Outreach Nurse

3 months ago

San Francisco, United States Lyon-Martin Health Services Inc Full time
Job Title: Outreach Nurse
Pay: $46.635 per hour ($97,000/year at 40 hrs/week)

Hours: 24 hrs/week (.6 FTE)

FSLA Status: Non-Exempt

In Person vs. Remote: 100% In Person

Schedule: Must be available for weekly late night outreach shifts held on Tuesday and alternating Friday and Saturday evenings between 10pm and 2am.

Primary Location: Lyon-Martin Community Health Services

Address: 1735 Mission Street San Francisco, CA 94103 Reports To: Director of Outreach & Harm Reduction

Organization Mission

The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.

We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Job Summary

The Outreach Nurse is responsible for providing clinically appropriate nursing care to Lyon-Martin clients and Outreach clients within the scope of their license and credentials through in clinic and telehealth visits, phone communication, home visits, and street-based outreach. We expect the RN to act as a clinical leader, promoting holistic care, helping to grow the overall practice, and collaborating to optimize therapeutic outcomes. They are a critical member of the Outreach, Harm Reduction, and Community Engagement Team, providing complex care management for clients with multiple chronic medical illnesses and behavioral health concerns, with a strong harm reduction framework. With the Outreach Manager, this position is responsible for supporting the Outreach team in all harm reduction and overdose prevention outreach activities, distributing supplies and providing nursing care to unhoused and marginally housed people in the local neighborhoods of San Francisco with a focus on queer, transgender, and intersex people of color, people who use drugs, and sex workers. This position also works closely with other clinic staff to staff our drop-in harm reduction clinic. The Outreach Nurse, along with all staff at Lyon-Martin, are expected to uphold and imbue in others a commitment to addressing racism, ableism, fatphobia, gender and sexual discrimination within the organization and our clinical practice.

Key Responsibilities

Outreach & Harm Reduction Responsibilities
  • Alongside Outreach Manager and Outreach Coordinators, distribute harm reduction supplies including but not limited to syringes/needles, Narcan, fentanyl test strips, and other drug use supplies, food/water, safer sex supplies, first aid supplies, hygiene supplies, street sleeping supplies such as tents and sleeping bags; facilitate Narcan trainings, Fentanyl testing trainings; administer COVID testing and vaccination; through our Street-Based Outreach program, and to our partner organizations at SROs, Shelter in Place Hotels, Shelters, and Navigation Centers, especially in the Mission and the Tenderloin.
  • Connect community members to our clinic services: Primary care, Gender Affirming Care, Suboxone, HIV/Hep C care, Gynecological Care, Mental Health Services, etc.
  • Coordinate Harm Reduction Drop In Nights at the Clinic: Distribute the above listed supplies, provide nursing support.
  • Coordinate access to supplies and Community Fridge/Food Pharmacy in the waiting room during open clinic hours. Provide restorative justice based de-escalation interventions for waiting room as needed.
  • Maintain inventory of supplies, coordinate orders when needed.
  • Assist clients with laundry access.
  • Participate in regular Outreach team meetings.
  • Collaborate with the Manager to plan and staff various community engagement events and trainings for community members (and staff when appropriate).
  • Table at events to educate community members about our services and to distribute harm reduction supplies to community members; provide nursing support at events.
  • Work closely with community partner organizations to educate them about our services.
  • Provides nursing care within the scope of license and agency credentials to outreach clients in designated SIP (Shelter in Place) Hotels, SRO (Single-Room Occupancy) buildings, Navigation Centers, Shelters, and during Street-based Outreach.
  • Utilizes motivational interviewing skills and encourages engagement in care with an emphasis on transitioning outreach-based services to clinic-based care as soon as possible for a given patient;
  • Facilitates team functioning and efficiency by providing clinical support and instruction to other outreach staff and volunteers, as well as delegating tasks where appropriate;
  • Assesses and provides nursing advice to outreach clients, either in the form of general health education or patient-specific advice for patients who have completed patient registration and applicable treatment consents;
  • Uses sound clinical judgement to provide appropriate nursing interventions, following nursing standing orders and/or clinic policies, and engages in clinical consultation with medical providers as needed
  • Triages client needs to provide referral to appropriate level of care (eg. urgent or emergent services vs. clinic-based services);
  • Completes timely and appropriate documentation of client encounters per clinic documentation guidelines;
  • Collaborates with Outreach Manager to maintain grant compliance and adhere to reporting requirements;
In-Clinic Care Responsibilities
  • Provides nursing care, within the scope of license and agency credentials according to pre- arranged schedules.
  • Document visit notes and client interaction completely in an accurate, detailed, and timely manner (within 72 hours), responses to in basket messages in a timely manner (within 72 hours), following charting protocols and applicable CA state licensing requirements.
  • Possesses strong clinical knowledge of and commitment to healthcare for trans, non-binary gender non-conforming, and intersex people, LGBQA+ communities, and cis-gender women.
  • Completes patient sessions in a timely manner.
  • Work as a part of a patient panel team with Primary Care Provider, Medical Assistant and Care Coordinator. Assist team Primary Care Provider team with triage of tasks.
  • Utilizes motivational interviewing skills and encourages patient activation and self-management; appropriately utilizes standing orders;
  • Facilitates team functioning and efficiency by taking responsibility for additional patient assessments or medical assistant functions (e.g., phlebotomy, rooming, vitals, etc.) to ensure the completion of patient sessions in a timely and thorough manner;
  • Assesses and provides nursing advice to patients who walk-in with medical complaints or who call-in with medical concerns seeking advice; responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner;
  • Informs clients of normal and abnormal lab results and follow up plans; as a part of the Care Support Team, prioritizes and takes responsibility for patients with complex medical issues and follows up with all patients regarding recent emergency room visits and inpatient stays;
  • Assists with prescription issues such as submitting and following up on prior authorizations for prescriptions and helping to trouble shoot pharmacy issues.
  • Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes
  • Maintains licensure and BCLS/CPR certification;
  • Provides timely care coordination and management for medically complex patients (eg, hospital transfer care coordination, procedure coordination) in conjunction with the primary care provider and care team;
  • Provides de-escalation to clients who may become triggered during session and link them to care.
  • Fosters safety, consistency, and connection with clients.
  • Follows through on commitments with clients and colleagues.
  • Attends continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in 30 hours continuing professional education every 2 years.
  • Comply with all aspects of Lyon-Martin Policies and Procedures applicable to Staff members as well as all agreements with insurers and other entities that contain provisions applicable to or affecting the duties and responsibilities of Medical Staff; and all applicable statutes, regulations, governmental agency guidelines, and non-governmental oversight body requirements that place requirements on Lyon-Martin.
Leadership Responsibilities:
  • Provides clinical leadership to support staff, including medical assistants, patient care coordinators, front office staff and receptionists, especially promoting the integration of harm reduction focused care, care for people who use drugs, and people who do sex work.
  • Participates in training medical assistants, nursing students and volunteers to improve the skills of back office staff;
  • Incorporates constructive feedback into behavior change; participates as an active member of the Care Support Team through case-conferencing and other collaborative work;
  • Demonstrates comfort in changing systems, champions change, and leads change processes;
Performance and Quality Improvement Responsibilities:
  • Active participant in Quality Improvement activities and may act as change champion or lead;
  • Works closely with staff collecting and reporting contractual data as necessary;
  • Meets benchmarks for applicable quality indicators as noted in the annual quality management plan including the maintenance of current productivity standards, cycle times, no-show rates, and landing times;
  • Supports the quality assurance of medication supply, vaccine management, dispensary, point of care testing, laboratory, infection control;
  • Along with colleagues, assists in continuous quality improvement through on-going problem/needs identification and problem solving and, as requested, acts as change champion or lead in improvement activities.
Organizational Responsibilities:
  • Keeps up to date with operational and procedural requirements;
  • In conjunction with Nurse Manager, Director of Clinic Operations, and Medical Director, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the clinics;
  • Supports the interpretation of standards and processes to meet best practice standards established in the health services program;
  • Adheres to company dress code and maintains professional appearance;
  • Completes mandatory trainings within deadlines;
  • Supervises students and volunteers as appropriate; maintains availability for various administrative/clinical duties as requested by supervisor (e.g., case presentations; in-service training to staff; represents Lyon-Martin, Women’s Community Clinic and/or HealthRIGHT 360 at and/or attends professional conferences; leadership/consultation to committees; attendance/speaking at fundraising/community events, etc.).
And, other duties as assigned.

Competencies:

Communication, Written: Delivers written communications that have clarity and impact including emails. Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines. Time Management: Organizes and establishes priorities; gets the job done in a timely manner.

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance.

Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.

Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others. Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact.

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.

Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes. Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.

Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.

Education, Knowledge, Skills:
  • Graduation from an accredited school of nursing
  • Possession of a valid California license as a registered nurse
  • Possession of BLS/CPR certification
  • Two years of direct patient care experience; one year in ambulatory care and/or a community health center preferred
  • Commitment to working in an environment offering abortion services and the full-scope of pregnancy options counseling
  • Experience with and commitment to harm reduction and trauma informed care
  • Culturally sensitive/humble and able to work with a diverse population
  • Experience working with lesbian, bisexual, transgender, non-binary, gender non-conforming, and intersex clients.
  • Experience working with populations with varying disabilities, racial, ethnic and cultural backgrounds and economic statuses.
  • Experience working with clients who do sex work, those experiencing homelessness, people who have challenges with mental illness and/or are using substances, those of with a history of incarceration, people of varying ages.
Desired:
  • Bilingual Spanish/English
  • Strong phlebotomy skills
  • Experience with electronic medical records.
  • Comfort working on teams and with safety net populations.

Benefits: Employees regularly scheduled for 16 hours or more per week are eligible for full benefits, which include 100% employer paid Platinum level medical plans for both employees and their minor dependent(s), Premium dental, vision, life and acupuncture/chiropractic plans, as well as an up to 3% 403b match and access to pre-tax health, dependent care and commuter benefits.

Available Pay Differentials: $5.00/Hour pay differential for hours worked between 10pm and 2am; $1.00 per hours worked for employees certified bilingual in Spanish, Chinese, or Tagalog.

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