Registered Nurse - EOU Director - $72,270.00 - $118,226.00 Annually

Extended Observation Unit Director

Job Code: EOU - 127
Revision Date: Sep 18, 2018

Salary Range:  
$34.75 - $56.84 Hourly
$2,780.00 - $4,547.20 Biweekly
$72,270.00 - $118,226.00 Annually

FLSA: Exempt


We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

General Description

Works under the direction of Chief Nursing Office (CNO) to provide quality, administrative and fiscal oversight of supervised programs/units. Also provides supervision of specialized social and/or clinical functions. Extended observation units are designed to provide emergency stabilization to individuals in behavioral health crisis in a secure and protected, clinically staffed (including medical and nursing professionals), psychiatrically supervised environment with immediate access to urgent or emergent medical evaluation and treatment. Individuals are provided appropriate and coordinated transfer to a higher level of care when needed. Responsible for carrying out program/unit goals and objectives. Has authority to review decisions and recommendations made by staff. This position requires travel, flexible work hours and on-call status. Responsible for program planning and implementation inclusive of utilization management oversight. 

Duties and Responsibilities

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

  • Provides oversight and monitors the program budget.
  • Responsible for oversight of metrics, milestones, and program outcomes.
  • Provide oversight for contracts related to the program.
  • Serve as a liaison to other LMHA, local hospitals, and community stakeholders.
  • Assists in the coordination of services with first responders and law enforcement.
  • Responsible for ensuring adequate staffing pattern throughout the unit, to include, RN's, LVN's, Behavioral Technicians and Medical Technicians.
  • Evaluates effectiveness of implemented systems and makes appropriate adaptations.
  • Maintains regular channels of communication with supervisor and other members of the Executive Leadership Team.
  • Work with physicians to properly plan unit activities and care of patients.
  • Demonstrates skills in identifying, managing, and resolving conflict.
  • Develops an environment that is conductive to staff participation in the identification or resolution of issues.
  • Responsible for supervision of nursing staff and working with patient and/ or family.
  • Processes various paperwork related to department budgets, disciplinary action against employees.
  • Ensures that all unit trainings meet state standards.
  • Ensures all federal, state and agency rules and regulations are allowed.
  • Must demonstrate good communication and organizational skills.
  • Plans and implements program/unit objectives in accordance with agency policies, plans, and procedures.
  • Demonstrates an understanding of and ensures compliance with Medicaid Operating Procedures, Texas State Fidelity measures, Community-Based Standards/Texas Administrative Code, Quality Management audits, Department of State Health Services (DSHS) performance targets/ other regulatory requirements and agency policies and procedures including eligibility requirements.
  • Monitors the delivery of appropriate services, reviews Utilization Management data and Quality Assurance reports. Creates/ implements monitors corrective action plans based upon report results.
  • Ensures ongoing supervision and evaluation of program/ unit staff performance to facilitate optimal performance.
  • Responsible for compliance with contract and agency mandatory training requirements.
  • Serves as a liaison in communicating relevant information between administration and program/unit staff via verbal and/or written communication, as well as external agencies/facilities specific to the operating unit.
  • Works collaboratively with the Chief Nursing Officer and Director of Crisis and Emergency Services to communicate relevant ongoing and timely information impacting the delivery of mental health services to staff and consumers in an emergency and disaster event.
  • Manages the budgets for supervised program/units in accordance with agency financial guidelines and controls.
  • Reviews reports used in budget and productivity projections for Agency services at local, state and federal levels.
  • Ensures institution of procedures/ actions to follow-up on incidents/ safety issues that pose a liability risk for the agency and/or have a significant impact on the quality of consumer care.
  • Works collaboratively with agency staff to enhance customer satisfaction.
  • Coordinates as requested with other local and state agencies to improve operations, treatment outcomes, and collaborations.
  • Performs related work as assigned. Adapts to changing work requirements.
  • Demonstrates ethical conduct in all clinical and professional activities.

Minimum Education and Experience Requirements

Requires a Registered Nurse degree.  Requires a minimum of five (5) years clinical experience.  Preferred at least five (3) years of supervisory experience. This experience should include resource over site, supervision of professional staff, and management of revenue, Medicaid and other revenue generating activities. Knowledge about treatment modalities for a wide range of psychiatric conditions.

Required Knowledge and Abilities

Ability to effectively lead others in achieving organizational goals. Strong communication skills with ability to effectively converse and listen to others and construct clear and concise written communication. Ability to identify and offer solutions to resolve problems, using knowledge of the organization to identify helpful resources. Effective time management and organizational skills. Able to utilize Word and Excel documents.

Physical Demands

Sitting, walking, finger/hand dexterity, talking/hearing over 2/3 of time. Reaching and carrying 1/3 to 2/3 of time. Climbing or balancing, pushing/pulling, driving, tasting/smelling, and bending under 1/3 of time. Lift and carry 15-44 pounds less than 1/3 of time.

Unavoidable Hazards (Work Environment)

  • Involves routine and frequent exposure to: 
    • Bright/dim light; Dusts and pollen.
    • Extreme heat and/or cold; Wet or humid conditions.
    • Extreme noise levels, Animals/wildlife.
    • Vibration; Fumes and/or noxious odors.
    • Traffic; Moving machinery.
    • Electrical shock; Heights.
    • Radiation; Disease/pathogens.
    • Toxic/caustic chemicals; Explosives; Violence.
    • Other extreme hazards not listed above.

Special Certifications and Licenses

  • Requires License to practice as a Registered Nurse in the state of Texas by the Board of Nurse Examiners.
  • Must possess and maintain a valid state Driver's License with an acceptable driving record.
  • Must be able to pass a TB, criminal background and drug screen.

Americans with Disabilities Act Compliance

Emergence Health Network is an Equal Opportunity Employer.  ADA requires Emergence Health Network to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Other Job Characteristics

  • Staffing requirements, including criteria that staff have diverse disciplinary backgrounds, have necessary State required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
  • Credentialed, certified, and licensed professionals with adequate training in person-centered, family centered, trauma informed, culturally-competent and recovery-oriented care.
  • The Extended Observation Unit operates 24 hours per day, 7 days a week.

Note: This Class Description does not constitute an employment agreement between the Emergence Health Network and an employee and is subject to change by the Emergence Health Network as its needs change.