This bilingual nurse case manager is a fully in person role, Monday-Friday 8:00-4:30pm

The SUD RN Case Manager will carry out functions under the supervision of the Director of Nursing and overall guidance and consultation with the Medical Director.

The SUD RN Case Manager will act upon the order of Primary Care Providers to conduct intake assessment, patient monitoring, tracking and ongoing support to patients with substance use disorders and chronic pain management issues. The SUD RN Case Manager will ensure patient's adequate linkages with behavioral health counseling, other levels of substance use care, including medication assisted treatment, and chronic pain management care.

Overview

• Receive and maintain a log of all patient referrals from PCPs and evaluate and screen potential patients to engage in Medication Assisted Treatment.
• Conduct intake assessment including: medical history, medication history, drug and alcohol history including treatment and current use, lab work including LFT's, urine toxicology screen, PPD, education on program, referral to methadone maintenance when appropriate, medication assisted treatment, counseling and psych.
• In collaboration with patient and multidisciplinary team, develop individualized treatment plan based on patient's needs assessment, consents and contracts.
• Make patient referrals to behavioral health, and human services providers at the health center for needed services such as primary care and other substance use and mental health care.
• Make "warm handoffs" and coordinate support to needed services at external organizations including hospitals, substance use treatment programs, etc.
• Coordinate induction, stabilization, and maintenance of MAT when appropriate per clinic protocols under the licensure and direction of the prescribing provider and assess for side effects or other interactions.
• Provide on-going nursing visits, educate patient about MAT and medication treatment side effects, interactions, safety, administration, and plan of care.
• Document patients' progress in the electronic health records adhering to state and federal regulations and requirements specific to MAT.

Qualifications:

• RN License in Massachusetts
• Two years of nursing experience, preferably in an ambulatory care or community health setting preferred.
• Experience with Substance Use Disorders and chronic pain management is a plus.
• Bilingual in Spanish, Portuguese or Vietnamese