Harm Reduction Clinic Nurse Care Manager - Brockton Neighborhood Health Center : Job Details

BROCKTON NEIGHBORHOOD HEALTH CENTER Harm Reduction Clinic Nurse Care Manager $82,016.00 - $96,489.00 Supervisor: HRC RN Care Manager Supervisor Sign on bonus of $5,000- 50% at 3 months, 50% at one year. Position Summary: The Harm Reduction Clinic Nurse Care Manager (HRC NCM) is an integral member of the multidisciplinary Office-based Addiction Treatment (OBAT) team within Brockton Neighborhood Health Center's Harm Reduction Clinic (HRC). Key duties of the HRC NCM include 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 HRC NCM works collaboratively with a team of behavioral health clinicians, recovery coaches, community health workers, and providers to coordinate and manage patient care. It is also essential that the HRC NCM coordinate patient care with external community agencies including local hospitals, treatment programs, mental health providers, and other necessary service providers. This position requires a Registered Nurse skilled in trauma-informed care, and who is able to deliver services within a harm reduction model. 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 regards 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
• 2-3 years of experience working with homeless or underserved adult populations, community health center experience preferred
• 1+ 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 CARN preferred, must obtain CARN within 2 years of employment OBAT training preferred, must attend within 1 year of employment 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 required. Visual acuity sufficient for frequent reading. Hearing acuity sufficient for holding conversation with or without audio devices. In order to prevent a direct threat to the safety and health of our patients and staff, effective August 1, 2021, new hires are required to have had at least the first dose of a COVID vaccine prior to their start, with the exception of those who have documented medical or religious exemptions. New hires who are not yet vaccinated can arrange to have the vaccine on site. At Brockton Neighborhood Health Center, we are dedicated to providing high quality health care that is delivered by Committed, Competent, Compassionate staff who respects the dignity, privacy, and equality of each patient and colleagues. Our team believes that Teamwork, Diversity, Respect, Customer service and Collaboration are essential for everyone to be successful in their role.