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Eliot Community Human Services

Registered Nurse - Multiple Teams

Nursing & Frontline Patient CarePosted on Nov 12
Full-timeBoston, MA, USA

About the Job

Requirements

  • Licensed Registered Nurse in Massachusetts with a Bachelor's degree in Nursing and at least 2 years of experience working with adults with complex medical and/or behavioral health diagnoses.
  • Demonstrated skill and comfort working autonomously in street-based and community settings with patients experiencing homelessness, severe trauma, mental illness, and substance use disorders.
  • Strong commitment to providing non-judgmental care, including overdose prevention and response.
  • Ability to gauge and effectively engage patients across all phases of active substance use and the recovery continuum.
  • Working knowledge of psychiatric medications, psychiatric and medical treatments, and population health management metrics.
  • Ability to collaborate with a diverse multidisciplinary team of outreach workers, case managers, recovery coaches, and medical providers internally and externally.
  • Must have a valid driver's license and reliable transportation to commute and transport clients to appointments as needed.

Responsibilities

  • Perform intensive, field-based nursing outreach to unsheltered individuals and high utilizers of crisis systems across prioritized Boston neighborhoods.
  • Meet clients where they are physically located—on the street, in hospitals, treatment programs, and houses of correction—to build trust and maintain continuity of care.
  • Coordinate comprehensive nursing care for physical health domains, assessing medical issues such as HIV, Hepatitis C, and prenatal care, providing street-based wound care, and supporting chronic disease management through education and medication adherence strategies.
  • Assist clients with complex medical, psychiatric, and trauma profiles by providing medication linkage, specialized case management, and systems advocacy.
  • Provide harm reduction counseling to clients using substances, facilitating rapid referrals for post-use monitoring or medication for opioid use disorder if desired.
  • Respond rapidly to urgent client medical needs and provide follow-up care coordination after critical events, such as overdoses or hospital discharges, to prevent care gaps.
  • Collaborate with outside agencies, hospital emergency departments, detox providers, and multidisciplinary care teams to ensure seamless warm handoffs and holistic care.
  • Participate in relevant internal and external care team meetings and multidisciplinary case conferencing to ensure appropriate nursing involvement and intervention as it relates to member care.

Desired Qualifications

  • Nurse Practitioner or Certified Addiction Registered Nurse (CARN) preferred.

About the Company

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