Clinical Outreach and Recovery RN Care Manager

Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970)

Job Type

Full-time

Description

Opportunity Overview

North Shore Community Health (NSCH) is an industry leader in exceptional delivery of community healthcare.

Under the direct supervision of the Nursing l Director of Addiction and Recovery Services, the Clinical Outreach and Recovery RNCM, in collaboration with the Medical Director of Integration and Innovation, will provide continuing and comprehensive health care for our most vulnerable populations. Utilizing a harm reduction approach, the Clinical Outreach and Recovery RNCM provides clinical leadership and skilled nursing services, including triage, assessment, case management, education, and outreach. The role involves ongoing assessment, intakes, evaluations, teaching, initiations, stabilizations, and monitoring of patients.

The Organization

North Shore Community Health (NSCH) is a highly accomplished community health organization that prides itself on its compassionate approach to serving the surrounding communities with comprehensive and culturally sensitive care. With a strong commitment to excellence, NSCH provides:

• Comprehensive primary care.

• Dental services.

• Behavioral health care.

• Care management.

• Pharmacy services.

• Substance abuse disorder treatment.

• Nurse care management.

• Insurance enrollment assistance.

NSCH operates service sites at Gloucester, Peabody, and Salem Family Health Centers, ensuring convenient access to care. Additionally, NSCH extends its reach through school-based health centers within the Salem and Peabody School Districts. NSCH collaborates with Bentley Academy, Collins Middle School, Horace Mann School, Bates Elementary School, and the Peabody Learning Academy for behavioral health services.

As a community-based safety net healthcare provider, NSCH actively encourages diversity and welcomes staff members who reflect the rich tapestry of our communities. We highly value the contributions of our team members and offer a wide range of perks and comprehensive benefits. These include health and wellness benefits, tuition reimbursement, loan forgiveness opportunities, and other appealing benefits.

We believe in supporting our employees from day one, and all eligible staff members can take advantage of these benefits right from the start of their employment at NSCH. We aim to foster a supportive and rewarding environment that empowers our team members to provide exceptional care to our communities.

Mission

North Shore Community Health’s mission is to build healthy communities by providing exceptional care to all.

Vision

Healthy People | Vibrant Communities

Values

Accountability

We take responsibility to ourselves, each other, and the NSCH Community very seriously. We understand our individual roles, and positions of power with respect to how others perceive our roles and actions. We hold ourselves accountable when we make mistakes–acknowledging the error, owning it, taking corrective actions, and moving forward. We follow through on what we commit or resolve to do.

Integrity

Integrity is the foundation of healthy relationships. We are committed to the highest ethical standards: honesty, fairness, respectfulness, and trustworthiness. We are honorable and respectful in dealings with others, and we strive to deal honestly, fairly, and in a respectful, ethical, and trustworthy manner when in agreement or disagreement.

Empathy

Empathy is a deep appreciation for another’s situation and point of view, which is the basis for the golden rule and our intrinsic sense of justice. We strive to bring empathy into our interactions with each other and with our patients.

Courage

We see courage as the strength of character to stand up for our convictions and belief system. To have courage is to have the fortitude to take risks and to extend one’s behaviors, actions, and thoughts beyond one’s comfort zone. We appreciate that courage is often required to compromise. Courage is a state of mind to face adverse, difficult, and challenging situations with confidence and positive energy.

Respect

NSCH holds its patients in the highest regard. We provide care that is respectful of and responsive to individual patient needs and values. We take the time to listen to concerns, understand what is important, and provide appropriate solutions and care. We do this through coordination and integration of care, collaboration, and teamwork.

Commitment

NSCH is committed to the health and well-being of its community, patients, and staff. We demonstrate this commitment by constantly striving to align our actions with our mission, vision, and values.

EEO Statement:

We, North Shore Community Health (NSCH), are an equal employment opportunity employer. Our goal is to have a diverse workforce representative of all people at all job levels in the organization. We do not and will not make any personnel decisions (like recruiting, hiring, job assignments, and promotions) based on age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity, gender expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

https://www.nschi.org/wp-content/uploads/2022/03/nsch_eeo-policy-statement-dec-2021.pdf

Responsibilities:

• Uses a patient-centered approach with attention to non-stigmatizing language while implementing care plans

• Uses fundamentals of harm reduction approaches such as overdose prevention and education, Narcan training, fentanyl test strips, and low-barrier care

• Uses a trauma-informed care approach

• Conducts initial assessments and intakes, gathering histories including social, medical, mental health, substance use, and medication history.

• Provides direct and comprehensive care at shelter locations in the NSCH service area under the direction of the Director of Integration and Innovation.

• Coordinates clinical outreach efforts, including “pop-up clinics” and portable vaccine clinics

• In collaboration with Direct of Integration and innovation and Clinical Outreach Specialist, identifies and develops opportunities to engage with vulnerable populations within and outside the health centers.

• Provides longitudinal integrated care of patients on the Clinical Outreach Panel in addition to time spent at the shelter

• Triages phone and walk-inquiries for Recovery Services

• Review assessments with the SUD clinical and primary care teams to determine appropriate care plans.

• Collaborates and communicates with the SUD team and meetings as required.

• Provides ongoing education, support, and service coordination for patients.

• Collaborates with the SUD treatment support team, which consists of SUD providers, SUD navigators, recovery coaches, and the BH team.

• Serves as a liaison and provides education and support for primary care teams and community partners such as hospitals, VNA, labs, Correctional Facilities, or other medical offices, outreach, and teams

• Ensures meticulous and timely documentation.

• Reviews commonly found results with patients per protocol.

• Administers immunizations and other medications as providers request or per the protocol and accurately documents them in the EMR.

• Coordinates with the pharmacy and SUD / Clinical Outreach team on medication administration, prescriptions, and refills.

• Counsels patients on relapse prevention and pharmacotherapy and provides referrals and resources for non-pharmacotherapy as indicated.

• Provides follow-up care, scheduling clinical visits and telehealth visits

• Engages in primary care and addiction-related projects.

• Assists with phone triage, prescription refills, follow-up test results, and managing medical issues.

• Assists providers in providing care: procedures, injections, EKGs, referrals, prior authorization, specialty pharmacy, security, and documentation of controlled substances.

• Ensures appropriate storage and documentation of Controlled Substances and record keeping per protocol in the Controlled Substance Log

• Assists with transitions of care

• Assists in discharge planning for patients returning to outpatient treatment in collaboration with SUD Navigators and Clinical Outreach Specialist

• Provides emergency treatment consistent with established policies and procedures.

• Attends scheduled meetings.

• Participates in health promotion and disease prevention activities, including screening, immunization, and health education events sponsored by NSCH.

• Other duties as assigned

Requirements

• Bachelor's Degree in Nursing

• Licensure to practice nursing in Massachusetts

• Background in caring for patients with substance use disorders preferred

• Preferred comfort in working outside of traditional clinical spaces with vulnerable patient populations

• Ability to travel between Health Center and community sites

• Understanding of trauma-informed care and harm reduction

• Certified as a registered nurse with a minimum of 3 years of experience in community health.

• Preference will be given to bilingual/bicultural individuals who speak Spanish or Portuguese.

• Ability to work effectively both independently and as part of a team

• Strong communication and interpersonal skills, with a commitment to establishing a safe and respectful environment for team members

• Ability to effectively work in a culturally diverse environment and with marginalized populations such as homeless and transgender individuals and those with substance use disorders

• High level of commitment to continuous improvement in the quest for comprehensive and quality healthcare

This is an administrative job by nature but requires mobility and the ability to commute from various offices and patient homes. Must be able to use a computer/laptop and phone in addition to the mobility.

As a health center, NSCH ensures that all employees comply with the annual requirements for vaccinations and health screenings. All employees must be vaccinated against COVID-19 as a condition of their employment unless they have been granted a religious or medical exception. Proof of COVID-19 vaccination must be provided, and prospective employees must be vaccinated before their first day of employment, submitting their vaccination record and pre-hire paperwork. If you need to request an exemption from the vaccine requirement or have any inquiries regarding this policy, please get in touch with the Human Resources Department at hr@nschi.org.

At North Shore Community Health, our commitment lies in fostering a diverse workforce. If you're enthusiastic about this position but feel that your previous experience aligns differently with every requirement in the job description, we still encourage you to apply! Your skills could be a great fit for this role or other opportunities within North Shore Community Health.

Living on the North Shore

With facilities in Salem, Peabody, and Gloucester, NSCH offers access to New England’s Coastal charm just thirty minutes outside Boston. The North Shore is connected to the city via the Rockport Commuter Rail line, which makes stops in Salem and Gloucester. The North Shore has plenty to offer, with a rich history and thriving cultural scene.

For Information Please Contact:

Talent Acquisition Department

North Shore Community Health

TalentAcquisition@nschi.org