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Ambulatory OBGYN Office Based Addiction Treatment Nurse Case Manager

Location: Boston, MA
Post Date: 7/25/2020
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GENERAL STATEMENT OF OVERALL OBJECTIVES OF THE POSITION:
Provides skilled nursing services to opioid dependent pregnant and parenting persons. Performs initial assessments, inductions, stabilization, medication monitoring, primary obstetric and recovery care within the Project RESPECT opioid treatment program. Additionally, provides community outreach and collaboration with area programs providing recovery serives to minority populations.

SUPERVISION RECEIVED:
Director of Project RESPECT; Kelley Saia, MD
Nurse Manager; Megan O'Brien, RN, BSN
Program Director STATE OBOT B; Colleen LaBelle, BSN, RN-BC, CARN

The registered nurse, adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines and standards of practice.

Graduate of an accredited school of nursing with an Associate's degree or Baccalaureate degree in nursing (BSN). BSN preferred. Candidates who do not have a BSN must be enrolled in a Baccalaureate program within 6 months of hire and must complete their BSN within 36 months of hire.

Registration and current RN licensure in the state of MA in good standing required.

Requires current basic life support (BLS) certification. Some units may require Advanced Cardiac Life support (ACLS) certification.

Additional certifications may be required for certain practice areas

  • Basic computer proficiency inclusive of ability to access, enters, and interpret computerized data/information.
  • Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families.
  • Organizational skills to set priorities and efficiently complete assigned work.
    Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.
  • Relevant clinical experience and/or specialty, certification required for certain practice areas, e.g., enterstomal therapy, epidemiology, peri-operative areas.
  • Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.
  • Ability to effectively delegate appropriate patient care activities.
  • Effective verbal and written communication skills appropriate to the patient populations served.
    Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served.
  • Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate and personnel issues.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Works collaboratively with all members of the multidisciplinary RESPECT team
  • Participates in community outreach with focus on healthcare disparities experienced by pregnant women of color with substance use disorders
  • Conducts initial assessment and intake obtaining social, obstetric, medical, mental health, substance use, and medication history
  • Collaborates with the Maternal Fetal Medicine resident and in-patient team regarding patient medication titration and prescription set up
  • Reviews intake assessment with the RESPECT team and establishes appropriate plan of care for patient
  • Revise patient plan of care with the opioid treatment team as needed to address patient needs and issues
  • Collaborates and communicates in weekly meetings with RESPECT treatment team
  • Reviews consents and treatment contracts with patients
  • Provides ongoing management of patients receiving opioid treatment medications; including up to 12 months following delivery
  • Provides ongoing education and support of patients in all phases of treatment including; nursing visits, urine drug monitoring, routine labs as needed, medication teaching, monitoring, pill counts, observed dosing, and medication refills
  • Follows State and Federal guidelines in providing care to opioid dependent patients in collaboration with licensed, prescribing physicians, and pharmacy
  • Remain up to date on state and hospital requirements for mandated reporting to Department of Children and Families
  • Completes appropriate documentation with excellent record keeping; routine monitoring of the Prescription Monitoring Program (PMP)
  • Consistently uses clear, concise, and effective communication, both written and oral, and complies with departmental policies when sharing/documenting relevant patient care data
  • Provides follow-up care in person and via telephone/ video as needed
  • Manages ongoing medication orders, prescriptions, refills, and patient communication as needed
  • Assists with on-going and future clinical research projects focused on pregnancy, parenting and substance use disorders
  • Participates in activities related to the Opioid Use Disorder AIM Bundle implementation at Boston Medical Center

OTHER DUTIES:

Performs other duties as specified by supervisors.

QUALIFICATIONS AND ENTRANCE REQUIREMENTS:

  • Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts
  • Certified in areas addiction medicine preferred
  • Leadership experience with the ability to work autonomously
  • Minimum of five (5) years of nursing experience preferred
  • Addiction experience required
  • Obstetric experience preferred
  • Knowledge of healthcare disparities and its impact on addiction treatment preferred
  • Experience working with pregnant women of color preferred
  • Knowledge of community and health resources, particularly addiction related resources and supports preferred
  • Effective verbal, written, and interpersonal skills with ability to interact with providers and team members from various settings
  • Sensitivity to ethnic, cultural, gender, beliefs, and behaviors
  • Ability to work in a fast paced environment, with excellent communication skills, critical thinking, and problem solving abilities
  • Bilingual preferred

Req ID: 15920

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