Nurse Care Manager

Website Seattle STEP Clinic and Country Doctor Community Health Centers

A low barrier program providing MOUD and associated services

Country Doctor Community Health Centers (CDCHC) is a not for profit organization that operates two primary care clinics, After Hours Clinic, a school-based health center, a dental clinic, a walk-in clinic offering addiction medicine services, and a walk-in nurse clinic at Recovery Cafe. The Carolyn Downs Family Medical Center was founded by the Seattle Black Panther Party more than 50 years ago in Seattle’s Central District Area, and the Country Doctor Community Clinic was established in 1971 by the residents of the Capitol Hill community to provide affordable and comprehensive primary health care services. We care for patients from around the region and the world, of all ages, gender identities, and abilities, including people with and without health insurance. Our staff works with a multi-disciplinary team of dedicated and dynamic individuals who share our commitment to health equity.

CDCHC is hiring a mission-driven Nurse Care Manager that will continue our work of promoting health equity at the Seattle STEP Clinic. STEP (“Support, Treatment, Engagement, and Pride”) Clinic is an innovative and low-barrier clinic provided through collaboration between the Hepatitis Education Project (HEP), a harm reduction agency providing hepatitis testing and syringe services, and CDCHC. Partner organizations collaborate to offer medical and and harm reduction services. The Nurse Care Manager works collaboratively with partners at Seattle STEP Clinic, located on S Jackson Street in the Central District neighborhood of Seattle.

Position Summary:
The Nurse Care Manager works at the top of their scope within a multi-disciplinary health care team, supporting program and clinic goals of quality care and patient satisfaction to ensure that we continuously provide high-quality care to a medically underserved patient population. This role will support patient care by conducting visits for medications for opioid use disorder (buprenorphine or long-acting injectable naltrexone), phlebotomy for hepatitis C treatment, and other limited medical care in conjunction with on-site medical providers. Clinic hours are Tuesday, Wednesday and Thursday 1-5pm, with additional flexible administrative hours to be scheduled with the Clinical Site Director.

Responsibilities

1.     Patient appointments:
–       Facilitate vitals, PMP and urine drug screens
–       Conduct phlebotomy and process lab samples
–       Administer IM and SQ injections, including COVID-19 vaccines
–       Conduct medication start and follow up visits in which the RN is responsible for the majority of appointment and charting
–       Engage in patient education, including medication decision-making and medication start instructions
–       In conjunction with HEP team, advise on safer drug use strategies and opioid overdose reversal (naloxone)
–       Screen for reproductive/sexual health and infectious disease
–       Conduct triage/assessment for acute and chronic health issues, refer as needed

2.     Patient care coordination and outreach:
–       Troubleshoot pharmacy and insurance issues
–       Assist patients with medication questions/issues/instructions, side effects and dosing
–       Make referrals to primary care, behavioral health and medication-friendly support groups
–       Coordinate care with external services: jails, detox, inpatient facilities, hospitals, behavioral health agencies, etc.
–       Conduct phone outreach to patients due/overdue for med refills to invite back to clinic

3.     Operations support:
–       Order and maintain lab supplies
–       Order and maintain vaccine supplies
–       Work with Clinical Site Director to order and maintain on-site medications and emergency “crash kit”

4.     Continuing education and collaboration:
–       Attend virtual and in-person training pertinent to position
–       Attend monthly clinic staff meetings
–       Attend monthly CDCHC Addiction Medicine Program staff meetings
–       Contribute to program innovation and quality improvement

Education/Training/Experience
§  State RN License required
§  Two years of clinic/triage nursing experience preferred
§  Phlebotomy experience preferred
§  Experience providing care to medically underserved populations
§  Experience working with electronic health records – EPIC preferred
§  Case management experience helpful

Abilities
§  Comfort working with patients experiencing substance use disorders, mental health conditions and homelessness
§  Embracing of harm reduction, motivational interviewing and trauma-informed philosophies of patient-centered care
§  Strong interpersonal and effective problem solving skills
§  Respect for staff and patients in accordance with the mission of the clinic
§  Independent work style with the ability to also work collaboratively
§  Ability to multi-task, be flexible and organized
§  Excellent verbal and written communication
§  Computer proficiency, including Word, Excel
§  Function in stressful situations and prioritize effectively with numerous competing priorities

Salary:
Competitive wages, based on experience; this is an exempt, part-time 20 hrs/wk position

Benefits:
We provide a robust suite of benefits to all employees working 17.5 hours per week or more. Benefits include the choice of three medical plans (2 PPO and 1 HMO). We offer two dental plans (1 PPO and 1 HMO) and an optional vision plan. HMO plans are covered at 100% and 75% for dependent children for employees working 35-40 hours per week and is prorated based on hours worked between 17.5-34 hours per week. Spousal and Partner coverage is offered and would be 100% out of pocket cost for the employee. Long-term disability insurance programs, as well as life insurance and accidental death and dismemberment coverage are offered. Also, employees have access to flexible spending accounts, a subsidy up to 50 % of the cost of an ORCA pass, and a generous safe harbor 401K plan with a 3 % base employer contribution plus an additional 2% discretionary match, depending on the amount employee contributes.

HOW TO APPLY:
We are committed to building a culturally diverse workplace and strongly encourage women, persons of color, LGBTQ individuals, veterans, persons with disabilities, and persons from underrepresented groups to apply. Review of applications will begin immediately and continue on a rolling basis, but applicants are encouraged to apply as soon as possible. Please send a cover letter (see below), resume/CV, and list of references to the Human Resources Department, e-mail to hracct@cdchc.org. Please refer to “Nurse Care Manager, STEP, PT” in the subject of your email.

Please address the following in your cover letter:

To be considered for this position, you must specifically answer this question in your cover letter.

Country Doctor Community Health Centers is passionate about serving patients of all ethnicities, races, genders, gender identities, languages, and backgrounds, and employing individuals who are equally committed to this mission. To ensure our organization is best serving these populations, we strive to promote policies that enable us to work effectively in all cross-cultural situations, with patients, with our coworkers, and with the community.

How do you think your past or current experiences, professional or otherwise, have prepared you to contribute to our commitment to cultural humility and diversity amongst our patients and staff?

To apply for this job please visit cdchc.org.

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