
BHN (Behavioral Health Nurse) Clinician/Case Manager - Residential Treatment & Detox Svcs
VA 20151 (CH03), VAFull-time$85–148K/yrPosted todayStill listed today
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Job overview
Fairfax County’s Community Services Board seeks a Behavioral Health Nurse Clinician/Case Manager for its Substance Use Disorder Residential Services team. The role provides nursing and case-management support to people with substance use disorders or serious mental illness, including clients undergoing detoxification. The position may be underfilled as a BHN Clinician/Case Manager in Residence, with advancement after meeting the stated employment standards and competencies.
Skills & qualifications
Skills
Qualifications
Full job description
This position works within our dedicated Substance Use Disorder (SUD) Residential Services team.
In this vital role, you’ll support individuals at a critical stage of their recovery journey—providing compassionate, evidence-based care to those who need structured support as they work toward stability and long-term wellness. You’ll collaborate with a multidisciplinary team in a setting that values clinical excellence, empathy, and community impact.
If you’re passionate about recovery-oriented care and want to make a real difference in people’s lives, this is an exciting opportunity to grow your career while serving your community.
The CSB strives to create a work environment that facilitates professional growth by broadening your skill base with extensive training and development, modeling best practices in employee relations, employee recognition programs and advancement opportunities along with providing a highly competitive wage and benefits package. Since 1969, the Fairfax-Falls Church Community Services Board has served individuals of all ages who have mental illness, substance use disorders, serious emotional and/or developmental disabilities. Our vision, aligned with the goals of One Fairfax, is that everyone in our community has the support needed to live a healthy, fulfilling life. Fairfax County is a dynamic and diverse community spanning over 400 square miles. With over 1.2 million residents, Fairfax County is the most populous jurisdiction in Virginia. Operating as part of Fairfax County government's human services system the CSB provides a wide array of services offering opportunities for career growth and advancement.
Position may be underfilled as a BHN Clinician/Case Manager in Residence; the underfill requirements are stated below in the Employment Standards section.
Here are some of additional benefits CSB employees enjoy:• Fairfax County is home to a highly diverse population, with a significant number of residents speaking languages other than English at home — including Spanish, Asian/Pacific Islander, Indo-European, and many others. We encourage candidates who are bilingual in English and another language to apply for this opportunity. A foreign language skills stipend of up to $1,600/year (full-time) may be given for qualified bi-lingual employees.
- License/Certification Reimbursement - Reimbursement for job related licenses and/or certifications once per year.
- To find out more about the benefits of working with Fairfax County Government, please visit the CSB Careers Page.
Note: To learn more about careers that make a difference, watch our video "CSB Celebrates 50th Anniversary of Providing Care."(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)• Provides nursing services to clients, including administering injections, collecting vital signs, administering tests and interfacing with other nursing staff;
- Provides nursing support to psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness;
- Administers, schedules and coordinates medication clinics/medical services, including delivery of medication, monitoring medication room, and inventorying medications;
- Complies with state pharmacy guidelines in ordering, storage, and disposal of medications;
- Monitors client responses to psychobiological and nursing interventions, medications and other treatments;
- Performs quality assurance review;
- Performs physical/mental health assessments, including laboratory testing of new clients at intake and to clients on an ongoing basis as case manager;
- Monitors and assesses clients to identify contributing or co-occurring mental health issues;
- Monitors and assesses clients for risk of harm to self and/or others;
- Coordinates client plan of care to assure interventions are consistent, safe, timely and appropriate.
- Assess continuity of care and evaluates coordination of interventions by interdisciplinary team to ensure consistency with the plan of care;
- Provides nursing assistance and information to clients through the telephone "nurse of the day" service;
- Manages medical needs and urgent care needs of clients;
- Monitors and assesses medical status of clients in the process of detoxification;
- Develops a therapeutic relationship with clients, provides supportive counseling, psycho-education, and health teaching for both individuals and groups;
- Serves as case manager for clients for whom medication compliance is essential for remaining out of the hospital;
- Participates on inter-/intra-agency case management teams, providing nursing consultation and
- effective integration between clinical and psychopharmacology services; as well as primary care services;
- Documents assessments, treatment plans and quarterly reports on clinical status of clients;
- Plans, develops and leads group and individual psycho-education, health education and wellness programs;
- Provide teaching on disease, management strategies, emergency care and drug information when appropriate;
- Researches available community, private and government resources to support patient self management of disease, recovery and relapse prevention.
(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)• Knowledge of nursing standards, theories, principles, practices, methods, processes, and procedures;
- Knowledge of federal and state pharmacy and medication clinic regulations and guidelines;
- Knowledge of documentation, nursing diagnosis, and quality assurance;
- Knowledge of human growth and development, anatomy and physiology, pharmacology (e.g., side effects, contraindications), preventive medicine, epidemiology, and nutrition;
- Knowledge of psychiatric, psychological, and/or sociological terminology and concepts;
- Knowledge of substance use disorders and addiction signs and symptoms, assessment techniques, treatment interventions and approaches;
- Knowledge of available community resources for referral or the ability to rapidly acquire such knowledge;
- Ability to perform emergency treatment(s), with limited supervision, for life threatening conditions;
- Ability to manage a caseload;
- Ability to perform mental and physical health assessments and apply treatment approaches/modalities;
- Ability to assess and monitor the effects of medications;
- Ability to assess level of risk for harm to self or others;
- Ability to develop and implement treatment plans/programs for individuals and groups;
- Ability to work as case manager in a multi-disciplinary team;
- Ability to maintain effective working relationships with co-workers, public and private organizations, community groups, and the general public;
- Ability to communicate effectively, both orally and in writing;
- Ability to maintain records and prepare reports.
MINIMUM QUALIFICATIONS: Any combination of education, experience, and training equivalent to the following: (Click on the aforementioned link to learn how Fairfax County interprets equivalencies.) Graduation from an accredited college or university with an associate degree in nursing; plus two years of post-licensure experience as a nurse.
CERTIFICATES AND LICENSURES REQUIRED:• Possession of a current license to practice as a Registered Nurse in the Commonwealth of Virginia or a multistate licensure privilege to practice as a Registered Nurse in Virginia.
- CPR/First Aid (within 3 months of hire)
- Valid driver's license.
UNDERFILL REQUIREMENTS: This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S27, $80,776.80 - $141,359.50). The employment standards for the BHN Clinician/Case Manager in Residence is:• Any combination of education, experience, and training equivalent to the following: Graduation from an accredited college or university with an associate degree in nursing.
Click here to view the complete details and KSAs for the BHN Clinician/Case Manager in Residence. Upon completion of an underfill agreement (which will require that the employee meet the employment standards stated above in addition to obtaining competencies and licensures defined by the hiring agency) the employee will be elevated to the level of BHN Clinician/Case Manager.
NECESSARY SPECIAL REQUIREMENTS:• The appointee to this position will be required to complete a criminal background check, a Child Protective Services Registry check, driving record check, and sanction screening to the satisfaction of the employer. A TB screening upon hire and annually thereafter.
- This position is emergency/essential services personnel. (Required to report for duty during inclement weather and/or other emergencies.)
- Licensed providers may not “opt out” of being a Medicare provider.
PREFERRED QUALIFICATIONS:• At least two years of experience working with adults who suffer from serious mental illness and co-occurring disorders in an intensive treatment group home, hospital emergency department or psychiatric unit, community-based behavioral emergency services, and/or crisis stabilization setting.
- Experience working in a SUD environment.
- Experience providing services in a residential setting.
- Experience administering medication using Medication Administration Record System (MARS).
PHYSICAL REQUIREMENTS: Ability to provide nursing care/assistance to clients with varying needs. Ability to sit, walk, stand, bend and write as needed to complete duties of job. Ability to observe client's behavior/appearance and converse with coworkers. Ability to transport clients in county vehicle. All duties performed with or without reasonable accommodations.
SELECTION PROCEDURE: Panel Interview and may include a practical exercise.
Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. TTY 703-222-7314. [email protected]. EEO/AA/TTY.
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How this job compares
Set against the 503 open Behavioral Health Nurse jobs on Olive Jobs, counted October 31, 2026.
- Pay
- This posting$85–148K/yr
- US median$85–90K/yr37 salary ranges
This range's midpoint, $116K, is 33% above the US median midpoint ($88K) — in the top quarter of Behavioral Health Nurse salary ranges across the US.
- Openings
- Olive Jobs lists 21 open Behavioral Health Nurse jobs in Virginia and 503 across the US. None of them nationwide are listed as remote or flexible.
- Hiring the most in Virginia
- Experience
- This posting asks for at least 2 years of experience — more than three in four Behavioral Health Nurse postings that state a minimum ask for (median 1 year, across 209 postings).
- Education
- This posting asks for an associate degree; 101 of the 503 open Behavioral Health Nurse jobs (20%) ask for an associate degree or higher.
Counted across the open, public US postings on Olive Jobs on October 31, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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