Registered Nurse (RN) Supervisor, ORCA Center - Swing Shift Seattle, WA (http://maps.google.com/maps?q=517+3rd+Ave+Seattle+WA+USA+98104) •Medical Apply Job Type Full-time Description **Job Title:** Nurse (RN) Supervisor, DESC Opioid Recovery and Care Access (ORCA) Center **Schedule:** + Before ORCA Center Opens (anticipated in summer-fall 2025): Monday – Friday, 8:30 am – 5:00 pm; clinical care on DESC’s Opioid Treatment Network team. + After ORCA Center Opens (subject to change as needed): After ORCA opens, the supervisor will work a swing shift with some weekends required. **Shift Differential:** $0.50 per hour for swing shifts **Supervised by:** Senior Nurse Manager, Nursing Director **Insurance Benefits:** Medical, Dental, Life, Long-term Disability **Other Benefits:** Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan **A cover letter is required to submit your application. Within the letter, please describe your interest and qualifications for the position.** **Job Overview:** This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center and supervises ORCA RNs and MAs. The ORCA Center is estimated to start clinical services in late summer to fall 2025 and will eventually be open 24 hours per day, 7 days per week, including holidays. It will offer four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants and peer specialists, with operational leadership support: + Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. + Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred. + Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis. + Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation. Before the ORCA Center opens, this role will focus on supporting the DESC Opioid Treatment Network team, an outpatient OUD treatment team, to provide care for clients with OUD and related health conditions. After the ORCA Center’s opening, responsibilities will transition to the Center’s clinical operations. **About DESC:** DESC is a multi-service agency that specializes in providing permanent supportive housing, emergency shelter, residential crisis services, and comprehensive behavioral health outpatient services for people with long-time experiences of homelessness and serious behavioral health disabilities. We utilize harm reduction, trauma informed care, and housing first practices, striving to deliver high-quality, outcomes-oriented, flexible services that accommodate consumers’ unique needs. The ORCA Center builds upon DESC’s successful and innovative clinic- and field-based outpatient OUD treatment team and will collaborate closely with this team. **PRIMARY RESPONSIBILITIES:** **Clinical Care** + Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation. + Conduct harm reduction counseling and education related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP) along with other acute and chronic conditions. + Manage and follow treatment protocols for conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care. + Perform assessments and engage in follow-up visits for individuals starting or continuing MOUD. + Provide counseling and education about treatment options to clients and work together with them to set and monitor goals. + Follow state and federal guidelines, as well as program-specific policies and procedures for opioid dependent patients in collaboration with prescribing providers and dispensing pharmacies. + Be able to use critical thinking, clinical judgment, patience and flexibility in frequent contacts with clients. + Provide ongoing assessment of mental status and the positive impact and side effects of treatment. + Be available for drop-in clients as well as those with scheduled visits, keep posted hours, and perform community outreach.? + Assess clients for a range of health care needs and facilitate linkage and on-going connection to relevant urgent, primary and specialty health services to ensure continuity of care. Advocate for patients’ access to a variety of community resources and services. + Educate patients on health-related topics, treatment plans, and harm reduction strategies. + Document clinical care in accordance with DESC and regulatory standards. + Collaborate with an interdisciplinary team of clinicians, peer specialists, and social workers to provide holistic care. + Ensure continuity of care for individuals transitioning between ORCA Center services and other health care providers. + Provide or assign nursing and basic wound care as needed. + Assure implementation of program elements in congruence with principles of recovery-based services. **Administrative** + Have strong communication and customer service skills. Demonstrate leadership ability as well as using interdisciplinary team concepts. + Support the RNs and CNAs/MAs; facilitate transfers and patient flow during work hours; collaborate on medical protocols and quality assurance with Program Medical Director. + Provide clinical and administrative supervision of a multi-disciplinary staff, including hiring, orientation, training, regular performance evaluation and disciplinary action as needed. + Maintain knowledge of DESC personnel policies, procedures and collective bargaining agreement. Assure compliance with same. + Facilitate team meetings to promote team cohesion and team members contributing their areas of strength and learning as needed. + Establish and maintain practice standards and protocols. + Ensure compliance with all related licensing, DEA, and other regulations. + Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance reviews. + Consult and collaborate with community providers to ensure continuity of care and that patients’ needs are being met, and rights maintained. + Comply with applicable program research and evaluation procedures. **Other Duties** + Serve as an educational resource and provide consultation for DESC staff. + Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment. + Other duties as assigned. Requirements **Minimum Qualifications:** + Licensed as a Registered Nurse in the State of Washington, in good standing. + Interest or experience in working as a team leader with clients who are difficult to engage and maintain in traditional mental health programs. + Be able to pass a Washington State Criminal background check. + Experience or training in addiction medicine and harm reduction. + Ability to relate to a wide range of people, demonstrate highly developed communication skills, and have a desire to serve homeless, mentally ill clients. + Ability to remain open and receptive to constructive feedback. + Strong commitment to serving individuals with complex needs, including homelessness and co-occurring behavioral health conditions. + Familiarity with trauma-informed care, harm reduction principles, and equity frameworks. + Ability to work collaboratively in a multidisciplinary team environment. + Proficiency with electronic health records and clinical documentation. **Preferred Qualifications:** + Experience in low-barrier buprenorphine programs or Federal Opioid Treatment Programs. + Experience in an acute care setting (e.g., emergency department or overdose prevention center). + Knowledge and skill in working with co-occurring mental health and substance abuse disorders; with homeless or formerly homeless individuals. + Crisis intervention and stabilization experience. + Experience in supervising or leading nursing or other clinical treatment teams. + Familiarity with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices. + Bilingual in Spanish/English. **PHYSICAL DEMANDS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees and clients, is required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. **EQUAL OPPORTUNITY EMPLOYER:** DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply. Salary Description $128,190.00 - $145,042.56 annually