Lead Registered Nurse (MOUD/MAT Program)

Health Care for the Homeless•Baltimore, MD

4d•Onsite

About The Position

The Lead MOUD Registered Nurse provides clinical and programmatic leadership for the Medication for Opioid Use Disorder (MOUD) program at the Fallsway site of Health Care for the Homeless. This is a low-barrier, walk-in program serving individuals with substance use disorders and complex health and social needs. The role is grounded in trauma-informed care, harm reduction, and client-centered philosophies, supporting a full continuum of engagement from harm reduction and safer-use services to treatment initiation, ongoing engagement, and connection to primary care, behavioral health, and other services. The Lead MOUD RN is responsible for supervising MOUD nursing staff, supporting nursing practice standards, coordinating clinic workflows, and leading continuous quality improvement efforts. In partnership with the Lead MOUD Medical Provider, Director of Recovery Services, Senior Medical Director–Fallsway, operations colleagues, and interdisciplinary team members, this role ensures accessible, coordinated, whole-person care for clients accessing the MOUD clinic.

Requirements

BSN required.
Current licensure as a registered nurse in Maryland required.
BLS CPR certification.
Minimum three years of nursing experience in a community health center, addiction treatment, harm reduction, primary care, or comparable setting required.
Experience providing care to individuals with substance use disorders and applying harm reduction principles in clinical practice required.
Experience working with underserved populations, including individuals experiencing homelessness or other significant barriers to care required.
Strong clinical assessment, critical thinking, and nursing judgment skills.
Demonstrates effective leadership, coaching, and mentoring skills that support staff development and high-quality client care.
Builds trusting relationships with clients, colleagues, and community partners through empathy, respect, and authenticity.
Communicates effectively across disciplines and works collaboratively within interdisciplinary teams.
Demonstrates strong organizational skills and is able to balance direct clinical care responsibilities with leadership, coordination, and administrative responsibilities.
Able to identify operational and clinical challenges, develop practical solutions, and support implementation of process improvements.
Demonstrates flexibility, adaptability, and sound judgment in a fast-paced, low-barrier care environment.
Demonstrates an ability to engage individuals across the spectrum of substance use, recovery, readiness for change, and treatment goals without judgment or coercion.
Committed to person-centered, trauma-informed, harm reduction-oriented care and advancing equity in healthcare delivery.

Nice To Haves

Experience supervising, mentoring, or leading clinical staff preferred.
Experience with office-based addiction treatment or medication for opioid use disorder (MOUD) programs preferred.

Responsibilities

Provides direct nursing care within the MOUD program, including addiction care, wound care, harm reduction services, screening, care coordination, and urgent, chronic, and preventative nursing care when appropriate.
Maintains an active clinical practice and models person-centered, trauma-informed, and harm reduction approaches to care.
Provides clinical coaching, onboarding, mentorship, and supervision to MOUD nursing staff and other team members supporting the clinic.
Directly supervises assigned staff and provides clinical oversight, guidance, and support for all nursing staff delivering care within the MOUD clinic.
Supports integration of preventive care, chronic disease management, and health screenings into MOUD services.
Completes documentation in accordance with agency standards and required timeframes.
Coordinates day-to-day clinic functions including staffing, scheduling, workflow development, clinic communications, and supply management.
Supports implementation and continuous refinement of clinic processes that promote efficient, responsive, and low-barrier access to care.
Collaborates with the Director of Recovery Services and other partners to ensure the availability of harm-reduction and safer-use supplies.
Facilitates effective communication and collaboration among MOUD team members and interdisciplinary partners.
Leads clinic-level quality improvement efforts to improve access, client experience, and clinical outcomes.
Oversees nursing quality, environment of care, and clinic compliance activities, including point-of-care testing, medication storage, staff competencies, and response to audit findings.
Maintains a safe, clean, and appropriately stocked clinical environment.
Supports compliance with agency policies, accreditation standards, regulatory requirements, and nursing practice standards.
Cultivates collaborative relationships with behavioral health, supportive services, outreach, operations, primary care, and community partners.
Supports warm handoffs, care coordination, and interdisciplinary care planning to advance whole-person care.
Collaborates with clinical and organizational leaders to advance program goals and improve client outcomes.
Supports relationships with external treatment programs and community partners that enhance access to addiction treatment and recovery support services.
Models and reinforces the Health Care for the Homeless core values of dignity, authenticity, hope, justice, passion, and balance.
Actively participates in performance improvement and advocacy activities that support the mission.
Performs other duties on an as-needed basis.
Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant healthcare related IT security regulations.