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Registered Nurse - Primary Care

$41.56 - $55.85 / hour

Live and work in one of the most beautiful places in the world! Located on the Central Oregon Coast, Lincoln County is a growing, dynamic community with a booming tourist industry. From the docks of Newport to the world's smallest harbor in Depoe Bay, Lincoln County has something for everyone! Lincoln City Kite Festival Coastal Healthcare is looking for a Community Health Nurse to assist in providing direct patient care and treatment in our primary care clinics, VA, or in the School-based Health Centers (SBHC). The person in this position promotes health through education, care coordination and health maintenance. This is a very important role for us and we're looking for an experienced and passionate healthcare professional to join our team. $41.56 - $55.85 per hour* *Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer. Lincoln County offers a comprehensive benefits package including: Medical, Dental, & Vision Coverage 11% County contribution to 401(k) County funded Health Savings Account (HSA) $40,000 County Paid Life Insurance Employee Assistance Programs (EAP) Depoe Bay, Oregon Community Health Nurses will follow the six standards of practice: Assessment – Collect comprehensive data related to the health of the population served. Document assessment data in terms that are understandable to all involved in the care process. Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Document diagnoses or concerns in a manner that facilitates the population’s involvement in developing a plan of care. Outcome identification – Based on the diagnosis the CHN will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives. Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes. Document the plan using health literate and culturally competent language that can be understood by care team and population being served. Implementation – Oversee the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education. Document activities and status of care coordination. Evaluation – Apply on-going assessment data to revise plans, interventions and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions. For Primary Care and School-based Health Center CHN2 will perform additional job responsibilities: Apply theories and principles of primary care and adolescent health nursing practices. This includes services in the clinics and schools. Consistently set appropriate priorities in providing quality patient care that is organized and time efficient. Utilize staff feedback in patient care. Maintain and ensure confidentiality of patient’s conditions, records, and other data on a consistent basis. Perform direct care activities by administering medications, observing, and documenting patient responses and/or side effects. Administer interventions according to established standing orders and protocols. Provide an environment that demonstrates caring, compassion, and respect for all patients and families. Create and maintain a high-performance clinic environment characterized by positive role model, leadership, and a strong team orientation. Communicate, as necessary, with other clinic and departmental personnel to coordinate efforts, resolve operational problems, and provide high quality, comprehensive patient care. Meet training requirements and practices according to HRSA, HHS and OHA guidelines. Participate in on-going quality improvement and reports from data systems to guide and improve practice. Establish professional rapport with clients, community, and health care partners to promote health. Other duties as assigned Attend and participates in team meetings, trainings, and activities to further the health of the community. Tidepools on the Oregon Coast Minimum Education Level Associate degree in Nursing from an accredited school of nursing. Minimum Experience Level* Three years of nursing experience. *Practicums in Nursing programs and lived experience may substitute for years of experience. Driver’s License Oregon Driver's License required within 30 days of hire Other Licenses Must possess a valid license to practice in the State of Oregon as a Registered Professional Nurse as defined by statutes or administrative rules, which include but are not limited to ORS 678.010 to 678.360 at the time of appointment. The employee is required to maintain current and active licensures and certifications, as applicable, and to provide the appropriate verifications at the time of renewals. Desirable Qualifications: Bachelor of Science degree in Nursing (BSN) from an accredited school of nursing with one year of nursing experience, preferably in a primary care position. Knowledge of: The principles, practices, methods, and procedures of nursing as applied to community and public health. The uses and effects of medications, immunizations. Issues of alcohol and drug abuse. The "strength-based" model of behavior change. Problem-solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory. Utilization of community resources. Medical record keeping practices. Functions and resources of private and public agencies. REASONABLE ACCOMMODATIONS Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions. WHY LINCOLN COUNTY? Yaquina Bay Bridge Lincoln County sits in the Central Oregon Coast, boasting miles of stunning beaches. Travelers from all over the world have made Lincoln County a must-see location. From the Kite Festival in Lincoln City, Founder's Days in Newport, and the La De Da Parade in Yachats there is never a celebration too far away! Our vibrant arts community, incredible restaurants and hotels, and unmatched natural beauty make this a truly amazing place to call home. Lincoln County is one of the 36 counties in the U.S. state of Oregon. As of the 2020 census, its population was 50,395. The county seat is Newport where our Health and Human Services Department is headquartered. Lincoln County consists of Lincoln City, Depoe Bay, Siletz, Newport, Toledo, Waldport, and Yachats. Each town along our beautiful coastline offers something a little different and unique from the others and the drive along Highway 101 is a postcard in living color. CHECK OUT THESE LOCAL TRAVEL RESOURCES: Lincoln County, OR | Official Website Discover Newport Oregon | Vacation, Travel, Things to Do on the Coast Explore Lincoln City, Oregon Official Travel Guide That Oregon Life - Your Oregon Travel Guide Health & Human Services | Lincoln County, OR Coastal Healthcare - Primary Care | Lincoln County, OR For more information or to obtain the full job description, please reach out to jobs@co.lincoln.or.us Apply now by clicking the link above!

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Lincoln County Newport, OR

$148,196 - $199,164 / year

The Behavioral Health division of Lincoln County Health and Human Services is looking for a Psychiatric Mental Health Nurse Practitioner (PMHNP) to help in providing mental health care to our community. This person will independently provides health care to clients with mental and emotional needs and disorders in Primary Care and Behavioral Health settings. Provide services for a wide range of psychiatric, co-occurring and/or intellectual/developmental disorders, including initial evaluation and diagnosis, participation in and development of treatment plans, management of psychotropic medications, referral to services as necessary, patient education, counseling and ongoing follow-up. This position works closely with a wide variety of professionals in diverse settings. $148,196.00 - $199,164.00 annually* *Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer. Lincoln County offers a comprehensive benefits package including: Medical, Dental, & Vision Coverage 11% County contribution to 401(k) County funded Health Savings Account (HSA) $40,000 County Paid Life Insurance Employee Assistance Programs (EAP) Yaquina Bay Bridge in Newport Within the specialty of the Nurse Practitioner (NP), they are responsible for managing health problems encountered by the client and is accountable for health outcomes. The NP will follow the six standards of practice: Assessment – Collect comprehensive data related to the health of the individual served. Synthesis and analysis of data and application of nursing principles and therapeutic modalities. Diagnosis – Prescribing, dispensing, and administration of therapeutic devices and measures, including legend drugs and controlled substances as provided in Division 56 of the Oregon Nurse Practice Act, consistent with the definition of the psychiatric nurse practitioner’s scope of practice. Outcome identification – Based on the diagnosis the NP will identify outcomes that are culturally relevant, health literate, based in evidence and promotes the maintenance of health. Document expected outcomes and measurable objectives. Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies that are achievable. Implementation – Oversee the implementation of the plan through treatment, case management, referrals to community partners, collaboration with other health care providers and community resources, health promotion and education. Document activities and status of care coordination. Evaluation – Applies on-going assessment and analysis of data, revise plan as needed, assure that interventions and activities are appropriate for ultimate health outcomes for the client. Document changes to enhance effectiveness of interventions . Provide treatment of adult, adolescent, and pediatric clients in Primary Care and Mental Health settings: Perform psychiatric evaluation and diagnosis with a wide array of acute and/or chronic psychiatric disorders. Assure the care team is functioning efficiently. Utilize knowledge of psychiatric disorders and their treatment, psychodynamic issues, normal growth and development, family dynamics and counseling skills to plan a comprehensive plan of treatment to suit the client’s needs. Prescribe and provide ongoing management of psychotropic medication for the treatment of psychiatric disorders. Document services according to policy. Order lab work and other diagnostic tests as indicated as part of the diagnostic evaluation or ongoing management of the client. Consult and coordinate with physicians, Health Center Medical Director, Deputy Director of Clinical Operations and Primary Care Program Manager as indicated. Provide clients and their families with information about psychiatric disorders, treatment strategies and options, as well as resources available in the community. Utilize various psychotherapy strategies, as appropriate, to assist working through of past and present issues, challenge cognitive distortions and develop mastery of improved relationship and coping skills. Assist with planning, developing, and education of health providers about behavioral health issues and the impact of these issues on client care: Provide leadership, guidance, and feedback to clinic staff. Participate in conferences and educational updates. Help to ensure staff are knowledgeable about program activities and goals. Serve as a consultant, accept referrals from other health care providers in matters outside their expertise. Other functions: Participate in educational meetings as available and appropriate. Audit peer records upon request from Program Manager, Deputy Directors or Health Center Medical Director to evaluate level of care provided and whether documentation standards are met. Participate in or leads quality improvement activities to support high-performance quality care. EDUCATION Graduation from an accredited school of nursing and accredited Nurse Practitioner Program. EXPERIENCE None CERTIFICATIONS/LICENSES Current Nurse Practitioner Certification as a psychiatric nurse practitioner in the State of Oregon at the time of appointment. Possession of a National Certificate for Medicare, or the ability to obtain one by the end of trial service (6 full months from date of hire). Oregon Driver's License required within 30 days of hire. Possession of an unencumbered license as a nurse practitioner and registered nurse in the State of Oregon at time of appointment. Desirable Qualifications: Two years or more of experience as a psychiatric nurse practitioner is preferred. Knowledge of/Ability to: Behavioral health, psychopharmacology, advanced practice nursing principles, methods and procedures, and medical terminology. Considerable knowledge of psychiatry, psychotherapy and overall management of a wide range of acute and chronic psychiatric disorders. The functions and resources of public and private agencies engaged in behavioral health. Nurse Practitioner rules and regulations set forth by the Oregon State Board of Nursing OAR 851 Division 50. Exercise considerable judgment in the application of professional skills in psychiatric evaluation, diagnosis, medication management and treatment. Analyze psychiatric problems and recommend treatment plans. Train clients and general public in the use of various preventive care and mental health maintenance. Maintain client confidentiality in accordance with HIPAA. REASONABLE ACCOMMODATIONS Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions. Live and work in one of the most beautiful places in the world! Located on the Central Oregon Coast, Lincoln County is a growing, dynamic community with a booming tourist industry. From the docks of Newport to the world's smallest harbor in Depoe Bay, Lincoln County has something for everyone! WHY LINCOLN COUNTY? Annual Kite Festival in Lincoln City Lincoln County sits in the Central Oregon Coast, boasting miles of stunning beaches. Travelers from all over the world have made Lincoln County a must-see location. From the Kite Festival in Lincoln City, Founder's Days in Newport, and the La De Da Parade in Yachats there is never a celebration too far away! Our vibrant arts community, incredible restaurants and hotels, and unmatched natural beauty make this a truly amazing place to call home. Lincoln County is one of the 36 counties in the U.S. state of Oregon. As of the 2020 census, its population was 50,395. The county seat is Newport where our Health and Human Services Department is headquartered. Lincoln County consists of Lincoln City, Depoe Bay, Siletz, Newport, Toledo, Waldport, and Yachats. Each town along our beautiful coastline offers something a little different and unique from the others and the drive along Highway 101 is a postcard in living color. Tidepools on the Oregon Coast CHECK OUT THESE LOCAL TRAVEL RESOURCES: Lincoln County, OR | Official Website Discover Newport Oregon | Vacation, Travel, Things to Do on the Coast Explore Lincoln City, Oregon Official Travel Guide That Oregon Life - Your Oregon Travel Guide Health & Human Services | Lincoln County, OR Behavioral Health | Lincoln County, OR For more information or to obtain the full job description, please reach out to jobs@co.lincoln.or.us Apply now by clicking the link above!