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Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support. Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient’s clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management. The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City’s most marginalized, vulnerable people. *To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates. Under general supervision of the Medical Director, the Senior Psychiatrist is the psychiatric leader of the facility or program and works in close collaboration with other discipline leadership to ensure that safe, holistic, and evidence-based psychiatric care is provided to incarcerated patients with varying levels of mental health needs. A team-based approach to care is critical; one that incorporates all relevant mental health and medical disciplines as well as security staff. A major component of this position will be training, recruiting and retaining high quality staff and providing strong clinical support and oversight, leadership and mentorship for existing staff. Responsibilities • Develops workflows, policies and quality metrics for their dedicated area in close coordination with the Medical Director and Chief of Mental Health, • Recruits, hires and trains staff to provide care in their dedicated area, • Ensure the highest possible quality of mental health care both in the facility and in collaboration with the other jail facilities in the system. This includes active participation in quality improvement, staff and patient safety initiatives, treatment supervision, and personnel mentorship and management., • In coordination with other leadership: design, implementation, ongoing review, and monitoring of relevant clinical facility-specific procedures, policies and operating manuals, • Direct clinical individual and group supervision of the relevant psychiatric prescribing staff, including psychiatrists, psychiatric nurse practitioners, and psychiatric physician assistants. This supervision must include both in vivo reviews of clinical skills as well as chart review., • Close collaboration, including regularly scheduled meetings, with other relevant disciplines within the mental health, medical, nursing and operations departments, as well as the Department of Correction, • Ensure that medication renewals are completed in a timely manner, • Ensure that the standard of care is being met or exceeded in all patient care, • Educate clinical staff about new developments regarding best practices in all aspects of psychiatric care, with specific attention to the challenges and issues facing a jail setting (e.g., influence of legal case, dual loyalty, medication diversion), • Ensure compliance with all regulatory standards, • In collaboration with other leadership, oversee the orientation of new staff to the facility or program, • Conduct regular multi-disciplinary case conferences and/or other educational programming, • Report on an as-needed basis to the CHS Morbidity and Mortality review committee, • Work in collaboration with other mental health leadership to manage clinical schedules, vacation requests, CME activities and other relevant activities as they pertain to psychiatric staffing and education, • Participate in policy revision and creation, and practice guideline creations, related to psychiatric care, including input into the psychiatric medication formulary, • Lead interdisciplinary mental health staff meetings in coordination with local MH leadership., • Personnel management of clinical staff, including setting quality standards, establishing effective recruitment and retention strategies, and managing workforce complaints, • Administrative tasks, including coordinating scheduling and assignment of patient care appointments, scheduling of staff, and management of referrals to mental health service, • Direct clinical care, amount determined by facility needs, which may include direct supervision of psychiatric trainees., • On-call responsibilities for 2 weeks at a time, one to two times/year, for off-hours issues that require high level clinical intervention, • Other duties at the discretion of the Medical Director of Mental Health or the Chief of Service., • Personnel management of the clinical staff, with assistance from the Clinical and/or Medical Directors as needed, including recruiting, mentorship, supervision, and disciplinary procedures, • Meet regularly with assigned supervisor to provide meaningful input into program design and policy formation Minimum Qualifications Applicants must have all of the following: 1. Graduation from a medical school approved by the Council on Medical Education and Hospitals of the American Medical Association. 2. Completion of an acceptable internship in an approved hospital., 3. A license to practice medicine in the State of New York., 4. Certification by American Board in field of specialization or a faculty appointment of Associate Professor or higher in a medical school recognized by the American Medical Association., 5. Eight (8) years of satisfactory full-time paid experience in field of specialization including at least three (3) years in a supervisory or administrative capacity.(Training and experience required for certification will be credited toward required specialized experience.) Department Preferences • Completion of a 4-year psychiatric residency training program, • Completion of a forensic psychiatry fellowship, • Active certification by the American Board of Psychiatry and Neurology in Psychiatry and Forensic Psychiatry, • At least two years of post-residency experience working with individuals with mental illness in a criminal justice setting (jail, prison, probation and/or parole) or public health community setting, • At least one year of post-residency experience in a supervisory role in psychiatry, • At least one year of post-residency experience working with individuals with serious mental illness, • Excellent diagnostic and treatment skills with particular attention to issues of psychopharmacology, safe administration of medication in a variety of settings, medical complications of mental illness and therapeutic resistance, • Excellent interpersonal communication skills and ability to work collaboratively with other disciplines, including DOC staff, • Strong leadership skills with ability to identify staff needs and provide mentorship and education to suit those needs, • Buprenorphine waiver training NYC Health and Hospitals offers a competitive benefits package that includes: • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week, • Retirement Savings and Pension Plans, • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts, • Loan Forgiveness Programs for eligible employees, • College tuition discounts and professional development opportunities, • College Savings Program, • Union Benefits for eligible titles, • Multiple employee discounts programs, • Commuter Benefits Programs

\n\n\n\n Summary:The Director position provides daily operational administration for nursing and other patient care in the Forensic Program at Westchester Medical Center. The Director supervises, coordinates, implements and directs ongoing administrative aspects of an assigned service line. This position will have oversight of recruitment, onboarding, training/preceptorship, competency assessment, data collection, communication with internal and external related departments, invoicing / data collection/ DOH reporting and grant acquisition efforts. This position will also cover on-call for open shifts at the Valhalla and MidHudson Campuses and overall supervision of the 3 campuses, Valhalla, MidHudson and Health Alliance. The Director will recommend to the Sr. Director/Vice President of Patient Care Services those areas of clinical practice and administration requiring evaluation and change and implements nursing and other patient care programs. In the absence of the Sr. Director, incumbents are responsible for the administration of these service lines.Supervision is exercised over a large number of nursing, professional, clerical, and ancillary personnel. \n\n Responsibilities: \n\n Academic: \n\n\n\t • Completion of Forensic Acute Care Team Child Abuse Pediatrics Forensic Medicine Collaborative Practice.\n\t, • Maintain DOH and IAFN certification;\n\t, • Conduct on-site educational sessions for WMC providers and referral sources as needed\n\n\n \n\n Administrative \n\n\n\t • Collaborates with SAAVE Program for optimal treatment and care\n\t, • Maintenance of 24hr/day, 7 days a week on-call coverage schedule for victims age12 and over, 11 and under; and back up on call for both\n\t, • Ensure 100% FACT program coverage at the Valhalla and MidHudson sites. \n\n\n\n\t, • Ensure FACT examiners are up-to-date regarding the standards of care of pediatric patients presenting with concerns about abuse/neglect and the coordination of such consults with the Department of Pediatrics, Section of Child Abuse Pediatrics.\n\n\n\n\t, • Validate Payroll and create invoices for each FACT Examiner on a bi-monthly basis. Timely preparation of monthly invoices includes, but not limited to:\n\n\t\n\t\t, • On-Call Invoices\n\t\t, • Backup on-call Invoices\n\t\t, • Per-Case Invoice\n\t\t, • Administrator Invoice \n\t\t, • Associate Director Invoice\n\t\n\t\n\t, • Attend scheduled staff meetings and participate in Child Protection Committee meetings;\n\t, • Maintain Examiner schedules and contracts; \n\t, • Organization and facilitation of program compliance with funding sources, hospital policies and community agencies requirements.\n\t, • Ensure the quality metrics and program requirements of the Forensic Acute Care Team (FACT) Program, NYS DOH SAFE Center of Excellence Program, the Office of Victims Services, Forensic Rape Examination Direct Reimbursement Program remain in compliance as prescribed by governing bodies. This includes promptly and accurately completing all necessary documentation required by law and WMC policy;\n\t, • Facilitate a Clinic referral process for OBGYN and Adult Medicine for adult FACT patients;\n\t, • Assurance that all FACT patients, 0-18 years of age, are connected to the appropriate county Child Advocacy Center (CAC) for follow-up;\n\t, • Ensure case follow up is scheduled with appropriate providers;\n\t, • Ensure maintenance, chain of custody and distribution of forensic evidence and DFSA kit storage remains in compliance with current NYS Regulations;\n\t, • Participate in efforts to secure outside funding for program support in collaboration with WMCHealth Foundation;\n\t, • Participate in development of written, electronic and web-based program materials, including revisions as needed of program forms, policies and protocols.\n\n\n \n\n Training and Recruitment \n\n\n\t • Facilitate new Examiner recruitment; onboarding; orientation and competency assessment of new and current providers. \n\t, • Participate in collaboration with community agencies involved in sexual abuse/assault. When designated, serve as the clinical leader representing the medical program with other county agencies;\n\n\n \n\n Quality and Performance Improvement \n\n\n\t • Maintain Quality Assurance data collection spreadsheet and review of Forensic Acute Care Team program documentation on patients for completeness;\n\t, • Provide feedback to examiners and quality improvement initiatives to maintain SAFE Center of Excellence and regulatory compliance;\n\t, • Participation in the peer review process once per quarter for each FACT Examiner; \n\t, • Assist with the development of quality metrics and meet quarterly to review compliance with quality metrics \n\t, • Quality review of medical records for patients presenting for complaints of sexual assault and assessments within 48 hours of presentation. This includes the ED Chart, FACT program chart, photo-documentation, medications, evidence collection kit and DFSA kit usage. Develop and maintain quality SAFE clinical training.\n\t, • Identify SAFE Training needs and implement training in conjunction with the respective Education Department (Medicine/Nursing)\n\n\n \n\n Clinical \n\n\n\t • Provide forensic examinations during standard working hours;\n\t, • Provide photo documentation of sexual abuse for all cases in the hospital; \n\t, • Provider forensic photo-documentation of potential cutaneous injuries in cases where concern for child abuse/ domestic violence/elder abuse/abuse of adults with disabilities present for care to the WMCHealth Valhalla campus during regularly scheduled hours. \n\t, • Monitor Abuse, Neglect, Exploitation, Trafficking screening statements;\n\t, • Provide back up on call coverage to WMC when simultaneous cases present and/or when an on-call FACT Examiner is ill.\n\t, • Conduct on-site educational sessions for referral sources (college campus, medical programs and community physicians) on sexual assault services.\n\t, • Provides clinical and technical assistance for WMC compliance with DOH requirements for the evaluation and management of patients presenting with sexual assault.\n\n\n \n\n Educationand Experience:Possession of a valid license and current registration, issued by the New YorkState Department of Education, as a Registered Professional Nurse, an Associate degree* in Nursing and six years of professional nursing experience including three years at a supervisory level. \n\n Preferred: Department of Health (DOH) NY-SAFE certification and completion of SANE-A and SANE-P courses. \n\n\n\n

Registered Nurse - Behavioral Health @ Kirby Forensic Psychiatric Center. Kirby Forensic Psychiatric Center.

Job Description Job Title: Registered Nurse Job Summary: CASES is seeking a committed and compassionate Registered Nurse to join our Forensic Assertive Community Treatment (FACT) team. This is a powerful opportunity for a nurse who wants to practice in the community, support individuals with complex behavioral health needs, and play a direct role in reducing the harms of criminal legal system involvement. As part of this mobile, multidisciplinary team, you’ll help deliver a full spectrum of integrated services that support recovery, stability, and independence. FACT clinicians work together to help clients secure housing, build meaningful relationships, manage symptoms, pursue employment, and improve overall quality of life. In this role, you’ll provide medication management and administration, conduct health assessments, offer counseling and psychoeducation, and promote wellness and recovery. You’ll practice within the core principles of ACT, professional nursing ethics, and regulatory standards; while enjoying the autonomy and variety that community‑based work provides. This is more than a nursing job. It’s a chance to be part of a team that believes in people’s ability to recover, rebuild, and thrive and to use your clinical expertise to make that possible. Shift Hours: This position is full-time Monday – Friday from 9:00 AM – 5:00 PM. Salary: The salary for this role is $100,940 per year. Location Address: 25 Chapel Street, Brooklyn, N.Y. 11201. Our offices are easily accessible by public transportation. Workplace Flexibility: Flexible - Staff have the flexibility to complete their workday from home or another suitable space, typically after reporting to the office and/or engaging in field or community-based work. What You Will Be Doing: • Deliver at least 80% of nursing services in the community, including medication administration (oral and injectable), health assessments, psychoeducation, and monitoring of medication side effects and adherence., • Conduct health screenings and coordinate care with primary care, specialty providers, hospitals, shelters, housing providers, and other service systems., • Collaborate with prescribers, Licensed Practical Nurses (LPNs), and multidisciplinary team members to support participant health and recovery goals., • Complete timely and accurate documentation, including progress notes, assessments, and incident reports, in compliance with OMH, DOHMH, and Medicaid standards., • Use trauma-informed, culturally responsive, and recovery-oriented approaches in all services., • Participate in team meetings, case conferences, and on-call rotations as assigned., • Promote integrated care and improved health outcomes for participants with complex medical and behavioral health needs., • Help ensure we maintain a safe working environment by reporting any hazards or unsafe conditions, e.g., liquid spill in the hallway, to the appropriate facilities staff member or supervisor., • Any other duties as required by Team Leader and senior clinical leadership. What We Are Looking For: • Current New York State Registered Nurse (RN) license., • Minimum of 2–3 years of experience working with adults with serious mental illness, co-occurring substance use disorders, trauma, homelessness, and/or criminal justice involvement., • Knowledge of community treatment models, support services, and resources for justice-involved and high-need populations., • Proficiency with electronic health records and basic computer skills., • Strong organizational skills, self-motivation, and ability to work independently in the field., • Commitment to recovery-oriented, trauma-informed care and social justice principles., • Individuals with lived experience are encouraged to apply. Preferred Skills: • Fluency in Spanish. Employee Benefits: CASES cares about employee wellbeing, and we offer a comprehensive benefits package to support you and your family, including: • Medical, • Dental, • Vision, • Vacation and Paid Time Off – starting at 25 days-off annually, plus an additional summer self-care day, • 12 Paid Holidays per year, • Retirement 403b Competitive matching up to 6%, • Employee Referral Program Our Values At CASES, we like to move with PURPOSE, which reflects our values: PEOPLE| Hold people’s stories with dignity UNITY| Commit to a shared mission RESPECT| Celebrate the strength of diversity PROGRESS| Always work to improve OPTIMIZE| Make the best use of resources SOLUTIONS| Work together to solve problems EMPATHY| Seek to understand others Although we would love to learn about the skills of every candidate, only selected candidates that are selected will receive a response. We encourage you to apply for any position(s) you feel you are qualified for. CASES is proud to be an Equal Opportunity Employer. Employment with CASES is based solely on qualifications and competence for a particular position without regard to race, color, ethnic or national origin, age, religion, creed, gender, sexual orientation, disability, or marital, military, or citizenship status. We also actively recruit individuals with prior involvement in the criminal legal system. Monday - Friday, 9am to 5pm 35 hours per week excluding breaks