Registered Nurse II - Outpatient Services

This position is open to current Colorado residents only.

Civil and Forensic Mental Health Services (CFMH) operates Colorado’s two mental health hospitals, the Forensic Services Division, the Division of Mental Health Transitional Living, and now the Outpatient Services Division. The office provides a continuum of mental health care for both Civil and Forensic clients. Civil clients are individuals who are committed by a civil court into the care of the Colorado Department of Human Services because they have serious and persistent mental health conditions. Forensic clients include those who are charged with a crime and have a mental or developmental disability that prevents them from assisting in their own defense or rationally understanding the criminal court proceedings, and those who have been charged with a crime but found not guilty by reason of insanity. CFMH works across the legal system to provide evaluations, treatment and case management for these clients. Outpatient Services is the newest part of this continuum, working to support clients stepping down or being diverted from hospitals and jails, and giving them the care they need in the community. Through our core values listed below, Outpatient Services staff is committed to:

• Individual dignity and respect
• Person-centered, evidence-based care
• Trauma informed recovery
• Multidisciplinary collaboration
• Diversity and inclusion
• Strong family and community partnerships

You are required to work at your assigned work location during your scheduled work times. Monday- Friday, 8 a.m. to 5 p.m. Please note: Work arrangements are subject to change at any time.

What You'll be Doing:

Clinical Direction/Clinical Supervision/Work Lead:• Responsible for the direction, clinical supervision and of all contracted nursing staff, PRN nursing staff, and QMAP functions of staff of the Clinic.

• Owns and manages the Clinic-wide duties of medication administration, and communicates personnel needs to leadership immediately.

• Responsible for working with the leadership to ensure all medication services provided in the Clinic, including by contracted and PRN nurses and QMAPs are delivered correctly.

• Responsible to ensure all QMAP assignments and duties are completed and in compliance with Clinic policies and psychiatric and medical nursing standards, licensure requirements and governing bodies while working in conjunction with leadership.

• Oversees and manages PRN and contract nursing scheduling, assignments, and coverage. Clinic staff is notified promptly of changes to processes, policies and procedures through communication methods to include meetings, email and individual contact.

• Individual coaching sessions are conducted regularly with assigned staff for medication related duties, only.

• Communication is conducted regularly with other disciplines, department leadership regarding nursing directives and disseminates information as appropriate. Interpretation of other leadership communication is received to understand changes that may or may not directly impact the nursing department.

• Assign tasks, add to performance plan and evaluation, ensure medical staff scheduling, coaching and mentoring QMAP staff.

Department Standards:

• maintains nursing standards of care for the Clinic by creating and maintaining processes to communicate and follow up with contract nurses, PRN nurses, and QMAP staff so that standards are kept in compliance.
• Nursing staff must adhere to CDHS Code of Conduct and Clinic Code of Ethics.
• Maintains current knowledge of new policies, standards, updates, literature related to nursing and specialty areas is maintained and communicated to subordinates. Leadership and supervisors are notified promptly of issues with patients and QMAP staff members.
• Works collaboratively with all staff and provides assistance when needed.
• Provides guidance and direction for care and treatment, directs nursing care and communication to clinic personnel.
• Assures the Clinic is directed and staffed appropriately according to Clinic procedure along with assuring QMAP staffing levels are maintained and accurate.

Patient Care/Nursing Care:• Responsible for the nursing care provided of the Clinic and maintenance of a safe, secure and therapeutic environment.

• Promptly responds to patient’s psychiatric and/or medical issues, participates in Trauma Informed Care initiatives and understands and promotes its principles, implements, audits and reviews nursing care and QMAP care provided on the shift/unit.

• This is accomplished through providing follow up for proper nursing care; ie., documentation treatments and/or medications, proper procedure for emergency medical issues of clients, and laboratory services after hours and obtaining data from the AED.

• Participates and ensures staff correctly identify patients prior to administration of medications, treatments, blood testing, or starting an invasive procedure. Follows and maintains Infection control standards and regulations.

• Evaluates concerns related to nursing care plans by assessing, identifying, planning, implementing, evaluating, and revising the nursing care given based on the nursing history.

• Utilize Patient Rights for mental health legal issues and comply with policy and procedure in these areas. Provide intervention in critical situations as necessary.

• Counsels and educates patients on medications, physical care needs, and psychiatric care needs during group therapies, Plan of Care Reviews, Plan of Care Formulations, 1:1 therapies, talking and educating the patient's family.

• Utilized to provide support for psychotherapy, daily living skills, and related groups in the clinic.

Other Duties as Assigned:

• Any other duties that may need to be completed for the shift/unit and or department.

• May be floated for coverage needs to specialty areas such as the Ambulatory Clinic/ECT Services only if skilled in these areas AEB a demonstrated competency evaluation.

• May be asked to cover or help in the absence of a Nurse III or Lead Nurse.

Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC) and two (2) years of professional experience providing nursing duties/care in a psychiatric/behavioral health/mental health setting. Substitutions Education in nursing will substitute for up to two (2) years of the required experience on a year-for-year basis. Preferred Qualifications:

• Experience with individuals with serious mental illness.

• Experience with nursing oversight and supervision.

• Bilingual in Spanish.

Conditions of Employment:

• Full background check and reference check required

• This position requires State of Colorado residency at the time of application (unless otherwise identified in the posting), and residency within the state throughout the duration of employment in this position.

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

• Maintains active and unencumbered Colorado Registered Nurse License

• Shall not initiate or engage in sexual, social, personal or financial relationships with patients either during or any time after hospitalization, even if the patient requests or initiates such a relationship. All relationships with current or former patients must be disclosed on your application;

• Successfully pass all modules of the CMHIP New Employee Orientation core curriculum to include English reading comprehension, relevant competency assessments and written/practical exams in Defensive Tactics;

• Possess the physical ability to successfully complete CTI and CPR;

• Lift arms above head and kick as high as own waist;

• Stabilize another person to accomplish a controlled take down;

• Withstand impact on own body using an ASP shield;

• Rotate body 90 degrees with feet planted for using a defensive tactic;

• Kneel on one or both knees and stand up again with multiple repetitions;

• Must be able to see and hear in order to observe, address and respond to potential breaches in safety;

• Seize, hold, control or subdue violent or assaultive persons and defend oneself or others to prevent injury;

• Demonstrate body agility, strength of all four limbs and the ability to walk and climb stairs consistently;

• Work in situations involving assaultive behavior, physical control of another person and/or restraint situations;

• Ability to read and comprehend the English language; effectively and fluently communicates in English, both verbally and in writing;

• Work in an environment with fluctuating noise and temperature (hot and cold) which may include working outdoors in inclement weather and/or concrete floor/wall work settings;

• Willing and able to travel;

• 2-step TB (tuberculosis) screening is required of all new employees upon hire;

• Annual influenza vaccination, other vaccinations as required by the State and facility.

• Former State employees who were disciplinarily terminated or resigned in lieu of termination must:

• Disclose that information on the application.

• Explain why the prior termination or resignation should not disqualify you from the current position.

• Provide your employee number from your prior State employment. Absent extraordinary circumstances, prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

CDHS Selection Process Explanation:Employment history is calculated on a full-time basis (40/hrs per week). Part-time employment is calculated on a prorated basis to determine qualifications. Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.

• Preferred Qualifications & Competencies:
• Relevant years of state service experience.

Minimum Qualification Screening Process: A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position. You must complete the official State of Colorado online application. Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process. You must specifically document your work experience and qualifications in the application form. Do not use "see resume" or "see attached."

You must meet the minimum qualifications to continue in the selection process. Part-time work experience will be prorated.

Comparative Analysis Process – Structured Application Review: After minimum qualification screening, the comparative analysis process will involve reviewing and rating of all the information you submit. The comparative analysis step may also include your results from standardized testing.

Your Work Experience/Job Duties:Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications. If listed, answer all supplemental questions as your answers to these questions will be evaluated during this phase. Provide at least 4-8 sentences for each supplemental question.

Supplemental Questions:Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).

Appeal Rights: You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.

• You or your representative must sign and submit the official appeal form for review.

• You can find the official appeal form here.

• You must be deliver the official appeal form to the State Personnel Board:

• By email ([email protected]), or

• Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, 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.

Contact the State Personnel Board for assistance:

• At (303) 866-3300, or

• Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.

• How to apply to the State of Colorado (Youtube Video, Runtime 3:59, Closed Captions Available)

• The Assessment Process

About Us & BenefitsIf your goal is to build a career that makes a difference, join 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. Each of us is committed to contributing to a safe and accessible CDHS. 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 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

• State of Colorado Employee BenefitHub Resource Center

• Employee Wellness program

• 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.

Our Values• We believe in a people-first approach: We prioritize the needs, well-being, and dignity of the individuals, families and communities we serve. We commit to respect, fairness and access in every decision, policy and interaction. We engage client voices and experiences in the development and implementation of the services we provide.

• 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.

ADA AccommodationsCDHS is committed to a Colorado for 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. This includes completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing 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 [email protected]. EEO StatementThe State of Colorado is an equal opportunity employer We are committed to increasing a “Colorado for ALL" of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law. Additional Support For Your ApplicationToll Free Applicant Technical Support If you experience technical difficulty with the NEOGOV system (e.g. uploading or attaching documents to your online application) call NEOGOV technical support at 855-524-5627 Mon-Fri between 6 am and 6 pm (Pacific Time). Helpful hints: if you are having difficulty uploading or attaching documents to your application 1) ensure your documents are PDF or Microsoft Word files and 2) close the document before you attempt to upload (attach) it.