Nurse Case Manager

Boston Health Care for the Homeless Program•Boston, MA

1d•$40 - $58•Onsite

About The Position

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Requirements

Licensed as Registered Nurse in the Commonwealth of Massachusetts.
2 years of experience working in an ambulatory/outpatient care environment required.

Nice To Haves

Bachelor’s degree in nursing preferred
HIV primary care experience is highly preferred
Certification as AIDS Certified Registered Nurse (ACRN) preferred; however, this can be obtained after being hired, and program funding available to support this training.
Expertise in substance use disorder and harm reduction principles, strongly preferred.
Experience working with people experiencing homelessness is strongly preferred
Mental Health experience, including knowledge of trauma informed care principals, preferred.
Experience working in a community health center setting, a plus.
Bilingual in Spanish and English preferred
Bilingual in Haitian Creole a plus.

Responsibilities

Provides outpatient primary care nursing including medical assessments and triage services for HIV team patients coming in for same-day or scheduled visits; conducts virtual, telephonic, or in-person nurse assessment and triage to assess the severity of the patient’s health concerns using approved protocols and resources to advise appropriately. Documents patient information accurately and in a timely manner in the EHR.
Implements the patient-centered plan of care, evaluates outcomes, and regularly communicates the plan of care, patient status, and progress toward goals with the patient and care team members; conducts intake assessments for new HIV team patients and facilitates rapid linkages to medical providers.
Administers vaccines, injectable medications (including long-acting injectable medications for HIV), inhaled respiratory therapies (e.g. nebulized therapies) and provides wound assessment and wound care as indicated; provides medication adherence assessments and counseling, and when directed, delivers directly observed therapy.
Provides chronic disease management support for HIV as well as other common co-morbid medical conditions such as diabetes and hypertension. Identifies any structural barriers patients face in accessing medical care and adhering to HIV medications and works with the interdisciplinary team to address those barriers (e.g., housing, transportation, drug treatment, food, clothing, benefits, etc.).
Coordinates care with integrated HIV team behavioral health staff. Assists medical providers in coordinating follow up related to the provision of medication (such as buprenorphine and naltrexone) for opioid use disorder and other substance use disorders. Coordinates preventative services for HIV team patients including, but not limited to, education, preventative medications, vaccinations, testing, and referrals.
Facilitate patient Linkages with internal teams including office-based addition treatment team, harm reduction team, and medical respite team, as well as with external programs to optimize patient outcomes.
Promotes a compassionate and therapeutic environment that is responsive to the unique patient population and extends to members of the care team; demonstrates initiative and commitment to continuously improve services and processes that positively impact patient care and organizational goals. Participates in training and orientation of new nursing staff as directed by Supervisors.
Exhibits a positive attitude with patients and establishes professional and respectful relationships with the internal and external healthcare team members, agencies, and healthcare facilities. Participates in training and orientation of new nursing staff as directed by Supervisors.