Nurse Case Manager

Boston Health Care for the Homeless Program

$83K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse license in Massachusetts required.
  • Bachelor's degree in nursing preferred; two years of ambulatory/outpatient care experience required.
  • Preferred experience in HIV primary care; ACRN certification can be obtained post-hire with available training support.
  • Strongly preferred expertise in substance use disorder and harm reduction principles.
  • Experience working with homeless populations preferred; mental health experience and trauma-informed care knowledge beneficial.
  • Experience in a community health center setting is a plus.
  • Bilingual in Spanish and English preferred; Haitian Creole is a plus.

Responsibilities

  • Provide outpatient primary care nursing including assessments and triage for HIV team patients during visits.
  • Implement and evaluate patient-centered care plans while communicating updates with patients and care team.
  • Administer vaccines, injectable medications, and respiratory therapies; provide adherence assessments and counseling.
  • Support chronic disease management for HIV and co-morbid conditions, addressing barriers to care access.
  • Coordinate care with behavioral health staff and assist in managing opioid use treatments and prevention services.
  • Facilitate patient linkages with interdisciplinary teams for optimizing patient outcomes.
  • Promote a compassionate care environment, participating in training and orientation for new nursing staff.

Benefits

  • $4,000 sign-on bonus.
  • Competitive time-off program and health, dental, and vision insurance.
  • 403B retirement savings plan available.
  • Pre-tax MBTA pass program with a 40% discount.
  • Additional compensation for demonstrated bilingual proficiency.
Full Job Description
Job Summary:
Union: No
Union Name: n/a
Patient Facing: Yes
Hours: Full-time, Monday- Friday 8:30am-5:00pm

***NOW OFFERING A $4,000 SIGN ON BONUS***
We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a dynamic, multidisciplinary HIV primary care team that has been nationally recognized as a model of excellence. Alongside medical providers, case managers, social workers, behavioral health team members and other HIV nurses, you will provide high quality nursing care to patients consistent with the philosophy of patient centeredness, non-judgement, harm reduction, and team-based care. You will serve in a key clinical role to the care team with primary responsibilities of HIV and other chronic disease management, care coordination, advice/triage needs for the team's patients, and ensures excellent communication of the care plan across team members.

In this role, you will conduct clinical nursing assessments and triage for team patients during routine and urgent medical visits in the outpatient clinic. You will also provide care coordination, medication adherence support, health education, and behavioral risk reduction counseling for HIV primary care patients. This role offers a unique opportunity to promote harm reduction, linkage, and retention to HIV primary care, with the aim of supporting people experiencing homelessness and living with HIV to achieve and sustain health and wellness. This position is funded until the end of March 2028 with the possibility for renewal. If this funding is not renewed, this position will end March 31, 2028.

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.

Qualifications:
  • Licensed as Registered Nurse in the Commonwealth of Massachusetts.
  • Bachelor's degree in nursing preferred; 2 years of experience working in an ambulatory/outpatient care environment required.
  • 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.

Compensation and Benefits:
***NOW OFFERING A $4,000 SIGN ON BONUS***
  • The compensation increases based on years of experience and ranges from $40.00 - $58.00 per hour.
  • BHCHP full-time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees.

Does this amazing opportunity interest you? Then we'd love to hear from you.

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