HCH Nurse Care Coordinator

HCH Nurse Care Coordinator (Full-Time Days) - Wilson Street Practice

Who You Are:

Catholic Medical Center is seeking a compassionate and dedicated Registered Nurse with a strong commitment to improving the health and well-being of homeless individuals. You bring experience in nursing, behavioral health, and substance use disorders, and excel at conducting in-depth assessments and developing individualized care plans. You are skilled at coordinating care and collaborating with interdisciplinary teams to ensure continuity and access to services. You have a deep understanding of harm reduction principles and are passionate about providing care to vulnerable populations, including those in the HCH MAT Program.

What You'll Do:

• Perform triage and rapid clinical assessments for patients presenting at HCH shelter-based clinics, in partnership with the HCH behavioral health team.
• Initiate emergency responses in life-threatening or unusual situations to stabilize the patient and notify the HCH provider.
• Assess and record patients' vital signs, symptoms, and complaints in preparation for clinic visits.
• Conduct comprehensive bio-psycho-social assessments, including mental health and substance use disorder screenings using evidence-based tools.
• Develop individualized care plans based on nursing assessments, in collaboration with the interdisciplinary team; communicate outcomes to medical and behavioral health providers.
• Provide health education and counseling to patients in support of self-care and health management goals.
• Monitor patients' health status, learning needs, and ability to manage chronic illness while addressing homelessness.
• Provide face-to-face nursing care visits for health education and chronic disease management, in individual or group settings, culturally competent.
• Carry out nursing interventions as ordered by the provider, including medication administration, point-of-care testing, and diagnostic procedures.
• Assess patient safety within shelter, transitional housing, or home settings and intervene as necessary.
• Participate in Street Medicine to engage and enroll homeless individuals into HCH care.
• Monitor and manage patients through the MAT treatment phases, including induction, stabilization, and maintenance.
• Provide nursing management for scheduled visits, urine toxicology screens, lab testing, patient education, and medication refills.
• Maintain accurate documentation of all patient interactions in the EMR, including prescriptions, urine testing, appointments, and other necessary follow-ups.
• Work with prescribers to obtain prior authorizations as needed and provide consultation regarding side effects or concerns from patients.

What You'll Bring:

• Graduate from an approved school of nursing.
• BSN preferred.
• A minimum of 3 years of professional nursing experience
• Experience working with adults with substance use disorders, with case management and psychiatric experience preferred.
• Interest in working with vulnerable populations, with community health experience preferred.
• Licensed in State of NH
• Basic Life Support (BLS) certification required.

Who we are:

Catholic Medical Center ("CMC") is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country. We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment. CMC is proud to be named to the Forbes list of America's Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States. With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.

Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.