Position Summary

We are currently looking for a Part-time Registered Nurse to work in our Winnebago, also known as a “Mobile Health Unit.” This position is NOT office based. This position works outdoors and on the Winnebago stationed in neighborhoods of high need or on foot. Clinical staff work to provide medication-assisted therapy, HIV and HCV testing and treatment, overdose prevention and training in addition to urgent care, general health care, and case management services. The RN will facilitate the administration of these clinical services and the administrative management of the clinic in collaboration with the Director of Clinical and Holistic Health, the Medical Director, and the rest of the team. We are looking for an RN who is dedicated to harm reduction principles and eager to work in a high paced, high intensity environment.

Reports to: Director of Clinical and Holistic Health
Pay Rate: Hourly: $45.74 – $54.94
Position Type: Part-Time 
Hours Per Week: 20

Responsibilities

• Responds to each client’s need for health care and health education independently, and when appropriate provides such care under the supervision of the physician. 
• The RN will be cross trained to facilitate patient registration in Montefiore’s electronic health system: EPIC, provide basic case management services such as health insurance navigation, communication with pharmacists, and assisting clients with making external appointment referrals.
• Administers directly observed therapy (DOT) medications to patients who need a safe place to keep prescribed HCV medication due to unstable housing. Assures that clients are taking medications as prescribed to encourage adherence.
• Utilizes the nursing process to assess, plan, implement and evaluate patient care independently. Performs phlebotomy to obtain blood specimens as ordered by the physician. Implements wound care and dressing changes. Implements blood glucose monitoring. Administers vaccines and documents their administration. Places and reads TB tuberculin tests. 
• Assists in overdose reversal and monitoring in the Drop-In Center (DIC). Assists are directive but are “hands-off” to facilitate “hands-on” learning for staff and peers working in the DIC. Facilitates overdose briefings at the end of the shift to discuss what went well and what could be improved. Assists the Naloxone Manager in staff overdose response and CPR/AED refresher trainings.
• Is a regular presence in the Winnebago to build relationships with new participants and maintain patient connections. 
• Promotes informed, autonomous decision making to reduce risks associated with drug use.
• Delivers non-judgmental education around: overdose prevention & reversal with naloxone, safer injection practices, safer sex, vein finding, infectious disease prevention and/or management, buprenorphine initiation/management, HIV prevention with PrEP, HCV treatment and re-infection prevention, hydration/nutritional education and much more. 
• Connects individuals to appropriate case management services and warmly hands them off to the appropriate staff person. Coordinates external specialist appointments and coordinates escorts from case management when appropriate, assists in making the appointment, ensures that health insurance coverage is not a barrier at the external agency and reminds the client of the upcoming appointment.
• Perform other related tasks and responsibilities as assigned.

   

Qualifications

• Graduate from an accredited nursing program. New graduates are welcome to apply. 
• Current New York State (NYS) Registered Nurse license.
• Experience working in community health with marginalized populations preferred. Including; HIV positive individuals, active drug users, unstably housed individuals, sex workers or formerly incarcerated individuals.
• Current CPR/BLS certification required. 
• Must be comfortable independently carrying out clinical skills (wound care, triage, overdose reversal, health assessments) with little oversight.
• Maintains respect and compassion for all clients being served, regardless of their active drug use or treatment compliance.
• Commitment to harm reduction and social justice as it pertains to individuals who use drugs or engage in sex work in a multi-cultural, multi-racial environment, in a non-judgmental way.
• Bilingual (English and Spanish) is preferred.
• Strong phlebotomy skills with patients who have vein finding difficulty is a plus. 

This is a bargaining unit position represented by New England Joint Board, Unite Here.