Pre-Exposure Prophylaxis (PrEP) Navigator

Boston Health Care for the Homeless Program • Boston, MA

21h • $22 - $36

About The Position

Boston Health Care for the Homeless Program (BHCHP) is seeking a compassionate, dedicated, client-centered PrEP/OEND Navigator to help implement and expand its low-threshold HIV Pre-Exposure Prophylaxis (PrEP) program for people experiencing homelessness who inject drugs and other populations at high risk for HIV transmission. The role provides high-intensity care coordination, patient navigation and accompaniment, and management of the PrEP patient database for quality improvement and panel management. It also includes overdose prevention education and naloxone distribution (OEND) for people at risk of experiencing or witnessing an overdose.

The position is full-time, Monday through Friday, 8:30 a.m. to 5:00 p.m., and is covered by 1199 SEIU. It is patient-facing and funded until the end of June 2026, with the possibility of renewal. The posting also states that if funding is not renewed, the position will end June 30, 2028.

Requirements

• Bachelor’s degree; a degree in social service or a related field is preferred.
• Bilingual Spanish proficiency is required.
• Demonstrate phlebotomy skills within 60 days after onsite training.
• Understanding of risk-reduction approaches for people who use drugs.
• Knowledge of HIV prevention strategies.
• Facility with database management.

Nice To Haves

• Bachelor’s degree in social service or a related field.
• Knowledge of behavioral de-escalation strategies and trauma-informed care.

Responsibilities

• Conduct outreach in settings such as streets, shelters, and treatment programs to educate patients about PrEP, identify candidates, link them to services, conduct initial eligibility assessments, coordinate intake laboratory testing, and facilitate nursing and provider follow-up visits.
• Help patients address insurance barriers and access benefits and transportation, provide appointment reminder calls, and proactively remind patients about appointments and lab work.
• Visit patients at their residences, including streets and shelters, with an outreach team partner to accompany them to appointments, reconnect them to care, and provide medical case management.
• Provide PrEP adherence counseling, coordinate refills with pharmacy staff, assist with medication delivery, and work with partner agencies on medication storage.
• Help clients identify health-related social service needs, access resources, and successfully use those resources.
• Provide nonjudgmental health promotion and behavioral risk-reduction education that respects patient autonomy and dignity in outreach and community settings.
• Facilitate educational groups at BHCHP programs and community sites on prevention and screening services, including HIV, hepatitis C, syphilis, chlamydia and gonorrhea testing, PrEP, PEP, doxycycline post-exposure prophylaxis, naloxone, overdose prevention, and other risk-reduction services.
• Document patient encounters accurately and promptly in the electronic medical record.
• Track work statistics, assist with report preparation, and manage team tracking documents.
• Participate in research activities related to PrEP program activities.
• Work with partner agencies to facilitate access to PrEP services, medication storage when feasible, and distribution of PrEP educational materials.
• Provide HIV counseling and testing, and perform phlebotomy for HIV, HCV, and syphilis serologies and for PrEP- and HCV-related intake laboratory testing.
• Link patients with positive test results to appropriate clinical services and ensure adequate follow-up.
• Provide overdose prevention education in outreach and off-site settings through individual or group encounters.
• Distribute naloxone in accordance with OEND data-recording and reporting requirements.

Benefits

• Competitive time-off program.
• Health, dental, and vision insurance.
• 403(b) retirement savings plan.
• Pre-tax MBTA pass program with a 40% discount.
• Additional compensation for demonstrated bilingual proficiency.
• An additional 3% of hourly base pay once phlebotomy proficiency is demonstrated.

What This Job Offers

• Job Type: Full-time