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Substance Use Disorders Registered Nurse Case Manager
2 months ago
We are seeking a highly skilled Registered Nurse Case Manager to join our team at Uphams Corner Health Center. The successful candidate will be responsible for providing comprehensive care to patients with substance use disorders and chronic pain management issues.
Key Responsibilities- Conduct intake assessments, patient monitoring, tracking, and ongoing support to patients with substance use disorders and chronic pain management issues.
- Ensure patients' adequate linkages with behavioral health counseling, other levels of substance use care, including medication-assisted treatment, and chronic pain management care.
- Develop and implement individualized treatment plans based on patient needs assessments, consents, and contracts.
- Make patient referrals to behavioral health and human services providers at the Health Center for needed services such as primary care and other substance use and mental health care.
- Coordinate induction, stabilization, and maintenance of medication-assisted treatment (MAT) when appropriate per clinic protocols under the licensure and direction of the prescribing provider.
- Provide ongoing nursing visits, educate patients about MAT and medication treatment side effects, interactions, safety, administration, and plan of care.
- Document patients' progress in the electronic health records adhering to state and federal regulations and requirements specific to MAT.
- Monitor and track patients, including progress in their treatment plan, and update primary care providers and submit monthly reports.
- Provide consult support to staff as needed on new and current patients in treatment.
- Engage with health center staff as part of the team and provide support, education, and assistance to them in caring for patients with substance use disorders and chronic pain issues.
- Lead multi-disciplinary care coordination team meetings to discuss patients' progress and need for additional support and follow-up.
- Communicate with outside agencies with ongoing plan of care of patient and support as needed with appropriate consents.
- Follow-up with new, non-compliant, and lost to follow-up patients to ensure continuity of care.
- Licensed as a Registered Nurse in Massachusetts.
- Two years of nursing experience, preferably in an ambulatory care or community health setting.
- Experience with substance use disorders and chronic pain management is a plus.
- Experience with case management and care coordination.
- Experience with electronic medical records (EMR) and related care management registries, databases, and information technology/computer systems.
- Demonstrated ability to work as an integrated member of a multidisciplinary care team.
- Excellent communication and clinical judgment skills.
- Ability to follow and adhere to care model's operating procedures and standards.
- Experience in a culturally diverse setting.
- Bilingual language skills in English/Spanish, Portuguese, or Vietnamese preferred.
This position involves working in a fast-paced, dynamic environment with a diverse patient population. The successful candidate must be able to work independently and as part of a team, with excellent communication and clinical judgment skills.
The Uphams Corner Health Center is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
