Sr. Clinical Nurse Case Manager

Johns Hopkins University•Baltimore, MD

3d•$76,980 - $134,995•Onsite

About The Position

Under the supervision of the Clinical Nurse Manager, the Sr. Clinical Nurse Case Manager provides medical and non-medical case management as part of a multidisciplinary health care and support services team serving people living with HIV and viral hepatitis. The nurse counsels and manages patients receiving HIV pre-exposure prophylaxis (PrEP) and nonoccupational post-exposure prophylaxis (nPEP), interpreting orders within an RN-led care model. The role also includes testing and treating patients for sexually transmitted infections (STIs), providing prevention interventions in accordance with clinic protocols, and triaging patients in consultation with nurse practitioners, physician assistants, and physicians at the Baltimore City Health Department’s sexual health and wellness clinics. The position supports HIV, PrEP/nPEP, and hepatitis C programs through patient-panel case management, education and counseling, medication and adherence monitoring, care coordination, testing, treatment, and follow-up. It also contributes to protocol development, staff coordination, and continuous quality improvement activities.

Requirements

Registered nurse licensed in the State of Maryland.
A minimum of two years of related nursing experience; additional experience is preferred.
Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma or equivalent, as permitted by the JHU equivalency formula.

Nice To Haves

Knowledge of STI, HIV, TB, and HCV disease, treatment, prevention, and resources.
Ability to work with culturally diverse patients, staff, and community populations.
Ability to work in a multidisciplinary, multi-organizational team setting.
Strong organizational skills, attention to detail, and follow-through.
Self-starter who can work with minimal supervision.
Strong leadership potential.
Phlebotomy and injection skills.
Proficiency in medical and conversational Spanish.

Responsibilities

Provide case management for a panel of patients receiving ongoing HIV care, including monitoring and educating patients about medications, potential side effects, disease processes, and laboratory results.
Conduct psychosocial assessments, identify patient needs, facilitate access to recommended services and interventions, and develop individualized care plans.
Provide HIV treatment and medication-adherence counseling, assess adherence, develop adherence plans, educate patients about HIV treatment and antiretroviral therapy (ART), and prepare pill organizers as needed.
Monitor medication adherence and tolerance, and coordinate with pharmacies to confirm prescription fulfillment.
Coordinate and administer long-acting injectable HIV therapy, ensuring appropriate medication storage and handling.
Evaluate patients at Baltimore City Health Department Sexual Health Clinics for PrEP or nPEP; order baseline laboratory tests, provide education and counseling, and manage prescriptions under the clinician’s NPI and in accordance with standing orders.
Work with support staff to address financial and insurance barriers to PrEP access and serve as a primary patient contact.
Manage a panel of patients receiving PrEP and doxycycline post-exposure prophylaxis (doxy-PEP), lead regular site-specific team reviews, and coordinate follow-up.
Coordinate and administer long-acting injectable PrEP, ensuring appropriate medication storage and handling.
Provide case management for a panel of patients receiving hepatitis C treatment, including monitoring and educating patients about medications, potential side effects, disease processes, and laboratory results.
Conduct express STI testing visits for patients who require laboratory testing only.
Obtain sexual and behavioral risk histories.
Educate patients about HIV, STIs, hepatitis test results, disease transmission, and risk reduction.
Collect specimens and coordinate with the laboratory as needed.
Assist with point-of-care testing, including rapid HIV and hepatitis C testing.
Review test results, communicate results to patients, and refer or triage patients to providers as appropriate.
Administer medications and vaccines in accordance with clinic protocols.
Assist with prescription refills.
Consult with the ordering clinician or medical director regarding complex medical conditions and decisions not covered by standing orders.
Triage patients presenting with acute concerns, in person or by phone.
Assist with monitoring and restocking clinic medication inventory.
Document all care in the medical record in accordance with clinic protocols.
Support clinic initiatives, including quality improvement activities.
Provide interpretation for Spanish-speaking patients when medically necessary.
Help develop and update case management protocols and standard operating procedures.
Support implementation of new protocols, including those for injectable antiretroviral therapy.
Oversee medical case management activities and facilitate communication among care teams.
Lead continuous quality improvement activities for the HIV continuity program, focusing on viral suppression, linkage to care, and retention in care.
Assist with clinic scheduling and staff-coverage coordination.
Coordinate care for patients enrolled in the HIV Directly Observed Therapy program.
Complete other administrative and patient-care duties as needed.