PATHS-CC Nurse Care Program Manager

Oregon Health & Science University • Portland, OR

11d • Remote

About The Position

The Oregon Health & Science University (OHSU) Division of Geriatrics and Internal Medicine is seeking a clinically licensed, Nurse Care Manager to join a dynamic, multidisciplinary team of clinicians and researchers as part of the PATHS-CC initiative (Peer-Assisted Telemedicine for Health in Substance Users–Comprehensive Care). PATHS-CC is an innovative telemedicine-based program designed to provide on-demand behavioral health and substance use care to people who use drugs across Oregon. The program prioritizes individuals experiencing homelessness, serious mental illness (SMI), co-occurring disorders (COD), and hepatitis C (HCV)—populations often underserved in traditional care models. This initiative integrates same-day HIV/HCV testing and diagnosis with immediate access to behavioral health services and aims to improve outcomes in high-need communities while developing scalable models for HCV elimination. The Nurse Care Manager (RN) serves as the primary clinical liaison between clients, Peers, and healthcare providers within the PATHS-CC program. As a licensed Registered Nurse, the RN Care Manager is responsible for conducting telemedicine-based clinical screenings, coordinating care, triaging clients to appropriate same-day telemedicine visits, and managing follow-up activities to ensure timely and effective treatment across a range of conditions. The RN works closely with Site Peer Coordinators and Peers to support clients through case management, facilitated referrals, and system navigation.

Requirements

• BSN and 5 years of related experience in an RN role, or BSN and relevant Master’s degree plus 3 years of related experience in an RN role.
• Current OR RN licensure and BLS certification required at time of hire.
• Prior experience with telemedicine, case management, or community-based care
• Three (3) years of clinical nursing experience
• Experience in providing integrative care with a track record of working with teams of health care providers and support staff from different disciplines.
• Experience in nurse management.
• Strong triage and clinical decision-making skills, with the ability to work independently under delegated protocols.
• Ability to process and handle confidential information with discretion
• Ability to adapt to change quickly and positively
• Ability to lead and facilitate effective teams
• Ability to support multiple initiatives and balance priorities
• Detail-oriented
• Excellent written and verbal communication skills
• Superior organization and time management skills
• Self-motivated and able to work autonomously
• Strong project management and critical thinking/analytical skills
• Proficiency in Microsoft Office applications
• Interest in conducting research consistent with the complexity of issues that arise in primary care and the delivery of integrated care

Nice To Haves

• Certification in telehealth or care management (preferred but not required) preferably in behavioral health, substance use treatment, infectious disease (HCV/HIV), or care coordination.

Responsibilities

• Overall coordination of the clinical responsibilities of the program, ensuring client-centered, timely coordinated care serving as a bridge between community-based outreach and medical treatment services.
• Screening participants for serious mental illness (SMI), co-occurring disorders (COD), substance use disorders (SUD), and suicidal ideation
• Managing lab results and coordinating follow-up care for HCV, HIV, hepatitis B, and hepatic fibrosis, including initiating follow-up labs and arranging telemedicine appointments with HCV/HIV providers.
• Discussing PrEP and ordering baseline labs, facilitating on-demand visits for PrEP and PEP initiation as clinically indicated.
• Coordinating referrals for STI screening, SUD medications, intensive outpatient programs, and ongoing hepatitis B management based on clinical protocols.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees