Nurse

State Of Colorado Denver , CO 80208

Posted 2 weeks ago

Department Information

Please note: This recruitment may be used to fill multiple vacancies.

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CDHSCareers

  • $7,000 Sign On Incentive*

About the work unit:

The work unit exists to provide nursing support and services to developmentally disabled individuals with complex medical and/or behavioral needs who reside at the Grand Junction Regional Center. Many of these individuals are dually diagnosed with developmental and psychiatric illnesses. These individuals live on the GJRC campus and are under the ICF/IID license or they live in Waiver Licensed group homes that are positioned throughout the Grand Junction community. Description of Job

About the Position:

This position is responsible for for providing nursing support and services to developmentally disabled individuals with complex medical and/or behavioral needs who reside at the Grand Junction Regional Center. Many of these individuals are dually diagnosed with developmental and psychiatric illnesses. This position designs individualized care plans and interventions to provide care and intervention. This includes assessment, implementation, and evaluation of effectiveness of the plans. This nurse assists with ensuring regulatory compliance via nursing services as well as health services by providing direction to the residential staff, including all agency Licensed Psychiatric Technicians and Healthcare Technicians.

Responsibilities in this position include:

Plan for Care:

The nurse obtains data through questioning of paraprofessionals and other professionals to determine a set of symptoms of significance. Based on a set of symptoms, and after completion of a nursing assessment, the nurse develops a plan of care and/or collaborates with the physician for medical treatment. The nurse must obtain information from a complex population who cannot communicate symptoms and paraprofessionals who may not recognize significant symptoms. Based on information obtained, the nurse then uses the foundations of nursing theory and judgments to develop and tailor individualized plans of care.

The nurse designs nursing care plans, both Long Term Nursing care plans and Short Term

Nursing Care Plans, that are implemented by paraprofessionals, including Licensed Psych

Technicians, TA's, and any other paraprofessionals employed at GJRC.

The nurse is responsible for the timely education of the paraprofessionals that will aid in the

implementation of the plan. The nurse is knowledgeable regarding key policies and procedures, follows them and instructs others in the implementation of such policies.

Acute illness Treatment and Trauma Response:

Directs acute illness or trauma situations by analyzing data, considering all individual aspects of the situation, and making decisions that result in treatment of the resident. The resulting treatment includes various levels of intervention such as implementation of standing order medications, on-site nursing intervention, simple to complex first aid, and conferring with interdisciplinary team members and staff, use of emergency medical intervention such as calling 911 in a timely and appropriate manner.

Documentation of Treatment:

  • Ensure all documentation meets requirements of multiple regulating agencies to ensure successful survey results; agencies include Center for Medicare and Medicaid Services (CMS), Regulations for Intermediate Care Facility/Intellectually Disabled, and Department of Health. In addition, all required health documentation completed by physicians, other health professionals and paraprofessionals is evaluated and analyzed for significant health issues that may need to be addressed by the nurse.

  • Ordered Medical/Nursing interventions (medications/treatments) are accurately documented, transcribed and completed by the nurse in a timely manner

  • Documentation of interventions is placed in the medical record via a progress note for each assessment. Documents on care plans and incident reports as required. Prepares for clinics and consults, ensures information is complete and up to date

  • Recommendations from consultants have been noted and reviewed with agency physicians.

Job Knowledge and Clinical Direction:

  • Oversees the provision of and provides clinical instruction to Licensed Psychiatric Technicians regarding administration of selected treatments and medications and nursing policies and procedures.

  • Identify, report and correct medication and treatment errors and failure to follow proper nursing care plans as instituted.

  • Performs quality control checks Inspections of medical records, (i.e. MD orders correctly transcribed and signed), nursing documentation, resolutions notes according to standards of practice, equipment maintenance, and assigned compliance inspections.

  • Completes all assignments (evaluations, nosocomial infection audits, med verifications checks and TD screens) in a timely and professional manner. Advocates for persons receiving services.

  • Attends job related workshops or independently seeks out additional job related knowledge.

  • Shares new job related knowledge with co-workers or other departments through formal and informal education.

  • Assumes responsibility for contributing to the education of paraprofessionals and other team members and then researches and formulates a plan of presentation. Education includes tailoring the content to be understandable for non-medical team members.

Direct Supports and Services:

  • Nurses are available to the client in a timely manner to address the needs identified by the technicians or professionals who request nursing/medical intervention for such clients.

  • Works with duty officer and crisis on call to ensure safety of persons receiving services in cases of behavioral or medical emergencies.

  • Interacts and consults with other team members in a professional manner. Helps to facilitate continuity of care when a person is moved from one living area to another or is transported to or returns from the hospital.

  • Anticipates customer needs and actively works to meet those needs and prevent crises in the work area. Offers innovative solutions to customer problems that are applicable agency wide.

  • Makes nursing rounds on a daily basis to assigned areas during scheduled hours to facilitate customer service.

Client and Staff Relations:

  • Treats others with respect. Is able to work through conflicts in a professional manner

  • Seeks additional knowledge relating to interpersonal skills.

  • Consistently fosters smooth working relations within the Health Services Department and agency wide.

  • Shares knowledge of interpersonal skills with staff.

  • Works with staff to help assist with conflict resolution

Continuity of Care:

  • Utilizes communication log and follow up sheets to ensure continuity of care.

  • Keeps current on computer advances with abilities to perform necessary interventions to complete computerized Individual plans (IP) and update computer generated patient profiles used for drug reviews. Computer skills are needed to facilitate the move toward an electronic medical record and other computer systems.

  • Proper operation and utilization of the agency e-mail system is essential.

  • Uses e-mail and face-to-face meetings to keep peers and supervisor informed of emerging medical or behavioral issues.

  • Notifies or ensures notification of appropriate team members (social worker, case manager, SSC) of serious medical changes. Notes physician's orders and sends a copy to the appropriate department. (dietary, medical records, pharmacy, lab etc.)

  • Serves on the agency committee and shares information with other staff.

  • Conducts in-services for direct care staff to ensure proper care of the persons we serve.

  • The nurse looks for ways to improve agency communication.

Nursing Skills and Other Duties as Assigned:

  • Maintains current licensure as a professional nurse. The Nurse maintains competencies necessary to the position.

  • Updates nursing skills through offered continuing education, resource development, and literature review, nursing in-services and nursing meetings. Attends mandatory education and keeps CPR certification current.

  • Uses the appropriate payroll tracking system according to policies and standards.

  • Punctual for work, works scheduled hours and appropriately covers shifts.

  • Attends nursing meetings or properly notes minutes generated. Supports the nursing department by providing input to the nursing agenda.

  • Appropriately uses and tracks medical equipment.

  • To be on call after hours to meet emergent needs of the department.

  • Will be required to travel to remote work areas to provide services to persons and multiple living and program sites. If a State vehicle is not available, must have their own vehicle for this purpose.

  • May be compensated for use of their personal vehicle through a mileage reimbursement.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Minimum Qualifications:

Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing, and in good standing, or any state participating in the Enhanced Nurse Licensure Compact (eNLC).

AND

Three (3) years of professional experience as a registered nurse.

Substitutions:

Appropriate education will substitute for up to two years of the required experience on a

year-for-year basis.

Conditions of Employment:

  • Must have valid unrestricted Colorado Driver License

  • Full Background Check- CDHS employees (all Direct contact with vulnerable persons):

CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults

  • Mental Health Institutes, Regional Centers, Veterans Community Living Centers)
  • Shift Work
  • Nursing provides 24/7 care 365 days per year. This position may be assigned to cover any shift.
  • Will be required to travel to remote work areas to provide services to persons and multiple living and program sites. If a State vehicle is not available, must have their own vehicle for this purpose. May be compensated for use of their personal vehicle through a mileage reimbursement.

  • A Tuberculosis Test (TB) will be required upon hire

  • On-call Status

  • To meet emergent needs of the department
  • Use, Handling, or Exposure to hazardous materials
  • Cleaning supplies
  • Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS.

  • Must be able to exert force and/or lift patients

  • Must be able to frequently stoop, kneel, crouch, push, pull and reach

  • Must be able to report to work to provide essential services to ensure health, safety, and welfare.

  • Effective September 20, 2021, this position will require documented proof of full COVID-19 vaccination. New employees will be required to provide attestation to their status with proof of vaccination within thirty (30) business days of hire.

Religious and medical exemptions and reasonable accommodation shall be addressed as required by law pursuant to the Equal Employment Opportunity Commission's vaccination guidance. If you would like to request a medical or religious exemption, please contact CDHS_HumanResources@state.co.us

Note: Fully Vaccinated means two (2) weeks after a second dose in a two-dose series of the COVID-19 vaccine, such as the Pfizer or Moderna vaccine, or two (2) weeks after the single-dose vaccine, such as Johnson & Johnson's Janssen vaccine, as defined by the most recent State of Colorado's Public Health Order and current guidance issued by the Colorado Department of Public Health & Environment.

Sign On Incentive

Upon approval, a sign-on incentive based on position, ranging from $2,000 to $7,000 (prorated if a part-time position), will be given in three payments: within two pay cycles of when the new employee starts at CDHS, 180-day anniversary and 270-day anniversary with CDHS. These incentives will be available to the first 1,000 new employees in select high-need positions.

Appeal Rights:

If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.

An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email (dpa_state.personnelboard@state.co.us), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department's action.

For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.

Supplemental Information

How to Apply

The Assessment Process

For additional recruiting questions, please contact jazzma.gamboa@state.co.us.

About Us:

If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:

  • Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan www.copera.org plus 401(k) and 457 plans

  • Medical and dental health plans

  • Employer supplemented Health Savings Account

  • Paid life insurance

  • Short- and long-term disability coverage

  • 11 paid holidays per year plus vacation and sick leave

  • BenefitHub state employee discount program

  • Employee Wellness program MotivateMe

  • Excellent work-life programs, such as flexible schedules, training and more

  • Remote work arrangements for eligible positions

  • Some positions may qualify for the Public Service Loan Forgiveness Program. For more

information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.

Our Values:

We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans.

Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.

We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.

Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.

We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.

Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.

ADAA Accommodations: CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Nancy Schmelzer, at cdhs_ada@state.co.us or call 1-800-929-0791.

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~

Toll Free Applicant Technical Support


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Nurse

State Of Colorado