knowledge of Advanced Nurse Practice guidelines, Patient Bill of Rights, and clinical practice guidelines for patient care, understanding of community standards
- Have experience and ability to comfortably work with patient populations suffering from substance use, behavioral health, and/or mental health disorders.
- Have understanding of EMS incident command structure.
- Be a collaborative professional who can work alongside Fire/EMS, Police, and other providers.
- Have ability to lead clinical staff, including experience providing work direction, scheduling work and staff performance management.
Selection Process & Supplemental Information Interested individuals
must apply online and attach a detailed resume and cover letter
that describes responsibilities and accomplishments related to this position. NOTE: Applications received without the required resume and cover letter will not progress in the selection process.
In order for your application materials to be considered, all information must be submitted by the closing date and time listed on this job announcement.
Applicants who have the strongest backgrounds related to the responsibilities of this position may be invited to participate in an interview. Appointment is subject to passing a background check and drug screen.
Supplemental questions regarding an applicant's experience and training are also included in the application form. These questions will be used to assess candidate minimum qualifications and to provide additional information to the hiring managers regarding candidate experience.
The City of Tacoma is an Equal Opportunity Employer and values diversity in its workplace. Applicants are considered for positions without regard to race, color, religion, sex, national origin, ancestry, age, marital or veteran status, disability, sexual orientation, gender identity, or any other basis prohibited by federal, state, and local laws.Our City:
With a population of over 220,000, Tacoma is the second largest city in the Puget Sound region, gracing the shores of Commencement Bay. We are a diverse, progressive, international city that serves as a gateway to the Pacific Rim and the rest of the world. Named one of the most livable areas in the country by Livability.com, Tacoma and the surrounding area is a playground for outdoor and maritime enthusiasts. Our businesses are vibrant, our parks are beautiful, our schools are exceptional and our housing is affordable.
When you work for the City of Tacoma, you'll have an opportunity to enjoy a healthy work/life balance, the potential for flexible schedules (with some job classifications), continuing education programs, leadership pathways, wellness incentives and a total rewards benefits program. We welcome you to take a look at our website and discover how the City of Tacoma can make your next career move part of our combined destiny:
The City of Tacoma believes that each employee makes a significant contribution to our success. This job description is designed to outline primary duties, qualifications and job scope. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. Communication from the City of Tacoma:
We primarily communicate via email during the application process. Emails from cityoftacoma.org and/or governmentjobs.com must be placed on your safe domain list to ensure that you receive notifications in a timely manner. As a precaution, you may also want to check your junk email folders.
The online application system requires you to enter a substantial amount of information. Be prepared to spend at least an hour entering information. In order for your application materials to be considered, all information must be submitted by the closing date and time listed on this job announcement.
For assistance with the application process, please contact the Human Resources office at (253) 591-5400 by 4:00 pm of the closing date of the job announcement.
The City of Tacoma provides excellent medical, dental and vision plans for the whole family; paid holidays and paid leave; participation in the Tacoma Public Employees' Retirement System (alternate plan for Police/Fire); continuing education and advancement opportunities and a growing variety of City-sponsored health and wellness opportunities and incentives.
Medical Coverage: For eligible employees and their families, including domestic partners and dependent children age 26 or younger.
Dental Coverage: For eligible employees and their families, including domestic partners and dependent children age 26 or younger.
Vision Coverage: For eligible employees and their eligible dependents.
Paid Leave: City employees are entitled to received paid holidays, sick/vacation leave or personal time off (PTO), depending upon union affiliation and appointment type.
Insurance Plans: Employees are covered by a long-term disability plan. Short-term and expanded long-term disability insurance plans are also available to employees. The State Industrial Insurance Act also covers employees.
Deferred Compensation: Income can be set aside on a pretax basis and invested for supplementation of normal retirement income.
Retirement: All employees of the City, except members of the Police and Fire services, Tacoma Rail and certain project employees, are included in the Tacoma Employees' Retirement System. Information on the Tacoma Employees' Retirement System can be found at www.cityoftacoma.org or by calling (253) 502-8200.
Other Employment Information
Direct Deposit: Employees are paid on a bi-weekly schedule by direct deposit.
Salary Increases: Based on satisfactory job performance, the City provides for a regular progression of salary increases for most classifications according to the salary schedule.
Union Affiliation: Many job classifications are covered by union security provisions which require union membership, dues, or payment of equivalent service fees.
Note: The provisions of this job announcement do not constitute an expressed or implied contract. Any provision contained herein may be modified and/or revoked without notice.
Closing Date/Time: Continuous