MGR - MILIEU (days/rotating weekends)

Since 1987, Laurel Ridge Treatment Center has been the premier provider of specialized behavioral health and addictive disease services in San Antonio and South Texas. Our 330-bed facility is one of the largest freestanding psychiatric hospitals in the United States. Set on a therapeutic 29-acre campus in north central San Antonio, Laurel Ridges serves as the setting for the treatment for children, adolescents, young adults, adults, veterans and military personnel. Laurel Ridge's comprehensive programs treat disorders such as bipolar disorder, psychological trauma, PTSD, depression and anxiety, mental illnesses and addictive disease disorders such as alcoholism, drug addiction and substance abuse.

Laurel Ridge Treatment Center is part of one of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS). UHS has been recognized as one of the World's Most Admired Companies by Fortune for 10 years in a row.

Universal Health Services (UHS)

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network andvarious related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Position Summary:

The Manager, Milieu is responsible for the supervision and safety of patients by the MHTs on the units. The Manager, Milieu teaches new tools for staff to use when working with patients and ensure appropriate and evidence-based practice care by staff, to promote positive outcomes with patients. The Manager, Milieu ensures staff provide a safe and therapeutic milieu, crisis intervention, education groups, and ensures staff encourages all patients attend their activities of daily. Directs, supervises and evaluates performance of MHTs in the provision of patient care. The Manager, Milieu also ensures that the program schedule is adhered to by staff. The Manager, Milieu will serve as a liaison between Social Services, Nursing Services, and Medical Staff Services. Additionally, the Manager, Milieu will work with all Nursing staff to ensure Special Behavioral Treatment Plans are carried out as written by the treatment team. The Manager, Milieu will function as a staff-development trainer, sharing expert techniques and strategies with core and PRN staff working with patients of all ages. This will include demonstrating effective crisis-management skills, taking proactive steps to prevent crises on the units when warning signs become evident, and provide a coach-to-team approach of problem-solving on the units. Additionally, the Manager, Milieu will be responsible for recognizing nursing team members who need additional training with therapeutic techniques/skills and provide intentional redirection and oversight to help improve such skills.

https://laurelrigetc.com

Milieu Management

• Facilitates the completion of safety round checklists by verifying that precaution checks are completed timely and accurately, MHTs are in assigned areas, all patient doors are open, assignments sheets are completed, and patient information has not been left on the unit.
• Continually monitors the milieu. Takes measures necessary to maintain and improve the quality of care.
• Identifies problems in the delivery of patient care, develops solutions and monitors effectiveness.
• Effectively utilizes assignment sheets to provide a core structure of placement and accountability of all MHTs assigned to the unit/shift.
• Effectively utilizes shift reports to organize and pre-plan problem areas.
• Avoids a "shift mentality" by proactively planning for hand off of duties to following shifts and by communicating clearly too all shifts supporting a unit team.
• Ensures staff are observant of key patient behavior cues and communicates theses proactively to other team members.
• Ensures staff proactively communicate concerns and problems to appropriate staff and seek input, advice and support as needed to maintain an objective approach to team member communication.
• Ensures staff establish therapeutic relationships with patients and provides assigned patient care within the general policies, philosophy, and objectives of the Department of Nursing and the facility.
• Ensures staff implement interventions appropriate to the developmental needs of the patient in accordance with the treatment plan demonstrating sound clinical and professional judgment and competency.
• Ensures staff monitors unit milieu and maintains a safe, therapeutic environment for patients, family members and staff. Modifies milieu according to developmental needs of the patients.
• Ensures staff respond to patients in crisis and acts according to developmental needs of the patient to ensure patient and unit safety.
• Ensures staff completes patient rounds timely in accordance with unit requirements and accurately documents patient observations in ObservSmart.
• Ensures staff actively participate in the shift report pre-planning for problems, frequently interacts with patients face-to-face, and is constantly moving and hyper-vigilant when assigned to hallways.
• Ensures staff demonstrates knowledge and skills related to special treatment procedures for precautions, seclusions, restraints, elopements, close observation and searches.
• Ensures staff observe patient affect and behaviors, informs nurse of changes and implements procedures as directed by the nurse.
• Ensure staff uses the least restrictive approach to behavior management and reflects the same in documentation.
• Ensures staff is knowledgeable of seclusion and restraint systems utilized with regard to all patients.
• Ensures staff accurately and thoroughly documents the maintenance of special treatment procedures in progress notes.

Licensure/Certification/Registration: CPR certification and CPI Trainer certification, Nationally Certified Psychiatric Technician (NCPT)

Leadership Competencies

• Engage and Inspire - Create an environment in which people do their best work
• Build Talent - Utilize established interviewing and selection processes to select the right people for the right job and the right time.
• Coach and Develop Others - Utilize a systematic approach to coaching which includes setting goals and expectations; creating a learning environment and providing continuous feedback.
• Manage Conflict - Address and resolve conflict directly and constructively
• Functional Knowledge - Proficient in specialized technical knowledge of discipline / specialty area; demonstrate knowledge of Joint Commission standards and other related regulatory and/or quality agencies.
• Quality and Process Improvement - Focus on quality, patient/employee safety and error reduction; applies best practices by continuously improving services, methods or approaches.
• Manage Resources - Actively utilize functional resources (internal and external agencies, UHS, etc.) in developing creative solutions to address problems
• Manage Change -Respond to new regulations, changing economic conditions, hospital staffing, external environment, etc.
• Communication and Relationship Building - Effectively communicate at all levels; able to build credibility with professionals, physicians, healthcare professionals and constituents within the community.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.