*Evergreen Treatment Services has been offering medication assisted treatment for adults with opioid use disorders in our federally accredited opioid treatment programs (OTP) since 1973. The dispensary serves as the heartbeat of the OTP since patients new to the program must travel to the clinic six days per week to be assessed for the appropriateness of their medication on any given day and then consume it in front of the dispensary nursing staff. Nurses are the front line contact with all of our patients and are instrumental in developing a positive therapeutic relationship with each one. The Dispensary nurses interface extensively with the medical staff (PA-Cs and ARNPs), the Pharmacist-in-Charge, the counseling staff (all certified Chemical Dependency Professionals, many with advanced degrees), and other support staff in the clinic. Nurses provide valuable insight into possible therapeutic interventions for patients who have difficulty stabilizing their opioid use disorder and are rewarded by the positive visible and cognitive changes exhibited by patients who become stable.
The Nurse Manager is responsible for the overall functioning of the Opioid Treatment Program Dispensary nursing staff. S/he will coordinate with the Responsible Pharmacist Manager to manage the medication inventory and ensure that the therapeutic milieu in the Dispensary is consistent with program philosophy. This position must maintain the safety, efficiency and overall functioning of the dispensaries and best serving the agency’s patients. The nature of this position is fast-paced and requires frequent conflict resolution.
Job Functions (May Include)
- Share the responsibility of the operations and security protocols in the dispensaries with the agency Medical Directors, Responsible Pharmacist Manager, Executive Director and Dispensary Managers.
- Coordinate and work with the Responsible Pharmacist Manager (Pharmacist-in-Charge) regarding the following:
2.a Continually evaluate the needs and effectiveness of current dispensary practices including: ordering medications, dispensing, accurately executing medication orders, maintenance of medication records and destruction of medications.
2.b Maintain accurate records of all transactions of the dispensary necessary to ensure accurate control over and accountability for all drugs as required by applicable state and federal laws, rules and regulations.
2.c Assist with any inspection conducted by the Washington Pharmacy Quality Assurance Commission (PQAC) or the Drug Enforcement Administration (DEA) at the request of the Responsible Pharmacist Manager, Medical Director or Executive Director.
2.d Work closely with the Responsible Pharmacist Manager and Dispensary Managers at other ETS OTP locations to ensure consistency of procedures across the sites. Assist remote sites with trouble-shooting dispensary process at needed.
- Serve as a liaison with other departments and with community health care providers as needed to coordinate the best possible client care.
- Work with local jails around patients needing jail dispensed medication.
- Make necessary patient changes in EMR system.
- Ensure that each dispensary is adequately staffed at all times. Schedule Dispensary Nurses and provide back up as needed. Assist in dispensing services when needed and maintain dosing competency.
- Provide conflict resolution between Dispensary staff and patients when needed. Ensure strong staff team cohesion and collaboration.
- Serve as liaison between the Dispensary and other clinic site departments as needed.
- Coordinate referrals and treatment as needed with Flex Care Nurse Care Manager and/or Flex Care staff.
- Participate in Clinic Manager Team meetings and represent the interests of staff.
- Monitor departmental budget.
- Approve time sheets and leave requests submitted by staff.
- Conduct performance evaluations of dispensary staff in accordance with agency policies and state regulations.
- Assist with interviewing, hiring, and training of Dispensary nurse staff.
- Work with Human Resources regarding staff rewards and discipline as needed.
- Local travel may be required on behalf of the agency.
- Additional duties as assigned.
Must be a Registered Nurse, Nurse Practitioner-ARNP, Physician Assistant, or Licensed Pharmacist, and have a current Washington State License in his/her field.
Must have previous experience leading teams and motivating staff to perform at their best. Prior experience in an Opioid Treatment Program is highly desired, however previous experience with substance abuse treatment is not required.
- Knowledge of all federal and state regulations pertaining to the storage, ordering and dispensing of scheduled substances.
- High Aptitude for staff management.
- Computer literate, with basic knowledge of Microsoft Office Suite, and electronic medical records systems, as well as a high level of initiative in keeping current with technological change.
- Ability to prioritize workload and activities of self and others and follow through on assigned tasks to assure completion in a timely manner.
- Ability to handle multiple tasks and switch between tasks quickly.
- High integrity and ethical standards.
- Must be a highly effective communicator
- Dependable, able to work under pressure; receptive to change, willingness to learn, cooperative approach to problem-solving
- Ability to establish and maintain effective working relationships with staff, clients, and outside contacts from a wide variety of ethnic, socioeconomic and cultural backgrounds; good diplomatic skills; including strong conflict-resolution skills.
- Results orientated
- Flexible team player, cooperative and uses excellent judgment.
- Excellent attention to detail, planning and analytical skills.
- Good basic clerical skills including typing, ability to proof own work, good grammar and spelling.
- Must be able to pass a criminal background check.
- Ability to read and interpret general business correspondence, policies and procedures, referral information, financial documentation and applicable government regulations.
- Ability to write business letters, reports, instructions and procedures.
- Ability to present information effectively and respond to questions from patients, staff, referral sources and the general public.
Mathematical Skills and Reasoning Ability
- Thorough knowledge of and ability to apply business arithmetic skills accurately and rapidly.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where standardization may be limited. Ability to interpret a variety of instructions furnished in written, oral, schedule or diagram format.
- Ability to interpret a variety of instructions furnished in written, oral, schedule or diagram format.
- The employee is regularly required to sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms and talk or hear; frequently required to stand, walk and kneel; occasionally to climb balance, or stoop; rarely to crouch or crawl.
- The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close, color and peripheral vision and the ability to adjust focus. The noise level in the work environment is moderate.
Computer, photocopier, fax machine, phone, and dispensary equipment.