Lead Harm Reduction Clinic Nurse Care Manager

Job Description

Job Description

Lead Harm Reduction Clinic Nurse Care Manager

Reports to : HRC Nursing Manager

$37 -$43.18

Sign on bonus of $5,000 50% at 3 months, 50% at one year.

Position Summary :

The Lead Harm Reduction Clinic Nurse Care Manager (Lead HRC NCM) is an integral leader within the multidisciplinary Office-based Addiction Treatment (OBAT) team at Brockton Neighborhood Health Center’s Harm Reduction Clinic (HRC).

Key duties of the Lead HRC NCM include clinical responsibilities of an OBAT Nurse Care Manager, including ongoing assessment, intakes, evaluations, triage, teaching, inductions, and stabilizations for patients with opioid and / or alcohol use disorder that are interested in treatment with buprenorphine or naltrexone, and patients with stimulant use disorders seeking Contingency Management treatment services.

The Lead HRC NCM will also be responsible for providing clinical guidance to HRC Nursing staff within their scope of practice, assisting the HRC Nursing Manager with schedule coordination, resolving clinical workflow issues, and providing team support alongside HRC management.

The Lead HRC NCM works collaboratively with team leaders for behavioral health clinicians, recovery coaches, community health workers, and providers to improve HRC workflows, patient access, and optimization of clinical services and patient care.

The Lead HRC NCM will serve as a leader among the HRC nursing staff and the Substance Use Services Department.

Principle Duties and Responsibilities :

• Conducting initial patient assessment and intake for treatment with buprenorphine or naltrexone, including social, medical, mental health, substance use, and medication history
• Assess and monitor patients in the induction, stabilization, and maintenance phases of treatment
• Administer extended-release intramuscular naltrexone and subcutaneous buprenorphine to HRC patients
• Recognize substance use disorder as a chronic, relapsing condition, and continue support of patients through periods of resumed use
• Provide ongoing care management, education, and support for patients in all phases of treatment, including nurse visits, urine toxicology screens, routine labs as needed, medication teaching, monitoring, medication counts, and medication refills
• Follow federal and state guidelines in providing care to opioid and / or alcohol dependent patients in collaboration with licensed prescribing provider
• Complete timely and appropriate documentation and record keeping in the electronic health record
• Contribute to required State OBAT reporting and paperwork
• Maintain a professional environment in a multi-provider, multidisciplinary organization.
• Provision of care and advocate for patients of all ages and their families based on prudent nursing judgment and acceptable standards of practice.
• Perform tasks and procedures within the scope of a registered nurse (RN) and legal guidelines of the Nurse Practice Act.
• Educate patients, their family members, or other supportive individuals about buprenorphine or naltrexone therapy as well as risks, benefits, potential side effects, interactions, program requirements, consents, and treatment contracts.
• Involve patients in the development of the treatment plan, and working with the patients' needs
• Enhance treatment readiness, supports treatment completion, ensures safety, and promotes sustained recovery outcomes for individuals with substance use disorders
• Ability to practice trauma-informed care and apply de-escalation techniques
• Identify community resources and promote access or referral to them
• Assist patients in accessing care when a higher or lower level of care than the HRC can provide requested by the patient, or is clinically necessary
• Assist patients in accessing other treatment options as needed (e.g. day treatment, residential, outpatient, methadone detoxification)
• Maintain patient confidentiality in alignment with HIPAA and 42CFR Part 2
• Return phone calls, emails and other forms of communication in regard to program and routing questions to appropriate prescriber as needed.

Qualifications :

Minimum Skills, Experience, and Educational Requirements :

• BSN preferred, may substitute BSN for 1 year of experience
• 4-5 years of experience working with homeless or underserved adult populations, community health center experience preferred
• 4-5 years of experience in substance use disorder treatment, harm reduction, or behavioral health
• Excellent customer service skills
• Excellent verbal and written communications skills
• Proficiency with electronic health record
• Strong computer literacy, including Microsoft Word, Outlook, Excel, & PowerPoint
• Ability to effectively work within both a team setting and independently
• Ability to work effectively with economically, racially, and linguistically diverse customers; multilingual candidates strongly preferred

Required Certifications and Licenses :

• Current Massachusetts Registered Nurse
• CPR / BLS
• CARN preferred, must obtain CARN within 2 years of employment
• OBAT TTA training required

WORKING CONDITIONS :

Works in a busy community health center in a downtown business district. Long hours are sometimes required. Some in-state travel required.

May require night or weekend work at discretion of direct supervisor or Director of Substance Use Services.

PHYSICAL REQUIREMENTS :

Physical demands requiring lifting of small pieces of equipment, boxes, and / or patients not to exceed twenty (20) pounds.

Mostly standing and walking are required. Visual acuity sufficient for frequent reading. Hearing acuity sufficient for holding conversation with or without audio devices.

BROCKTON NEIGHBORHOOD HEALTH CENTER, INC. does not discriminate in hiring or employment on the basis of race, color, religion / creed, national origin, ancestry, age, gender, transgender status or gender identity, sexual orientation, legally recognized disability, veteran, military or military reserve status, HIV status, genetic information, or any other legally protected class.

No question used on this application is intended to acquire information to be used for such discrimination.

About us : BNHC is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care.

We are committed to health promotion and disease prevention. BNHC began providing services in 1994 in a mobile medical van operating out of a church parking lot.

Since then, the center has rapidly grown to provide desperately needed services to low-income and marginalized populations in the greater Brockton area.

BNHC is committed to providing care that is responsive to community health needs and is linguistically, culturally and financially accessible.

BNHC serves an extremely diverse patient population including Brazilian, Cape Verdean, Haitian, Latino, Portuguese, African American and Caucasian, 77% of whom live in poverty.

BNHC is committed to providing a safe and heathy environment for patients and staff. As a condition of employment, employees, to include new hires, are required to be fully vaccinated to include the most recent COVID 19 booster and annual flu vaccines, with the exception of those who have documented medical or religious exemptions, that must be approved by BNHC according to its protocols.

Additional vaccines may be required based on the recommendation of the CDC. New hires who are not yet vaccinated for flu or COVID can arrange to be vaccinated on site.