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Job Details

OBOT RN Case Manager

Date Posted: 06/23/2022

Requisition Number: 2240


Work Days: Mon-Fri, variable hours

Category: Registered Nurse

Department: Office Based Opioid Grant

Job Type: Full time

Work Shift: Day / Evening

Hours/Week: 36.00

Union: Yes

Union Name: MNA Cambridge


The Outpatient Addictions Program helps people get sober and maintain recovery. We offer medication management, along with individual and group counseling.

Job Purpose: The nurse case manager will follow Department of Public Health (DPH) Bureau of Substance Abuse Services (BSAS) guidelines for Office Based Addiction Treatment Services (OBAT), participate in all training, model development, service monitoring, consultation, support and technical assistance activities offered by Department of Public Health's (DPH) vendor. The nurse case manager will work as part of a team to provide care management in accordance with DPH guidelines. The nurse will provide training to other nurses and staff at CHA after receiving training from the DPH vendor in order to share best practices and develop a complement of trained staff. The nurse is responsible for submission of monthly data to DPH. The nurse will be dedicated 100% of the time working on OBAT services.

Position Summary: In collaboration with other members of the healthcare team, the Case Manager is responsible and accountable for patient trajectory by assisting the healthcare team in pacing care toward improved patient outcomes.

  1. Will greet new referrals for OBAT services by phone/video or in person in a warm and compassionate manner incorporating cultural and linguistic best practices.

  1. Conducts a brief initial screening to determine the patient's eligibility to participate in office based addiction treatment. She/he will collect demographic information about the patient and contact information; obtain a substance use and treatment history, and information about the patient's current medical issues, social supports, and goals for OBAT treatment. The nurse care manager will work with the OBAT team to help identify the best location and prescriber for treatment for each individual patient, and then schedule and initiate the intake process under the direction of the prescriber.

  1. Performs a thorough assessment of the patient's medical, psychological, and social history, as well as substance use history. The nurse care manager will schedule lab tests and educate the patient on medication both verbally and in a written form in the patient's preferred language. Reviews the labs and intake with the prescriber and treatment team.

  1. Reviews program expectations and procedures with the patients and develops a comprehensive treatment plan that includes OBAT and participation in counseling and/or self-help recovery activities. Explains policies and procedures of the program, discusses patient options for treatment, and obtains informed consent.

  1. Is responsible for providing assessments during induction in accordance with DPH/BSAS guidelines.

  1. Responsible for meeting with the patient in accordance with DPH/BSAS guidelines during the stabilization phase of treatment.

  1. Nurse case manager's services will continue through the maintenance phase of treatment and will include regular medication callbacks, random urine toxicology screening and pill counts, confirmation that the patient is engaging in services as outlined, including contacting other treatment providers (with appropriate patient consent), and other best-practice activities.

  1. Responsible for measuring quality and implementing strategies that will result in patients' successful recovery and attainment of skills to meet treatment goals.

  1. Provide BSAS with all required monthly and annual reports, including admissions, quarterly and discharge data, billing data, and any performance measure information as requested in a timely manner. Work with all relevant CHA staff needed to make sure these data get submitted appropriately.

  1. Coordinates and cooperates with all BSAS program monitoring and evaluation requirements including site visits.

  1. Attends all required BSAS training and technical assistance activities, and will attend any required trainings at CHA Outpatient Addiction Services and CHA Primary Care.

  1. Facilitates collaborative planning and ongoing relationships with and between community partners. Assists with patient referrals to/from non-CHA treatment providers and ensures appropriate communication occurs.

  1. Works with other CHA departments, attends team meetings at Outpatient Addiction Services, and interfaces with providers at different levels of care to connect patients to a full range of services. Helps patients by facilitating access to higher levels of care when needed.

  1. Communicates department needs, plans and priorities to senior management and other service lines and departments.

  1. Models, promotes and requires excellence in work performance.Models collaborative, multidisciplinary leadership methods.

  1. Nurse case managers will travel to support OBAT services at CHA primary care clinics across metro-north Boston region (e.g., Revere, Everett, Malden, Somerville, Cambridge).

  1. At outpatient addiction sites, the nurse care manager may lead group-based treatment visits or see patients individually - depending on the needs of the patients and the clinicians at the sites. Nurse care manager may also instruct local primary-care clinic staff in appropriate management of patients with opioid use disorder, including teaching skills in leading group visits.

  1. For patients prescribed injectable medication (e.g. extended-release naltrexone), administers injections as per usual CHA nursing policy. Administers medications according to hospital policy and procedure.

  1. Assists patients in obtaining naloxone kits for overdose prevention and educates patients/families in their use.

Licensure: MA RN Licensure required.
Certifications: Required to obtain addiction certification in nursing (CARN) within 2 years.
Education/Training: Graduation from an accredited school of nursing. Bachelor of Science in Nursing is required for externally hired applicants within 1 year of hire and for internal CHA applicants an RN is acceptable.
Work Experience and Skills: Minimum of 3 years nursing experience; prior experience working with patients with opioid use disorder and/or other alcohol/substance use disorders is preferred. Demonstrated team leadership with the ability to work collaboratively with others. Demonstrated commitment to the principles of recovery, rehabilitation, and harm reduction. Demonstrated excellent verbal and written communications skills. Experience working with data; knowledge of the patient medical record system, EPIC, a plus. Able to make independent decisions, assess, organize, prioritize and address multiple projects and problems concurrently. Able to interact and collaborate successfully with patients, community members, network management and professional staff.
Linguistic capabilities: Knowledge of a second language, preferably Portuguese or Spanish, would be seen as an advantage.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

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