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Behavioral Health Services

Nurse Care Manager

Washington, DC
ID: 767-136





  • Develop the IRP/IPC along with the consumer and other staff members with specific, measurable, behavioral objectives and action plans that take into account the consumers behavioral Health and physical needs.
  • Assess each consumer for bio-psychosocial needs, provide and coordinate referrals and make sure that the consumer receives the requested assistance.
  • Champion healthy lifestyle changes
  • Participates as a member and/or leads a care team depending upon the consumer panel characteristics
  • Coordinates care management relationship with external health care providers, including pharmacies and other primary and specialty providers
  • Receives, identifies and follows up treatment and medication alerts reported by HIT tools
  • Consults with health home team about identified health conditions of clients and provides education training on chronic disease states, health coaching, medications and healthy living
  • Makes initial contact with hospitals regarding client admission, conducts a medication reconciliation with input from the clients primary care physician
  • Tracks all required assessment and screenings, including a health screening and metabolic screening, are complete for each client on their case load
  • Leads development and implementation of an integrated person centered care planning related to physical health care needs of each consumer
  • Provide educational training on chronic disease states and treatment protocols
  • Identifies and assist with the implementation of self management protocols for use by consumers
  • Conducts at least every 180 days a medication review and reconciliation with each consumer and as appropriate prescribing practitioners and the health Home team
  • Dispenses medications to include IM’s
  • Obtain vitals
  • Provide Medication Management
  • Update consumer Care Plan and other consumer documentation prior to expiration
  • Provide Mental Health Rehabilitation Services – Health Home in accordance with established Best Practice, DMH and VOAC procedures
  • Attend meetings in the community on behalf of the consumer (St Elizabeth, nursing homes, etc.) when needed.
  • Conduct visits to the consumer’s job site, home, jail, hospital room, and other natural settings as assigned and when needed.
  • Attend training as required to stay abreast of District of Columbia Departments of Mental Health standards for Health Home Teams.
  • Provide crisis intervention to consumers on a walk in basis and as necessary.
  • Perform other duties as assigned.


Required Skills


Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manual.  Ability to write routine reports and correspondence. Ability to effectively present information in one- on-one and small group situations to customers clients, and other employees of the organization.  Ability to provide off site visits if required, administer medications in accordance with license restrictions.   Individual must be comfortable working with individuals with a mental illness and be a team player.


While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.  The employee frequently is required to stoop, kneel, crouch, or crawl and taste or smell.  The employee is occasionally required to climb or balance. The employee must regularly lift and/or move up to 50 pounds and occasionally lift and/or move up to 75 pounds.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.


Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



  • Valid driver’s license in jurisdiction of residence
  • Vehicle liability coverage if driving personal vehicle (on occasion, may be required to transport clients in personal vehicle)
  • Acceptable DOH background check, FBI Fingerprint, OIG Exclusion check
  • Negative Drug/TB Screening and Health Certificate
  • CPR/First Aid Certification must be acquired and maintained once employed


Required Experience


Graduation from an accredited school of nursing and registration and license (RN) with two (2) years of experience working with individuals with health concerns. RN who have experience working with individuals who have been diagnosed with a severe mental illness/substance preferred. Registration and license to practice nursing in District of Columbia (RN License).  

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