Addiction Nurse Care Manager -START Clinic - Boston Medical Center

POSITION SUMMARY:

Provides skilled nursing services to patients struggling with substance use disorders, in particular, patients with stimulant use disorder. This position will include providing Nurse Care Manager services in a new street level clinic based in Family Medicine for individuals with stimulant and opioid use disorder. The Stimulant Treatment And Recovery Team (START) clinical staff will support the medical and mental health needs of the patients in and out of care with street access, onsite group-based treatment, and contingency management. In addition, this position will include ongoing assessment, intakes, evaluations, triage, teaching, inductions, stabilizations, and monitoring of patients in Office-Based Addiction Treatment (OBAT) model. Provide primary care of patients within the Office Based Addiction Treatment Clinic, as well as support and services to patients from other settings referred to program for stabilization and assessment. Collaborates with team members, clinic settings at BMC and outside referral sites, works with providers from addiction and community health settings in assisting patients and supporting their referral needs. Ideal candidate possesses experience both in addiction and psychiatric based settings.

Position: Addiction Nurse Care Manager

Department: START Clinic

Schedule: Part Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Initial assessment and intake obtaining social, medical, mental health, substance use and medication history.
• Review intake assessment with nursing team and provider and establish appropriate plan of care for patient
• Revise patient plan of care with the addiction treatment team as needed to address patient needs and issues
• Collaboration, communication, and meetings with addiction treatment team as needed and required
• Assesses patients for safety and seeks assistance as needed
• Works with the clinical teams to provide supportive care for patients with acute stimulant use and in the withdrawal phase
• Utilizes clinic space and resources to support patient needs
• Participates in groups, team/clinic meetings and individual meetings
• Review consents and treatment contracts with patients and significant others, obtaining signatures and giving patient a copy and leaving a hard copy in patient paper chart
• Ongoing management of patients receiving medications for addiction
• Education and assessment of patients looking to access opioid treatment programs
• Assessment of signs and symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) scale
• Assessment and monitoring of patients in the initiation, stabilization, and maintenance phases of treatment
• Ongoing education and support of patients in all phases of treatment including nursing visits scheduled, urine toxicology screens, and routine labs and as needed, medication teaching, monitoring, pill counts, observed dosing, and medication refills.
• Follow State and Federal guidelines in treating opioid use patients collaborating with providers and pharmacy
• Complete appropriate documentation with excellent record keeping
• Support stimulant use initiatives as needed including contingency management, medication administration, assessments, safety planning, outreach, collaboration with clinics, providers, community
• Ongoing primary care of patients referred to the Clinic
• Assesses the patient in a systematic and ongoing manner for both overt and covert signs and symptoms
• Collects pertinent data using appropriate assessment techniques
• Prioritizes data according to the patient's immediate conditions and needs
• Involves the patient, significant others, and appropriate health care providers in the collection of data when appropriate
• Consistently uses clear concise and effective communication written/oral and comply with departmental policies when sharing/documenting relevant patient care data.
• Provides follow up care in person and via telephone when needed
• Works with the pharmacy, treatment teams in obtaining medication orders, prescriptions, and communication as needed
• Perform other duties as specified by the providers, and nursing leadership

Must adhere to all of BMC's RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

• Graduate of an accredited nursing program. Bachelor of Science Degree in Nursing preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Required:

• Massachusetts licensure as a registered nurse.
• Maintain R.N. staff competencies on an annual basis.

Additional certifications a plus:

Certification in Treatment of Substance Abuse preferred.

Certification from accredited clinical research program preferred.

EXPERIENCE:

• 3 - 5 years clinical experience required.

KNOWLEDGE AND SKILLS:

• Computer skills required, preferably with Word, Excel and Access.
• Strong interpersonal skills.
• Experience working in psychiatric or mental health setting preferred.
• Strong patient communication and patient education skills.
• Ability to be highly organized, detail-oriented, and timely.
• Ability to work productively across academic clinical departments.
• Position requires tact and diplomacy to successfully motivate and educate faculty, and advanced knowledge of research regulations and research compliance requirements, including Protection of Human Subjects.

Req id: 31209