Addictions and Primary Care Nurse

Department

Medical

Reports to:lead moud RN

Job Family:Advanced Medical and Dental

FLSA status:exempt

EEO Classification:Professionals

Supervisor:No

Leadership Level: Individual Contributor

Job Function:Essential On-Site

Provider Category:OLCHP

Overview

The Registered Nurse provides direct clinical nursing care within Health Care for the Homeless' low-barrier addiction treatment clinic (MAT clinic) and during designated clinical time in primary care. In collaboration with medical providers and the interdisciplinary care team, the RN supports the assessment and treatment of substance use disorders, including initiation and continuation of medications for opioid use disorder (MOUD), medication administration and management, harm reduction, health education, and care coordination to address clients' substance use, as well as acute, chronic, and preventive health needs. The position is supervised by the Lead MOUD RN.

Key Role Responsibilities

• Complete nursing assessments, including relevant medical, medication, mental health, substance use, withdrawal, and social histories; identify immediate clinical needs and collaborate with a medical provider or other team members on the plan of care.

• Use trauma-informed, harm reduction, and motivational interviewing approaches that draw on each client's strengths, goals, resiliency, and readiness for change.

• Safely manage and administer medications, immunizations, long-acting injections, and other prescribed treatments while maintaining proper storage, handling, inventory control, and accountability in accordance with agency policies and applicable requirements.

• Provide client-centered education about prescribed medications, particularly medications for opioid use disorder and other substance use disorders, overdose prevention and naloxone, safer substance use, and other risk-reduction strategies.

• Assess barriers to care and coordinate solutions to help clients navigate the internal and external health care system, including medication access, primary care, behavioral health, specialty and recovery services, pharmacy and insurance processes, prior authorizations, referrals, appointments, and transitions of care

• Actively participate in daily huddles, case conferences, staff meetings, performance improvement activities, and interdisciplinary care planning, contributing nursing observations and collaborating across addiction treatment and primary care to promote continuity of care.

• Accurately complete documentation in the electronic medical record and other required systems in a timely manner.

• Participate in infection prevention, emergency response, and other activities that support safe, equitable, and effective care.

MAT Clinic

• Provide direct clinical nursing care in the low-barrier addiction treatment clinic (MAT clinic) and during designated primary care assignments, adapting to walk-in, scheduled, and other clinical workflows as needed.

• Support initiation, continuation, and adjustment of medications for opioid use disorder in collaboration with prescribing providers, including conducting clinical withdrawal assessments, assessing medication adherence, and applying internal guidelines to make client-centered medication continuation or adjustment recommendations.

• Manage incoming patient phone calls during clinic hours in collaboration with other team members.

• Maintain patient panel tracking tools to support treatment continuity, timely follow-up, identification of care gaps, and outreach to clients who may need additional support.

Primary Care Clinic

• Provide primary care nursing services during assigned clinical sessions, including triage and nursing assessment of walk-in and scheduled clients, chronic disease management, preventive health care coordination, screenings, immunizations, medication reconciliation and education, care coordination, and follow-up of acute and chronic health needs.

Key Agency Responsibilities

In addition to role responsibilities, every staff member has the following responsibilities as a part of their employment:

• Models and reinforces the core values of dignity, authenticity, hope, justice, passion and balance

• Actively participates in performance improvement and advocacy activities that support the mission

• Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant health care-related IT security regulations

• Performs other duties on an as-needed basis

Knowledge, Experience and Skills

Formal Education and Training

• Bachelor's degree in Nursing preferred; Associates degree with 5 years direct experience in addictions medicine

• Possess current licensure as a Registered Nurse in Maryland

• BLS CPR certification required

Experience

• Experience in community health, primary care, addiction care, harm reduction, or public health nursing preferred

• Experience working collaboratively in a multidisciplinary ambulatory clinical setting preferred

Skills

• Strong interpersonal skills necessary to work with vulnerable populations and to collaborate with other team members, other staff members, and personnel of other agencies

• Possess the ability to make independent decisions when circumstances warrant such action

• Able to cope with interruptions, be flexible and be a team player

• Able to work with ill, disabled, emotionally upset and sometimes hostile individuals

Success Profile

Core Competencies

Compassion

• Demonstrates empathy and patience in words and actions; continually strengthens these skills

• Demonstrates self-awareness about one’s own perspective and biases; seeks to become more open

• Shares credit with others and recognizes success results from the combined efforts of many

Courage

• Thoughtfully engages with difficult issues in order to solve them

• Provides constructive, direct and, actionable input and feedback

• Navigates conflicts head-on to resolve them in a positive manner

Values Differences

• Seeks to understand different perspectives and cultures

• Interacts respectfully with people

• Considers situations and issues from different perspectives and offers solutions with those perspectives in mind

Balance

• Maintains a conscious balance between work and personal life

• Demonstrates the ability to prioritize work tasks

• Sets, maintains, and respects professional boundaries and supports others to do the same

Functional Competencies

Quality Management

• Proactively seeks to provide the highest quality services that meet the needs of customers/clients

• Demonstrates a commitment to continuous improvement through use of data and empowerment of others

• Contributes to a work environment that leads to efficient and effective work processes

Ethics and Values

• Acts in accordance with core values during both good and bad times

• Operates within the workplace boundaries most other would agree to

• Helpful to others in making decisions on ethical matters in the workplace

Decision Quality

• Actively seeks input from pertinent sources to make timely and well-informed decisions

• Incorporates evidence-based guideline properly in practice

• Makes sound decisions, even in the absence of complete information

Time Management

• Sets priorities and concentrates efforts on the more important priorities

• Displays good judgment in the use of one’s time and the time of others

• Utilizes effective methods for managing workflow and pacing one’s work.

Leadership Competencies

Instills Trust

• Gains confidence and trust with others

• Expresses thoughts and ideas in a credible and transparent manner

• Models high standards of honesty and integrity

Customer Focus

• Places stakeholders at the forefront

• Delivers solutions that meet expectations

• Establishes and maintains effective professional relationships

Drive Results

• Persists in accomplishing objectives despite obstacles and setbacks

• Pushes self and helps others achieve results

• Always keeps the end in sight; puts in extra effort to meet deadlines

Action Oriented

• Displays a can-do attitude in good and bad times

• Uses necessary steps in planning and thought, then readily takes action on challenges

• Shows initiative in tough situations and seizes opportunities

Working Conditions and Physical Requirements

Activity

Some

Freq

Work Position %

Lift

0-50 lbs.

X

Sitting

50%

Carry

0-50 lbs.

X

Walking

25%

Push

0-50 lbs.

X

Standing

25%

Pull

0-50 lbs.

X

Stoop, Kneel

X

Crawl

X

Climb

X

Balance

X

Physical Requirements

Hazards

Mark with an X if this is a physical requirement for this job.

Mark with an X if this is a potential hazard for this job.

X

Manual dexterity (eye/hand coordination)

X

Use of Latex Gloves

Perform shift work

X

Exposure to toxic/caustic/chemicals/detergents

X

Maneuver weight of patients

Exposure to moving mechanical parts

X

Hear alarms/telephone/tape recorder

Exposure to dust/fumes

X

Reach above shoulder

Exposure to potential electrical shock

X

Repetitive arm/hand movements

Exposure to x ray/electromagnetic energy

X

Finger Dexterity

Exposure to high pitched noises

Color Vision

X

Exposure to communicable diseases*

X

Acuity – far

X

Blood born pathogen exposure

X

Acuity – near

Gaseous risk exposure

X

Depth perception

X

Respiratory fit testing required

On Call

• May be exposed to infectious disease with little likelihood of harm if established procedures are followed

Health Care for the Homeless is an equal opportunity employer.

Knowledge, Experience and Skills

Formal Education and Training

• Bachelor's degree in Nursing preferred; Associates degree with 5 years direct experience in addictions medicine

• Possess current licensure as a Registered Nurse in Maryland

• BLS CPR certification required

Experience

• Experience in community health, primary care, addiction care, harm reduction, or public health nursing preferred

• Experience working collaboratively in a multidisciplinary ambulatory clinical setting preferred

Skills

• Strong interpersonal skills necessary to work with vulnerable populations and to collaborate with other team members, other staff members, and personnel of other agencies

• Possess the ability to make independent decisions when circumstances warrant such action

• Able to cope with interruptions, be flexible and be a team player

• Able to work with ill, disabled, emotionally upset and sometimes hostile individuals