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    Public Health/MAT Nurse - Cambridge, United States - Fenway Health

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    Description
    Public Health/MAT Nurse (RN)

    Cambridge, MA )

    • Prevention
    Job Type

    Full-time

    Description

    The Public Health/MAT Nurse (RN) provides nursing services to two key areas at

    Fenway Health:
    patients enrolled in Fenway Health's Medication Assisted Treatment (MAT)

    Program, and clinical public health prevention programs, primarily Access:
    Drug User Health's low barrier walk-in medical clinic.

    The RN will use a harm reduction and trauma-informed approach to provide specialized nursing support to people who use drugs, men who have sex with men, transgender individuals and their partners.

    The Access/MAT RN will also provide administrative support for other clinical activities such as patient walk-in triage, health navigation, risk reduction counseling, supply inventory, and serve as a resource for program staff.


    Representative Duties:

    Provides Patient Triage:
    the safe, effective, and appropriate disposition of health-related problems

    Provide patients with accessible care that operates within the harm reduction framework

    Administers comprehensive evaluation of patient telephone callers and walk-in patients, develops care plan, consults with other disciplines as needed, and implements plan including referrals

    Advocates for patient care as nurse member of multidisciplinary medical team

    Care plan is communicated to patients in a timely manner

    Documents triage encounters in medical record, documenting all appropriate activities and plan

    Complies with the MDPH BSAS Office Based Opioid Treatment Program Policies and Protocols

    Health Navigation

    Delivers personalized services to our patients to improve their care using careful assessment, planning, coordination and delivery of care, and outcome evaluation of the plan


    Coordinates follow up care for acutely ill patients including primary care and specialty visits including HCV treatment, substance use services, PrEP, nPEP, and behavioral health.

    Coordinates preventative services for defined population including education, vaccinations, monitoring and arranging for lab tests and referrals

    Evaluates adherence to care plan to promote patient's well-being

    Documents services in medical record, documenting all appropriate activities and plan

    Communicates with pharmacies and insurance companies as needed to ensure patients can access their treatment, and helps troubleshoot issues or problems related to MAT-specific medications

    Provides direct patient care, using nursing procedures as appropriate for a Registered Nurse

    Provides episodic care as appropriate to the target populations with an emphasis on wound care, HIV and HCV prevention, and behavioral issues (i.e. medication compliance, safe sex) and provide follow-up as indicated.

    Performs MAT assessment and intake, and obtains medical, mental health, and social history

    Guides patients through medication inductions, including assessment of signs/symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) scale

    Provides follow-up care via MAT nursing visits, either onsite or remotely as indicated, and serves as primary point of contact for patients throughout treatment

    Assists with patient care under the direction of appropriate medical provider and/or under nursing scope of practice

    Administers medications and vaccinations, (PO, IM, SC, ID), including extended-release injections for SUD treatment (Vivitrol, Sublocade), ensuring full compliance with DEA regulations of storing and administering controlled substances in clinic

    Checks supplies for nursing patient encounters and notifies manager or supply ordering designee if additional stock needed

    Administers all medical tests and procedures as per protocol

    Assists with preventative medicine efforts (e

    g:
    flu, STD, vital sign checks, occupational health)

    Clearly communicates interventions to patients

    Communicates changes to plan of care

    Maintains comprehensive knowledge of medical issues

    Maintains comprehensive knowledge of medical developments in preventing and treating HIV/AIDS and HCV infection, pain management, health issues related to homelessness and injection drug use, as well as and behavioral issues (i.e. medication compliance, safe sex, social and behavioral effects of drug use) as well as other medical conditions appropriate.

    Learn and maintain knowledge regarding harm reduction, and cultural competency regarding drug use.

    Seeks out continuing education opportunities related to essential job functions

    Completes continuing education requirements per the Massachusetts Board of Nursing regulations

    Obtains ACRN or other certifications related to essential job functions within 2 years of hire

    Understands and maintains universal precautions in all clinical activities

    Maintains up-to-date knowledge of SUD management, including attendance and completion of OBAT ECHO 12-part series

    Provides Health Education

    Provides community health education

    Provides patient education related to their medical and psychosocial needs

    Maintains comprehensive knowledge of vaccines, medications, and other therapeutic interventions as appropriate to our outpatient clinic

    Maintains comprehensive knowledge of FH policies, procedures and services including those of TFI

    Maintains knowledge of community resources

    Assists in training other employees in the public health and medical department including orientation of new staff, volunteers, and students

    Trains patients, families and others on administration of Narcan/naloxone

    Performs other related duties which may include:
    Conduct community and Street outreach

    Provide coverage across other public health sites in Cambridge and Boston

    Requirements

    ASN/BSN/MSN and current licensure as Registered Nurse (RN) in the Commonwealth of Massachusetts

    Familiarity with the LGBTQIA+ community, people living with HIV/AIDS (e.g., ANAC certification), and People Who Use Drugs (PWUD)

    Commitment to community and public health

    Current CPR Certification

    BLS certification required


    Ability to work harmoniously and effectively with colleagues, patients, clients and vendors across the spectrum of diversity, including but not limited to race, ethnicity, color, gender identity, sexual orientation, age, socio-economic status, national origin and immigrant status, religious or spiritual identity, disability (physical, mental, emotional and developmental), veteran status, and/or limited English proficiency.


    Willingness to contribute towards Fenway's efforts in becoming an anti-racist organization and promoting a culture dedicated to ongoing development in service of humility, equity, diversity, inclusion, and belonging, where differences are acknowledged and valued.


    Preferred qualifications:
    2 or more years' experience in an ambulatory care setting preferred, specifically working with people who use or inject drugs

    Completion of Certified Addiction Registered Nurse (CARN) certification requirements, or commitment to achieve this certification within first year

    Experience with Epic strongly preferred

    Proficiency in Spanish a plus


    We offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match.

    We also provide 11 paid holidays, paid vacation, and more.

    LGBTQIA+ identified persons, Black, Indigenous, and other people of color (BIPOC), and individuals from other historically underrepresented communities are strongly encouraged to apply.

    This is a union position in a Fenway Health bargaining unit represented by 1199 SEIU United Healthcare Workers East.

    Salary Description

    $ per hour ($71,500 - $89,400 per year)


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