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Job Announcement: Susanville Indian Rancheria – Licensed Vocational Nurse/Tribal Opioid Response Coordinator

Tuesday, March 2nd, 2021

Susanville Indian Rancheria – Licensed Vocational Nurse/Tribal Opioid Response Coordinator

CLOSING DATE OF ANNOUNCEMENT: Until Filled, First Cut-off Date 03 12 2021
Second Cut-off Date 03 26 2021
Third Cut-off Date 04 09 2021
POSITION TITLE: Licensed Vocational Nurse/Tribal Opioid Response Coordinator
STARTING SALARY: $26.14 up to $32.67 depending on
STATUS: *Grant Funded
HOURS: *Grant Funded
BENEFITS: Highly competitive package *See below

SUBJECT TO P.L. 101-630: Yes This position works with and around our children and youth and is therefore subject to P.L. 101-630.

* Position is grant-funded for two years for part-time. Anticipate receiving funding for full time employment and becoming a permanent position.

The Licensed Vocational Nurse/Tribal Opioid Response (LVN/TOR) Coordinator for substance use disorders is responsible for collaborating with all Lassen Indian Health Center (LIHC) Medical Providers, Substance Use Counselor, Behavioral Health Department and other staff to improve outcomes for our patients with substance use disorders. The LVN/TOR Coordinator provides community case management and health services to Medication Assisted Treatment (MAT) clients. Additionally, this position will oversee the MAT program.

Substance Use Disorders Duties
• Provide case management – collaborate with and under supervision of all LIHC providers to improve outcomes for our patients with substance use disorders. This includes assessing need for medication protocols, setting up patient counseling, and accessing community resources.
• Takes and records vital signs and collected intake data. Monitors and records symptoms and responses to MAT. Writes progress notes within the electronic medical record.
• Maintain the Screening, Brief Intervention and Referral to Treatment (SBIRT) program at LIHC. This program shall ensure that all adult LIHC patients receive screening for substance use disorders, primarily alcohol, and provides persons engaged in risky or hazardous substance use with brief behavioral counseling interventions to reduce substance misuse and/or provide referrals to mental health and/or substance use disorder services.
• Develop and maintain for both clinics an SBIRT comprehensive referral to treatment packet. This packet should include handouts with all pertinent information on how to access detox/stabilization and in-patient or outpatient treatment.
• Develops the initial Individual Plan of Care based on the identified strengths and needs including a comprehensive 24-hour Crisis Plan. The Plan should reflect the best possible fit with culture, values, and beliefs of the individual family.
• Monitors the provision and quality of services provided to the client/family and is the liaison when new service/resources need to be sought or developed.
• Understand and implement regulations and compliance for specific required programs such as SBIRT. Maximize reimbursement for all SBIRT care.
• Work with and communicate effectively with all support and medical teams, including front office, medical, Behavioral Health and Certified Alcohol Counselor.
• Assists patient/client/family in gaining access to services by providing information, filling out forms, and making referrals (i.e., release of information, social security, financial assistance, etc.).
• Conducts psycho-social assessments, intervention and follow through for community health, social services, and treatment programs.
• Makes information readily available regarding resources and services available with the clinic and community at large.
• Documents social service interventions provided to individual in a clear, concise, and timely manner in the medical record. Discusses plan of care with health team members in an organized manner.
• Completes requisite paperwork in a strength-based manner and maintains accurate information ensuring that family demographic information is up to date.
• Maintain patient/client confidentiality and adheres to the confidentiality of all internal information.
• Networks and liaison with outside providers and services such as hospitals, treatment programs, law enforcement, probation, and schools.
• Submits statistical data collection including monthly/quarterly reports with number of participants.
• Maintain compliance with all state and federal laws and regulations, as they pertain to position including HIPAA, Scope of Practice, Accreditation Standards, OSHA and the Tribe’s Policies & Procedures.

Medication Addiction Treatment (MAT) Program Duties:
• Manage training of MAT Programs.
• Provide support for prescribing providers.
• Keep all teams of clinics informed of the program and updated on program changes including PSRs and call center for frequent appointments and special scheduling.
• Work with pharmacy to maintain availability of buprenorphine/ naloxone, naltrexone, and naloxone opioid overdose reversal.
• Develop and implement best practices for patient care including:
▪ Pilot phase of developing weekly Induction Clinics.
▪ Weekly Refill/Stabilization groups.
• Develop a series of educational segments for the refill/stabilization group. These educational segments will include behavioral health therapy and other speakers at times.
• Manage warm hand-off and monitoring of the referral to treatment process for the patient.
• Electric Medical Record – templates will be developed and written for both Coordinator
and Providers.
• Integrate with Behavioral Health and the Substance Use Counselor regarding referrals to treatment process.
• Maintain DEA compliance and design the program so access to information when DEA requires will be easily accessed.
• Develop a plan to track relevant data with MAT Coordinator.
• Continually manage and improve outreach for all agencies involved with providing care for LIHC patients with opioid addictions such as county agencies, local emergency departments, community recovery providers and other medical clinics. LIHC will be participating in coalitions, work groups, and the Coordinator will be available for education in the community.
• Trouble shoots as the pilot progresses and works closely with the team to focus on process improvements and implement changes.
• Other duties as assigned.

A. Ability to interview and assess patients, using appropriate assessment tools, and observe, record and report on the individual’s functioning.
B. Ability to communicate in a compassionate and professional manner with all patients and families.
C. Ability to interact effectively with all members of the healthcare team.
D. Ability to utilize multiple technologies for gathering data to meet required measures and to evaluate outcomes of specific programs.
E. Knowledge of and experience working with patients with substance use disorders

1. Must have a high school diploma or equivalent from an accredited high school.
2. Must have a valid California driver’s license or license from current residence state.
3. Must pass P.L. 101-630 background check OR pre-employment background check.
4. Must pass a pre-employment drug test.
5. Must have a valid CPR/BLS card or be able to obtain one within ninety (90) days of hire.

6. Associate Degree in Nursing.
7. California LVN License.
8. Addiction nurse specialty certification or able to obtain MAT education/certification with eighteen (18) months after the date of hire.
9. Three (3) to five (5) years of similar or related experience.

1. PHYSICAL SAFETY: The work requires minor physical exertion, such as short periods of standing, walking over rough uneven surfaces, some recurring bending, crouching, stooping, stretching, reaching, or similar activities. Job may require recurring lifting of lightweight objects with infrequent bending or stooping alternating with the lighter activities. Job requires minimal agility and dexterity.
2. WORKING ENVIRONMENT: Regular exposure to unfavorable environments such as weather, body fluids, toxic laboratory, and industrial chemicals, or confined, dirty and noisy locations. Employees may be required to use personal protective equipment such as masks, coats, gowns, boots, goggles, gloves, or shields.

• Uphold all principles of confidentiality.
• Adhere to all professional and ethical behavior standards.
• Interact in an honest, trustworthy and respectful manner with employees, visitors and vendors.
• Participate in departmental staff meetings, quality management activities, cultural and educational programs.
• Comply with policies and procedures.
• Display respect and understanding of Susanville Indian Rancheria’s traditions and values.
• The way the employee relates to fellow employees, customers and visitors is considered parallel in importance to technical knowledge and ability.
• Any attitude or behavior that will tarnish the name or reputation of the Susanville Indian Rancheria will not be tolerated and is subject to disciplinary action.

1st Preference: Enrolled member of a Federally Recognized Tribe.
2nd Preference: Documented proof of Veteran Status, i.e. DD-214, Veterans Benefit Card.
3rd Preference: All other applicants.

The Susanville Indian Rancheria offers its full-time employees a highly competitive benefits package, including: annual cost-of-living increases (based on SSA COLA); eligibility for annual merit increases; twelve paid holidays; thirteen days paid sick leave; up to twenty-six days paid annual leave (depending on length of service); maternity leave; paternity leave; affordable group health, dental, vision, and life insurance; and 401(k) retirement plan.

All applicants are required to submit a Susanville Indian Rancheria/ Lassen Indian Health Center application. Applications can be found on our website at: www.sir-nsn.gov/human-resources/ (SIR – LIHC – Gaming Commission Application for Employment P.L. 101-630 Requirements) or picked up at 745 Joaquin Street, Susanville, CA.

Only complete applications will be considered. For your application to be considered complete you must attach the following:
1. Completed Susanville Indian Rancheria/Lassen Indian Health Center Application.
2. Copy of your High School Diploma AND College Degree or transcripts documenting your graduation or completion of your Degree.
3. Copy of your valid Driver’s License.
4. Copy of any other certifications required.
5. Copy of tribal card, if claiming Indian Preference.
6. Copy of DD214 or other proof of Veteran status, if claiming Veteran’s Preference.
7. An additional statement on how you meet each minimum qualification.

Complete applications can be dropped off in person to the Human Resources Office at 745 Joaquin Street, Susanville, California, Monday through Friday from 8:00 am to 5:00 pm. They may also be emailed to nmerkle@sir-nsn.gov or faxed to (530) 257-1895 or mailed to the above address. All applications must be received by 5:00 pm Pacific Standard Time on the closing date of the announcement.

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