It's definitely unlike any other job I've ever had. Our team consists of 79 patients (aka clients aka behavioral health recipients), 9-10 case managers, a clinical coordinator, a program assistant, an RN (me) and a psychiatrist. The case managers share all of the caseload and are only assigned to specific clients for administrative purposes. They each have a specific role. We have 2 ACT specialists, the one of each of the following- rehab, transportation, housing, employment, substance abuse, ILS (independent living skills), peer support... I am forgetting someone, because the numbers aren't adding up. They see the clients as little as once a week and some are seen twice daily. I put the case manager role in this post before mine because they are the ones who really provide the day to day care.
It is really a team effort. I give the injections, see clients for labs and assessments, deal with rx refills and troubleshooting when the insurance won't cover something, and coordination of care with PCP's, inpatient units, and the jail. I am completely autonomous as far as the nursing part goes.
Typical day- starts at 8am. Sometimes my first part is home visits, depending on where they are. The program assistant generally starts and ends my day near my place or my boyfriends place for convenience.
I have 41 people on injections. I have about 10 in supervised living situations and I have to do monthly visits to those. The is a 90 minute meeting in the morning where we discuss all 79 clients. The CM's divide up the work as far as who brings who to appts, who visits the jails and hospitals, etc. If transportation is an issue and someone needs an injection or a surprise urine drug test I go out and do that in the field. Safety is a big concern but we know the clients so well that we can see if someone is starting to decomp and send 2 ppl to see them or have them come into the clinic.
I love my job, and wouldn't trade it for anything.