Registered Nurse

Position Summary and Job Duties Hours: Monday- Friday 7am-4pm or 730am-430pm. No Holidays or weekends. Under the direction of the program supervisor, work involves providing comprehensive, person-centered, team based, assertive community treatment to persons living with severe and persistent mental illness receiving services through the Community Support Program. Work includes the provision of: case management, symptom management, supportive psychotherapy, psychosocial rehab, vocational related support and assisting clients with activities of daily living according to individualized treatment plans. In conjunction with service provision, responsibilities include the development and maintenance of client case records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements. Work in collaboration with a treatment team, other HSD employees, families and collateral agencies. Supports and promotes the Mission, Vision and Guiding Principles of the Human Services Department. Performs in a manner consistent with the HSD Professional Standards and "Commitment to My Co-Workers". 50% Medication Management Setting up of medications, taking and filling orders, medication reconciliation after hospitalization (medical or psychiatric), medication packet reconciliation each week/med set up, monitoring of medication efficacy and side effects Physician supports - interim medication checks, side effect monitoring, efficacy monitoring, collateral contacts with primary medical doctors (PMD) including coordination of medical treatment/taking medication orders from PMD/medical providers, review of laboratory reports (including Clozapine), coordination of lab orders, injections, lab draws, coordination with program psychiatrist when psychiatric issues present while MD out of the office Nursing assessment - monitoring vitals, monitoring weights, patient education, management of mild medical issues, provide direction on when to seek ER/urgent care/PMD appointment, DISCUS completion/tracking Part of interdisciplinary team 30% Work in collaboration with a treatment team, other HSD employees, families and collateral agencies. Actively participate in treatment team meetings, individual and group supervision meetings, and treatment plan meetings for consumers on your case load and team. Attend in-services, trainings, division/department meetings, committee meetings and trainings as requested or approved by your supervisor. Maintain prompt communication with family members, team members, Rock County Crisis Intervention, and collateral agencies requesting information. 15% Documentation Writes and participates in the development of clinically relevant individualized treatment plans based on DHS 63 (DHS 35). Documentation of treatment progress notes, orders, consultation with doctors/treatment providers/hospitals, documentation required for medication maintenance, Patient Assistance Program coordination for clients, insurance, prior authorizations, prescription refills, assistance with informed consents for medications 5% Other duties as assigned Success Factors (KSA's) Knowledge of the current principals and practices of nursing. The knowledge of best practices and the ability to implement them. Knowledge of assessment and treatment of persons whom have serious and persistent mental illness including co-occurring disorders. Ability to embrace and nurture a person centered, recovery oriented framework and culture for service delivery. Knowledge of the laws, regulations and practices pertaining to DHS 63 (DHS 35). Knowledge of psychotropic medications, their effect, side effects and abuse potential. Knowledge of community resources and how to effectively utilize them. Ability to plan and organize work effectively. Ability to maintain accurate current records and prepare clear and concise reports. Ability to establish and maintain effective working relationships with agency staff, community members, families, and collateral agencies. Knowledge of various cultures and diverse populations and ways in which cultural values impact individuals, families, and the community. Ability to make assessments and provide or refer for appropriate treatment. Job Requirements, Education, Training & Experience Bachelors Degree in Nursing (BSN) from an accredited institution and current, valid Wisconsin license to practice as a Registered Nurse. Psychiatric/Mental Health Nursing experience preferred. Must possess and maintain a current unrestricted (not due to corrective lenses) driver's license and auto insurance pursuant to the Rock County Administrative Policy and Procedure 5.02 and 5.27. Essential Job Functions (physical elements, equipment and working conditions) Physical Elements Ability to stand, walk, and sit. Ability to exert up to 20 lbs of force occasionally or up to 10 lbs of force frequently. Physical movement occurs a majority of the day. Inside and outside work with exposure to weather conditions. Potential for contact with unpredictable and aggressive persons. Must be willing to transport consumers and be exposed to challenging and unpredictable environments. Participate in disaster evacuations and fire drills when circumstances warrant. Maintain safety procedures. Equipment Use Ability to use computer and computer keyboard. Ability to use a telephone and voice mail system. Working Conditions Ability to flex time when needed to coordinate consumer emergencies and care. Potential exposure to physically or verbally abusive persons. Rock County Employee Facts and Benefits Highlights Rock County historic and cultural attractions:Rock County is in south Central Wisconsin along the Illinois border. The County has a population of 161,188 making it the ninth largest County in Wisconsin. Janesville, Wisconsin (pop. 64,009) is the county seat. Janesville is located on the I39/90 corridor, forty miles south of Madison, seventy-six miles west of Milwaukee and about two hours from Chicago. Rock County's many historic and cultural attractions include the City of Evansville historic district, Beloit College (an acclaimed liberal arts institution located in the City of Beloit) and the City of Janesville's Rotary Botanical Gardens and Tallman House (an exceptional example of Italian villa style architecture from the mid 1850's). The Cities of Janesville and Beloit have a combined symphony orchestra, as well as individual performing arts centers. The Rock County Fair and Riverfest are regional cultural celebrations held every summer in the Cities of Janesville and Beloit respectively. These Cities both have extensive park and open space networks, including portions of the Ice Age National Scenic Trail, a Statewide trail commemorating the State's geologic history. Additionally, the Rock River runs through these Cities, offering many recreational opportunities. Salary: Employees are paid every two weeks on Friday (26 checks in a year). Paychecks are directly deposited in the employee's bank account. There is a two-week delay between the pay period worked and the payday. New employees generally wait four weeks before they receive their first check, which is a live paper check. Direct deposit is a requirement of employment. Holidays (Ordinance 18.501): The following holidays are observed by the County and shall be granted to regular employees with pay and to temporary employees without pay, unless such employees are required to be on scheduled work: (a) New Year's Day (b) Martin Luther King Jr. Day (c) Spring Holiday to be observed the Friday immediately preceding Easter (d) Memorial Day (f) July 4th (g) Labor Day (h) Thanksgiving Day (i) Friday following Thanksgiving (j) Day before Christmas (k) Christmas Day (l) One Floating Holiday (m) Any additional holiday granted by the County Board. (n) The County Administrator may designate additional holidays in unusual circumstances with the approval of the County Board Chair and/or Vice Chair. For employees working the standard work schedule, when a holiday falls on Saturday, it shall be observed on the preceding Friday. When a holiday falls on a Sunday, the following Monday shall be observed. For employees not working the standard work schedule see the HR Policies and Procedures. Vacation (Policy & Procedure Manual 5.47): Employees (.4 FTE or greater) hired on or after April 10, 2023, shall earn vacation according to the following schedule: Health Insurance including our Wellness component: Rock County offers a dual choice point of service plan. Employees will have a choice to elect coverage with either Dean Health Care or Mercy Health Care. Employees can enroll within the first 30 days of employment, after that there is an annual open enrollment period in the fall. In the case of a qualifying event (birth, marriage, FTE increase, loss of coverage, etc.), the employee will also have 30 days to enroll or make changes. No exceptions will be made. The County will pay 90% of the premium for health insurance and the Employee may earn the remaining 10% of the premium, based on the terms of participation of the Healthy Employee Incentive Program. Sick Leave (Policy 5.39): Sick leave pay shall commence on the first day of any period of illness due to accident, injury, or disease. All full-time employees shall earn one sick leave day per month of continuous employment. All part-time employees whose regular workweek is sixteen hours or more shall earn one sick leave day on a prorated basis directly in relation to the normal full time employment period. All part-time employees, who work less than sixteen hours per week, shall not earn sick leave. Temporary and seasonal employees are not eligible for sick leave. Sick leave shall accrue to a maximum of one hundred thirty days. Dental Plan: The County offers a dental plan through Delta Dental and will pay 60% of the applicable premium for the lowest cost plan . click apply for full job details