Join Our Team

Northwest Children’s Home is focused on implementing practices based on Trauma Informed Care (TIC).  Trauma Informed Care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma.  The vast majority of kids we serve have been severely traumatized at some point in their lives.  The TIC model views maladaptive behavior as a coping mechanism – the best they have available at the time – and seeks to heal with patience, teaching and understanding.  

We are looking for talented employees who want to make a positive difference in the lives of youth who truly need it most. 

Current Openings:

Residential Treatment Specialist (RTS)

  • Full-time with benefits – Swing and Overnight shifts available
  • Part-time flex schedules also available
  • Starting pay: $10.00 with an increase to at least $10.50 after successfully completing a 90-day introductory period
  • At Northwest Children’s Home, we have developed a career ladder, allowing the employee to have control over their advancement in the organization.

QUALIFICATIONS:  State licensure requires that Residential Treatment Specialists must be at least 21 years of age and must have a high school diploma or equivalent.  Bachelor’s degree in relevant human services field is preferred.  Paid experience in dealing with children/youths in groups is desirable. Must have a desire to work with emotionally reactive population.

Housekeeper

QUALIFICATIONS:  Experience in housekeeping, with experience in institutional housekeeping preferred.  Ability to perform essential functions of the job.  Ability to work cooperatively with agency personnel in the treatment units and to respect resident rights.  State licensure requires employees be at least 21 years of age and must have a high school diploma or equivalent.

RESPONSIBILITIES:  Deep clean the residential units and Lewiston Education Center as assigned.  Perform light maintenance duties within the units, such as painting.

EXAMPLES OF ESSENTIAL FUNCTIONS AND ABILITIES NEEDED FOR THE JOB (for illustrative purposes only):

  1. Move furniture, including beds, refrigerators, washers and dryers, for the purpose of cleaning behind and under them.
  2. Thoroughly clean walls, windows, bathroom fixtures, floors, corners, toilets, showers, safe rooms, and other surfaces and areas as needed.
  3. Lift form the floor and carry objects weighing up to 40 pounds, including carrying objects up and down stairs.
  4. Safely handle chemicals required to clean and sanitize the residential units.  Work safely in and around fumes from chemicals and fresh paint, using masks and protective gear as needed.
  5. Follow training provided by the agency to help prevent the spread of diseases, including cleaning up and disposing of bodily fluids.  Comprehend and follow agency policies and procedures as they relate to maintenance, cleaning, safety, and confidentiality.
  6. The Housekeeper position does not include regular daily cleaning activities/chores performed by house staff and residents.

Registered Nurse

Part-time, non-exempt position.  3pm – 7pm 5-days per week plus on-call duties.  Days of week are negotiable.

QUALIFICATIONS: BSN preferred, AD or diploma with current Idaho licensure with commensurate experience in related field. Nursing in psychiatric or pediatric inpatient unit with exposure to troubled adolescents or children. Background in health assessment skills such as doctor’s office or public health preferred.

RESPONSIBILITIES: Under the supervision of the Nursing Supervisor, and working with medical and psychiatric consultants, the nurse is responsible for administering a system of health services delivery for emotionally and behaviorally disturbed children and adolescents.

This position also requires cooperation and interrelation with other members of the multidisciplinary treatment team to facilitate continuum of treatment.

EXAMPLES OF ESSENTIAL FUNCTIONS OF THE JOB: (for illustrative purposes only)

  1. At admission, compile comprehensive medical history for assigned residents, including relevant family medical history, birth and motor development, previous medical treatment, including medications or diagnostic procedures, immunization status, and audiogram.
  2. Perform a Nursing Assessment and dietary screening to be used to determine what other examinations and tests are indicated and make referrals to consulting professionals, including physical, vision, and dental exams, dietary consult, and public health department, within guidelines of policies and procedures.
  3. Initiate contact and ensure provision of direct nursing care services ordered by consulting physicians.
  4. Maintain documentation of medical billing, allergies, medications, and authorizations for emergency treatment and provide this information to residential units, activities and education departments as necessary.
  5. Maintain documentation, utilizing medication record and progress notes as directed by behavior of resident.
  6. Perform on-going nursing audit on the medical portion of the chart.
  7. Be involved in all treatment plans related to medical issues.
  8. Respond timely to requests from residential units, therapists, and program managers to assist in emergency or acute psychiatric care.
  9. Respond timely to requests from residential units, therapists, and program managers to assist in emergency or planned hospitalization of residents.
  10. Respond timely to requests for assessments ore examinations relative to resident illness or injury.
  11. Participate in an on-call nursing rotation and respond to requests for assistance after hours. On-site response is required for serious illness or injury such as the possibility of fractures or paralysis.  When weighing thee determinations, consideration must be given to those issues where failure to respond may be considered medical neglect, thus incurring liability for the agency.
  12. Maintain an on-going inventory of medical supplies and equipment and inform the Nursing Supervisor when supplies should be ordered.
  13. As necessary, set up medications to be administered by non-medical personnel in the residential, activities and education programs.
  14. Monitor and document responses to medications, including side effects, vital signs, behavior changes, and treatment reporting to appropriate team members as indicated, and involving physicians as needed.
  15. Retain written authorizations as needed for psychopharmacological medication regimen from parents/guardians.
  16. Attend unit meetings when necessary to inform staff of treatment issues that have medical implications and to provide or accept feedback when necessary to the rest of the treatment team.
  17. Assess all residents who are administered emergency medication.
  18. Provide on-call coverage to campus as assigned by the Nursing Supervisor.
  19. Coordinate nursing concerns, medication orders, and appro­priate written reports for all new admissions, transfers, and off-campus passes.
  20. Attend nursing meetings, contribute issues and formulate plans for resolving problems; assist in follow-up as directed by the Nursing Supervisor.

Registered Nurse - PRN

Non-exempt PRN position with on-call duties.

QUALIFICATIONS: BSN preferred, AD or diploma with current Idaho licensure with commensurate experience in related field. Nursing in psychiatric or pediatric inpatient unit with exposure to troubled adolescents or children. Background in health assessment skills such as doctor’s office or public health preferred.

RESPONSIBILITIES: Under the supervision of the Nursing Supervisor, and working with medical and psychiatric consultants, the nurse is responsible for administering a system of health services delivery for emotionally and behaviorally disturbed children and adolescents.

This position also requires cooperation and interrelation with other members of the multidisciplinary treatment team to facilitate continuum of treatment.

EXAMPLES OF ESSENTIAL FUNCTIONS OF THE JOB: (for illustrative purposes only)

  1. At admission, compile comprehensive medical history for assigned residents, including relevant family medical history, birth and motor development, previous medical treatment, including medications or diagnostic procedures, immunization status, and audiogram.
  2. Perform a Nursing Assessment and dietary screening to be used to determine what other examinations and tests are indicated and make referrals to consulting professionals, including physical, vision, and dental exams, dietary consult, and public health department, within guidelines of policies and procedures.
  3. Initiate contact and ensure provision of direct nursing care services ordered by consulting physicians.
  4. Maintain documentation of medical billing, allergies, medications, and authorizations for emergency treatment and provide this information to residential units, activities and education departments as necessary.
  5. Maintain documentation, utilizing medication record and progress notes as directed by behavior of resident.
  6. Perform on-going nursing audit on the medical portion of the chart.
  7. Be involved in all treatment plans related to medical issues.
  8. Respond timely to requests from residential units, therapists, and program managers to assist in emergency or acute psychiatric care.
  9. Respond timely to requests from residential units, therapists, and program managers to assist in emergency or planned hospitalization of residents.
  10. Respond timely to requests for assessments ore examinations relative to resident illness or injury.
  11. Participate in an on-call nursing rotation and respond to requests for assistance after hours. On-site response is required for serious illness or injury such as the possibility of fractures or paralysis.  When weighing thee determinations, consideration must be given to those issues where failure to respond may be considered medical neglect, thus incurring liability for the agency.
  12. Maintain an on-going inventory of medical supplies and equipment and inform the Nursing Supervisor when supplies should be ordered.
  13. s necessary, set up medications to be administered by non-medical personnel in the residential, activities and education programs.
  14. Monitor and document responses to medications, including side effects, vital signs, behavior changes, and treatment reporting to appropriate team members as indicated, and involving physicians as needed.
  15. Retain written authorizations as needed for psychopharmacological medication regimen from parents/guardians.
  16. Attend unit meetings when necessary to inform staff of treatment issues that have medical implications and to provide or accept feedback when necessary to the rest of the treatment team.
  17. Assess all residents who are administered emergency medication.
  18. Provide on-call coverage to campus as assigned by the Nursing Supervisor.
  19. Coordinate nursing concerns, medication orders, and appro­priate written reports for all new admissions, transfers, and off-campus passes.
  20. Attend nursing meetings, contribute issues and formulate plans for resolving problems; assist in follow-up as directed by the Nursing Supervisor.

Therapist / Program Clinical Lead

POSITION: Therapist / Program Clinical Lead

CLASSIFICATION: Salaried, exempt

QUALIFICATIONS: Minimum of master’s degree and clinical licensure: current Licensed Clinical Professional Counselor (LCPC), OR Licensed Marriage and Family Therapist (LMFT), OR Licensed Clinical Social Work (LCSW), OR Certified School Psychologist. Employee may be in a clinical supervision plan approved by Idaho Occupational Licensing if a Licensed Professional Counselor (LPC) or Licensed Master’s Social Work (LMSW) for a minimum of 2 years working towards clinical endorsement. Prefer one year experience in counseling relationships, preferably in a group home, residential, or institutional setting. Minimum: 21 years of age required to meet state contract requirements.

RESPONSIBILITIES: Ensure the high quality and integrity of the overall therapeutic environment within the residential setting by providing clinical direction, leadership, consultation, and training for staff in relevant clinical topics and techniques. Ensure the smooth, cooperative functioning as a member of the Program Treatment Team (comprised of the House Manager, Program Clinical Lead – Therapist, and Case Manager) with the goal of integrating clinical, milieu, and direct-care efforts and issues. The Program Clinical Lead will have final decision making authority on this team with input and collaboration when appropriate with the Director of Children’s Services. Ensure the continued viability of the Northwest Children’s Home as a contractor with referral sources by maintaining positive, professional relations with all agents of our clientele. Provide quality, comprehensive therapeutic services to an assigned caseload of clients and their families.

EXAMPLES OF ESSENTIAL FUNCTIONS OF THE JOB: (for illustrative purposes only)

  1. Assume responsibility for reviewing referral materials and responding to admissions regarding the acceptability of referrals for admission to the program. Solicit input from other staff members as necessary and appropriate.
  2. Conduct thorough assessment of each in-coming resident and prepares Intake Assessment or Psychosexual Report within 30 days of arrival in program. Report conforms to approved outline and identifies major problem areas, strengths, treatment goals and strategies, functional assessment, therapeutic approach, adjunctive services required, and projected length of treatment.
  3. Implement master treatment plan, as follows:
    • Conduct individual, group, family therapy as appropriate and needed
    • Participate in regular case staffings and treatment progress reviews (TPRs), writes periodic reports describing client’s progress in treatment and stressing any needed changes in the master treatment plan or projected release date
    • Arrange for, coordinate with, and participate as needed in additional services provided by outside agencies, consultants, etc.
  4. Consult with other members of the multidisciplinary treatment team regarding needs, progress, special problems, etc for the resident (e.g., psychiatrist, nursing, educators, parents, referral agencies, program staff, etc). Attend medication maintenance meetings with resident and consulting psychiatrist.
  5. Provide clinical direction to program staff through role-modeling, development of standards and guidelines, training, provision of feedback, and consultation. In consulting with staff, provide clinical or treatment information, offer suggestions for dealing with problem residents, assist in designing special behavioral programs, etc.
  6. Work closely with the Director of Children’s Services, House Manager and Case Manager to ensure that special clinical interventions are adequately documented for staff purposes, and that they are being correctly interpreted and effectively implemented by direct care staff.
  7. Monitor the program and overall treatment milieu in terms of safety for both residents and staff, therapeutic efficacy, and strengths and weaknesses of various program components, make adjustments as possible through consultation, role-modeling, etc., and report problems to Director of Children’s Services or others as appropriate and necessary. Ensure program is functioning properly and work closely with treatment team (House Manager, Case Manager) respective to their assigned duties and work through issues/problems. When a decision needs to be made after treatment team has been consulted, the Therapist/Clinical Lead has full authority to make decisions in the best interests for the program. The Director of Children’s Services will be consulted with in a timely manner to assess appropriateness of program resolution and/or involved CEO/Clinical Director as deemed appropriate.
  8. Provide emergency assessment, therapy, and referral services for residents in crisis, during working hours for own caseload, and campus-wide when on-call.
  9. Prepare discharge reports in a timely manner, reporting on progress, remaining goals and treatment needs, and recommending aftercare characteristics.
  10. Report disclosure of abuse to appropriate authorities as required by law.
  11. Improve own skills and knowledge-base by attending NCH-mandated training, professional conferences, scheduled clinical in-service training sessions, and weekly peer-review oriented NCH clinician meetings.
  12. Plan, attend, co-facilitate, and serve as a resource to other team members at weekly mandatory program staff meetings. Use clinical portion of the meeting to lead case staffing or to provide training to program staff in relevant clinical topics and techniques.
  13. Assist, as necessary, in resolving resident-resident, staff-staff, and resident-staff disputes, through the use of conflict resolution techniques.
  14. Coordinate scheduling of Paid Time Off (PTO) with other clinical and supervisory staff on the unit to ensure adequate coverage at all times.
  15. Participate in the development of an approved annual departmental budget.
  16. Meet weekly or more often with other members of Program Treatment Team (House Manager, Case Manager) to identify and address concerns regarding the interfacing among their various functions, as well as other factors affecting the overall operation of the program.

SUPERVISORY RELATIONSHIP: The Therapist/Program Clinical Lead reports to the Director of Children’s Services.

How to Apply

419 22nd Ave
Lewiston, ID 83501
phone: 208.743.9404 ext 203
fax: 208.746.4955

What is a Residential Treatment Specialist?