Addiction Nurse Care Manager – Addiction Psychiatry Treatment Program (APTP)

Boston Medical Center•Boston, MA

16d

About The Position

Provides skilled nursing services to patients struggling with substance use disorders. Ongoing assessment, intakes, evaluations, triage, teaching, inductions, stabilizations, and monitoring of patients in Office-Based Addiction Treatment (OBAT) model. Provide psychiatric care of patients within the Addiction Psychiatry Treatment Program (APTP), as well as support and services to patients from other settings referred to program for stabilization and assessment. Collaborates with team members, clinic settings at BMC and outside referral sites, works with providers from addiction and community health settings in assisting patients and supporting their referral needs. Position: Addiction Nurse Care Manager Department: Addiction Psychiatry Treatment Program (APTP) Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: Initial assessment and intake obtaining social, medical, mental health, substance use and medication history. Review intake assessment with nursing team and provider and establish appropriate plan of care for patient Revise patient plan of care with the addiction treatment team as needed to address patient needs and issues Collaboration, communication, and meetings with addiction treatment team as needed and required Review consents and treatment contracts with patients and significant others, obtaining signatures and giving patient a copy and leaving a hard copy in patient paper chart Ongoing management of patients receiving medications for addiction (opioids, alcohol, and stimulant use disorders) Education and assessment of patients looking to access opioid treatment programs Assessment of signs and symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) scale Assessment and monitoring of patients in the medication induction, stabilization, and maintenance phases of treatment Ongoing education and support of patients in all phases of treatment including; nursing visits scheduled and random, urine toxicology screens, routine labs and as needed, medication teaching, monitoring, pill counts, observed dosing, and medication refills. Follow State and Federal guidelines in providing care to opioid dependent patients in collaboration with licensed, prescribing physicians and pharmacy Complete appropriate documentation with excellent record keeping Ongoing psychiatric care of patients referred to the Addiction Psychiatry Treatment Program Assesses the patient in a systematic and ongoing manner for both overt and covert signs and symptoms Collects pertinent data using appropriate assessment techniques Prioritizes data according to the patient’s immediate conditions and needs Involves the patient, significant others and appropriate health care providers in the collection of data when appropriate Consistently uses clear concise and effective communication written/oral and comply with departmental policies when sharing/documenting relevant patient care data. Provides follow up care in person and via telephone when needed Works with the pharmacy and the Addiction Psychiatry Treatment Program team in obtaining medication orders, prescriptions, refills, and communication as needed Perform other duties as specified by supervisor Must adhere to all of BMC’s RESPECT behavioral standards. (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Requirements

Graduate of an accredited nursing program.
Massachusetts licensure as a registered nurse.
Maintain R.N. staff competencies on an annual basis.
OBAT RNs are required to obtain CARN Certification within one year.
3 - 5 years clinical experience required.
Computer skills required, preferably with Word, Excel and Access.
Strong interpersonal skills.
Strong patient communication and patient education skills.
Ability to be highly organized, detail-oriented, and timely.
Ability to work productively across academic clinical departments.
Position requires tact and diplomacy to successfully motivate and educate faculty, and advanced knowledge of research regulations and research compliance requirements, including Protection of Human Subjects.

Nice To Haves

Bachelor of Science Degree in Nursing preferred.
Certification in Treatment of Substance Abuse preferred.
Certification from accredited clinical research program preferred.
2+ years of experience with patients with substance use disorders and/or mental health conditions preferred.

Responsibilities

Initial assessment and intake obtaining social, medical, mental health, substance use and medication history.
Review intake assessment with nursing team and provider and establish appropriate plan of care for patient
Revise patient plan of care with the addiction treatment team as needed to address patient needs and issues
Collaboration, communication, and meetings with addiction treatment team as needed and required
Review consents and treatment contracts with patients and significant others, obtaining signatures and giving patient a copy and leaving a hard copy in patient paper chart
Ongoing management of patients receiving medications for addiction (opioids, alcohol, and stimulant use disorders)
Education and assessment of patients looking to access opioid treatment programs
Assessment of signs and symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) scale
Assessment and monitoring of patients in the medication induction, stabilization, and maintenance phases of treatment
Ongoing education and support of patients in all phases of treatment including; nursing visits scheduled and random, urine toxicology screens, routine labs and as needed, medication teaching, monitoring, pill counts, observed dosing, and medication refills.
Follow State and Federal guidelines in providing care to opioid dependent patients in collaboration with licensed, prescribing physicians and pharmacy
Complete appropriate documentation with excellent record keeping
Ongoing psychiatric care of patients referred to the Addiction Psychiatry Treatment Program
Assesses the patient in a systematic and ongoing manner for both overt and covert signs and symptoms
Collects pertinent data using appropriate assessment techniques
Prioritizes data according to the patient’s immediate conditions and needs
Involves the patient, significant others and appropriate health care providers in the collection of data when appropriate
Consistently uses clear concise and effective communication written/oral and comply with departmental policies when sharing/documenting relevant patient care data.
Provides follow up care in person and via telephone when needed
Works with the pharmacy and the Addiction Psychiatry Treatment Program team in obtaining medication orders, prescriptions, refills, and communication as needed
Perform other duties as specified by supervisor
Must adhere to all of BMC’s RESPECT behavioral standards.