Office Based Opioid Treatment - Registered Nurse Case Manager - North

North Adams, MA

POSITION SUMMARY The OBOT RN Case Manager will provide skilled nursing care, case management and coordination of care for those Brien Center clients who are being treated for opioid use disorder. In close collaboration with the buprenorphine certified physicians, in-house behavioral health providers and our partners in the community, the RN Case Manager will provide and coordinate the daily and long term care of clients in recovery and provide coverage for residential program(s) and other outpatient location(s) as needed.

 

ESSENTIAL DUTIES

  • Determine patient eligibility to participate in OBOT and initiate intake, under the direction of the physician, if patient meets the clinical guidelines
  • Provide direct patient care (60% to 75% of the workload) within the scope of their RN license. In addition to addiction treatment monitoring (regular interaction with behavioral health, urine drug screen tracking), the OBOT RN case manager will be expected to coordinate screening to track chronic disease measures while working closely with the primary care team.
  • Assist in the development of clinical policies and patient flow design, with particular attention to protocols around screening, risk stratification and separation of clients for repeated breach of sobriety and care plan.
  • Facilitate induction, stabilization and maintenance phases of the OBOT program
  • Administer Clinical Opioid Withdrawal Scale
  • Witness ingestion of medication
  • Administer injectable naltrexone and long acting buprenorphine injections
  • Assess client’s current needs and treatment, consulting with the prescriber about the need for high risk interventions, prescription and referrals to other medical providers if warranted and for other services within the Brien Center.
  • Document patient encounters within 24 hours in EMR.
  • Monitor results of witnessed urine toxicology and alert OBOT MDs of findings
  • Create attendance, toxicology and other outcome reports for ongoing QI monitoring
  • Facilitate communication between OBOT and other treatment providers at the Brien Center and in the community
  • Participate in developing the workflow for communication with PCPs as well as with  buprenorphine certified physicians
  • Provide onsite supports at residential program(s) and/or other outpatient location(s) when requested by the OBOT Nurse Manager
  • Participate in training and technical assistance activities provided via BSAS contract.

ADMINISTRATIVE DUTIES:

  • Weekly coordination with OBOT Recovery Coach and OBOT clinician
  • Report status of OBOT program to OBOT Program Supervisor and OBOT Nurse Case Manager Supervisor on a weekly basis and, as needed, the  OBOT nurse manager, Director of Nursing, Adult and Family Division Director and Medical Director
  • Assist OBOT Program Supervisor with collecting data for all required monthly and annual reports, admissions and discharge data, billing data, and any performance measure information as requested in a timely manner.
  • Assists OBOT Program Supervisor and OBOT Case Manager Supervisor with  BSAS site reviews which occur at least annually in order to conduct program monitoring and evaluation, or more frequently, as needed.

 

OTHER RESPONSIBILITIES

  • Ensure documentation is clear, objective, timely and reflects the delivery of safe, quality care.
  • Establish and maintain an ongoing positive working relationship with all members of the care team, facilitating quality treatment planning
  • Participate in Medication Clinics
  • Communicate regularly with primary care providers to coordinate treatment
  • Monitor client medications and side effects
  • Assist clients in applying for Mass Health assistance/Medicare D – refer to Advocacy for Access
  • Provide education for clients and staff on medications, side effects, health issues and wellness
  • Take and monitor client vital signs when necessary
  • Schedule walk-in clinics for no show/cancelled appointments
  • Perform medication counts
  • Monitor medical related incidents
  • Monitor lab levels
  • Coordinate psychiatric schedules ensuring the prioritizing of those clients with immediate needs
  • Complete prior approval forms for medication and submit to prescriber for review and signature
  • Telephone contact and conferencing with pharmacies, primary care clinicians, hospitals, service programs and significant members of a client’s social network (with signed release)  regarding medication regimes, side effects and desired effects of medication
  • Serve as liaison to pharmacies
  • Monitor completion of annual physicals
  • Become familiar with residential programs and additional outpatient locations
  • Attend all required staff meetings, trainings and supervisions
  • Comply with all Brien Center policies and procedures
  • Flexibly respond to program scheduling needs
  • Represent the agency in a professional manner in all community contacts

 

The description above represents the most significant duties of this position but does not exclude other occasional work assignments not mentioned, the inclusion of which would be similar to those outlined above.

 

QUALIFICATIONS

  • RN with current MA license
  • Computer literate, with knowledge of Microsoft Office and the Electronic Health Record (EHR)
  • Possess and maintain the Healthcare Provider (BLS) level of CPR or obtain within the first 5 months of employment
  • Obtain Certified Addiction Registered Nurse (CARN) certification within two years of hire date
  • Case management and substance use disorder treatment services experience preferred
  • Either trained in evidenced based models or agreeable to training in motivational enhanced training, recovery model, 12 Step facilitation

 

SKILLS

  • Knowledge of the principles and practices of psychiatric/community behavioral health nursing
  • Sound knowledge of normal personality growth and development
  • Knowledge and experience in theory, principle and practices of crisis intervention
  • Knowledge and skill in the use of psychotropic medications
  • Proven skills and knowledge base necessary for clinical decision making and care delivery
  • Strong analytical, problem solving, planning and prioritization skills
  • Extremely detail-oriented in both verifying own work as well as the work of others
  • Experience in case coordination: ability to objectively assess clients and advocate for needed treatment, effectively work with local physicians and their staffs, oversee implementation of medical recommendations
  • Ability and propensity to work with a culturally diverse population with a range of psychiatric disabilities


Requirements include an RN license in Massachusetts, BLS certification, and satisfactory completion of pre-employment Criminal Offense Record Information (CORI) background check.


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