Boston Health Care for the Homeless Program Nursing Jobs and Careers

Nurse Practitioner/Physician Assistant

Boston Health Care for the Homeless Program Boston, MA

$105,600 - $143,616 / year

Who We Are: Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary: ***NOW OFFERING A $4,000 SIGN ON BONUS*** Hours: Full-time; 40 hours per week Union: None Union Name: None Patient Facing: Yes Boston Health Care for the Homeless Program is seeking a dynamic, patient-centered, proactive, and energetic Nurse Practitioner/Physician Assistant to join a multidisciplinary team. This position will provide comprehensive, high-quality primary, episodic and/or recuperative care at our main campus and surrounding shelter-based clinics. The ideal candidate for this role must be a self-starter and have the ability to lead a care team in partnership with other clinical peers. Our practice is collaborative, supportive and innovative. We are looking for someone who shares these qualities. Responsibilities: Provides comprehensive, high quality episodic and/or recuperative care at various clinical sites staffed by Boston Health Care for the Homeless Program. May work at shelter-based clinic, hospital-based clinic, respite facility or on street-based outreach based on program needs. Elicit an appropriate history, perform physical examinations, order diagnostic studies, interpret results and initiate therapy in accordance with the Guidelines for Physician Assistants and Nurse Practitioners of Boston Health Care for the Homeless Program. Refer patients as appropriate to medical specialists, hospital admission, recuperative care, and detox facilities, providing appropriate information for continuity of care. Participate in collaborative relationship with BHCHP physician according to the Regulations of the Commonwealth of Massachusetts. Provide education to patients on health promotion and disease treatment and prevention. Work as part of multi-disciplinary team (medical, nursing, dental, BH, pharmacy, case management) in caring for patients. Administrative Responsibilities: Maintain adequate, up-to-date medical records, completed in a timely manner, according to the guidelines of BHCHP, employing standard forms such as problem lists, medication lists, etc. Maintain active DPH, DEA, and professional license, managed care credentialing and CPR training. Some on-call and holiday coverage required. Qualifications: Licensed by the Commonwealth of Massachusetts. Registered or eligible to be registered with the Massachusetts Department of Public Health and the Federal Drug Enforcement Agency. At least one year of direct NP/PA experience. Life support training certification (e.g. CPR, BLS, ACLS) from a course that includes a hands-on, in-person component. If not certified prior to start date, applicant must submit certification within 90 days of start date. Experience in working with underserved populations, mentally ill, homeless and/or persons with substance use disorders preferred. Bilingual proficiency preferred. Compensation and Benefits: ***NOW OFFERING A $4,000 SIGN ON BONUS*** The compensation ranges from $105,600 - $143,616 annually and increases based on years of experience. BHCHP full-time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Registered Nurse (RN)

Boston Health Care for the Homeless Program Boston, MA

$40 - $58 / hour

Who We Are: Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary : ***NOW OFFERING A $4,000 SIGN ON BONUS*** Hours: Evening/Night: 36 hours per week: 7:00pm – 7:30am, 11:00pm - 7:30am ; every other weekend/holiday and holiday Union: None Union Name: None Patient Facing: Yes BHCHP is seeking a talented and compassionate registered nurse. You will find challenging and satisfying work every day alongside people who share the same drive and compassion as you do. In this vital role as a registered nurse, you will provide nursing support for respite patients throughout the BHCHP program. This position is crucial to assure that clinically appropriate and timely decisions are made, and actions are taken around patient assessments, administering of medications, treatments and overall patient care. Responsibilities: Direct nursing care of patients on assigned team to ensure that all needs of the patients are met, in conformance with respite established policies and procedures, as well as Department of Health rules and regulations. Responsible for accurate assessments and documentation, reporting to appropriate personnel as indicated (i.e., on-call provider, nurse manager, Director of Nursing, etc.). Responsible for administering medications and treatments to all the patients assigned to his/her Team skillfully and correctly, documenting per policy; observe and report any adverse reactions. Responsible for updating and maintaining accurate treatment records, flow sheets and vaccine administration, documenting appropriately. Participate actively in New Patients Rounds, Team Rounds, and all other Team meetings when appropriate. Responsible for giving and receiving report at change of shift; checking narcotics and related drug supplies per policy; sign appropriate forms. Responsible for taking off orders accurately, per policy; responsible for assigning specific individual tasks to, and directing Respite Aides, and giving each a verbal report on patients' needs. Maintains a professional approach with confidentiality; maintains the standards of accurate and complete recording and reporting. Ensuring that the clinical record for each patient on his/her Team is current and accurate. Qualifications: Licensed as RN in the Commonwealth of Massachusetts Minimum of 2 years of experience preferred Valid CPR/BLS certification Experience with underserved population preferred Experience with EMR strongly preferred; strong medical assessment skills Bilingual Spanish & English candidates encouraged to apply Benefits: ***NOW OFFERING A $4,000 SIGN ON BONUS*** The compensation ranges from $40.00 -$58.00 per hour and increases based on years of experience. BHCHP full time employees are eligible for our competitive time off policy of 4 weeks’ vacation , health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount and more. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Assessment Nurse Care Coordinator - Per Diem

Boston Health Care for the Homeless Program Boston, MA

$49 - $55 / hour

Who We Are: Since 1985, BHCHP’s mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each year and ensure that every one of these individuals can receive comprehensive health care, which includes primary care, behavioral health, medical respite, dental, case management, and more. Our staff work in 30+ locations across the city to serve some of our community's most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity, centering trust, mutual respect, hope, and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down physical and systemic barriers that our patients face and provide community-based health care services that are compassionate, dignified, and culturally appropriate. Job Summary: Hours: Per Diem – as needed, during the hours of 8:30am-5:00pm Monday – Friday Union: No Union Name: Non-union Patient Facing : Yes BHCHP is seeking an RN who is interested in flexible weekday hours and working on a small, tight-knit team that provides care coordination services to clients enrolled in the BHCHP OneCare Program. The OneCare program is a state initiative to promote care coordination, continuity of care, and improved health outcomes for those clients under 65 who are eligible for both Medicare and Medicaid. In this role, you will mostly focus on performing Uniform Core Assessment (UCA) assessments and creating care plans customized to meet the needs of individual clients. UCA training is provided by Commonwealth Care Alliance (CCA)/CareSource. You will also help update these plans both annually and when a client has had a significant change in status. You will be required to provide face-to-face outreach to meet with clients, assess their status, and support the client’s progress toward better health outcomes. You will also connect with clients by phone, communicate with providers about client needs, and connect clients to eligible services including visiting nursing, nutrition, durable medical equipment, and social services. Clients may be housed; living in shelters or on the streets and you will need to be resourceful to connect with our clients. It is anticipated that success with connecting with clients will require communication with BHCHP care teams and shelter partners, use of BHCHP and CCA/CareSource electronic medical records, as well as outreach to clients who are living on the street, shelter, or in temporary or permanent housing. You will need to remain flexible and creative, as this role will continue to evolve as experience is gained. There is potential for this role to expand to full-time hours in the future if the candidate is interested. Responsibilities: Assumes responsibility for the coordination of care between BHCHP medical teams and the OneCare program for BHCHP clients who are enrolled in the OneCare Program. Conducts UCA assessments for clients enrolled in the OneCare program; collaboratively participates as a member of the primary care team that includes M.D.s, N.P. /P.A. s, Clinical RNs, behavioral Health Clinicians, Medical Assistants, Case Managers and others. Communicates with clients and/or caregivers including performing outreach as necessary in the greater Boston area for face-to- face contact to homes, hospitals, other facilities, etc. as needed to assess build relationships, client status, and identify new care needs; communicates clearly and professionally with other members of the interdisciplinary team as well as with clients and caregivers. Uses CCA/CareSource and BHCHP’s Electronic Medical Records (EMR) in a timely manner to note all client interactions and outcomes accurately and efficiently; input authorizations for Durable Medical Equipment and other services (Home Health Aide, Skilled Nursing, Physical Therapy, and Personal Care Attendant) based on UCA assessment; bills for UCA assessments into BHCHP’s EMR (EPIC) weekly. Conforms to BHCHP standards of performance around client rights, customer service, infection control, safety procedures and culturally competent care. Remains flexible in duties as role expands and is available for assistance with other projects as needed. Qualifications: Basic Knowledge/Skills: Strong medical and surgical assessment skills. Interest in working with disadvantaged groups; understanding of substance abuse and mental health. Excellent organizational and interpersonal skills; timely and strong communication skills via phone, e-mail, and internal secured messaging systems. Ability to work as part of a team and autonomously; must be able to work with and cooperate with multidisciplinary teams to achieve best patient care. Ability to prioritize and have attention to timetables to complete tasks. Experience with documenting in EMRs: EPIC, Guiding Care, and ECW strongly preferred. Proficient with Microsoft Office Suite and ability to adapt to technological changes. Must be well organized, efficient and can work autonomously and within a team. Driver’s license a plus. Education and Experience: Licensed as RN in Commonwealth of Massachusetts. Previous community health center or primary care experience. 1- 2 years RN experience preferred. Demonstrated interest in public health, primary and preventive nursing and working with an under-served population. Compensation: Compensation ranges from $49.00 - $55.00 per hour and is based on years of experience. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Nurse Case Manager, Outreach

Boston Health Care for the Homeless Program Boston, MA

$40 - $58 / hour

Who We Are: Since 1985, BHCHP’s mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each year and ensure that every one of these individuals can receive comprehensive health care, which includes primary care, behavioral health, medical respite, dental, case management, and more. Our staff work in 30+ locations across the city to serve some of our community's most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity, centering trust, mutual respect, hope, and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down physical and systemic barriers that our patients face and provide community-based health care services that are compassionate, dignified, and culturally appropriate. Job Summary: ***NOW OFFERING A $4,000 SIGN ON BONUS*** Hours: Monday - Friday, 8:00 am-5:30 pm - full-time or part-time schedule possible Union: No Union Name: n/a Patient Facing: Yes Are you an RN looking for an opportunity to combine clinical nursing with meaningful community outreach? We are seeking an HIV Nurse Case Manager to join a dynamic, multidisciplinary HIV primary care team nationally recognized as a model of excellence. In this role, you will build trusting relationships with patients and provide compassionate, non-judgmental nursing care across a variety of settings—including outpatient clinics, shelters, drop-in centers, street outreach locations, and patients’ homes. Working alongside medical providers, case managers, social workers, behavioral health professionals, and other nurses, you will help ensure that patients receive coordinated, comprehensive care wherever they are. Your clinical responsibilities will include HIV and chronic disease management, nursing assessment, triage, care coordination, medication adherence support, health education, and behavioral risk-reduction counseling. You will respond to both routine and urgent patient needs and help ensure clear communication and continuity of care across the multidisciplinary team. This is an opportunity to take nursing beyond the traditional clinic setting and make a lasting impact by connecting people experiencing homelessness and living with HIV to care, supporting ongoing engagement and retention in treatment, and helping patients achieve and sustain their health and wellness goals. This position is funded until the end of March 2028 with the possibility for renewal. If this funding is not renewed, this position will end March 31, 2028. Responsibilities: Provides outpatient primary care nursing including medical assessments and triage services for HIV team patients coming in for same-day or scheduled visits; conducts virtual, telephonic, or in-person nurse assessment and triage to assess the severity of the patient’s health concerns using approved protocols and resources to advise appropriately. Documents patient information accurately and in a timely manner in the EHR. Implements the patient-centered plan of care, evaluates outcomes, and regularly communicates the plan of care, patient status, and progress toward goals with the patient and care team members; conducts comprehensive intake assessments for new HIV team patients. Administers vaccines, injectable medications, and provides wound assessment and wound care as indicated; provides medication adherence assessments and counseling. Provides directly observed therapy when indicated with support of outreach team members. Coordinates care with integrated HIV team behavioral health staff. Along with other team members, visits patients at shelters and other outreach sites to provide nursing care and care coordination services and identify barriers to medication adherence and engagement in care. Provides chronic disease management support for HIV as well as other common co-morbid medical conditions such as diabetes and hypertension. Identifies any structural barriers patients face in accessing medical care and adhering to HIV medications, and works with the interdisciplinary team to address those barriers (e.g., housing, transportation, drug treatment, food, clothing, benefits, etc.) Assists medical providers in coordinating follow up related to the provision of medication (such as buprenorphine and naltrexone) for opioid use disorder and other substance use disorders. Coordinates preventative services for HIV team patients including, but not limited to, education, preventative medications, vaccinations, testing, and referrals. Promotes a compassionate and therapeutic environment that is responsive to the unique patient population and extends to members of the care team; demonstrates initiative and commitment to continuously improve services and processes that positively impact patient care and organizational goals. Participates in training and orientation of new nursing staff as directed by Supervisors. Exhibits a positive attitude with patients and establishes professional and respectful relationships with the internal and external healthcare team members, agencies, and healthcare facilities. Qualifications: Licensed as a Registered Nurse in the Commonwealth of Massachusetts. Bachelor’s degree in nursing preferred; 2 years of experience working in an ambulatory/outpatient care environment required. HIV primary care experience strongly preferred. Certification as AIDS Certified Registered Nurse (ACRN) preferred; however, this can be obtained after being hired, and program funding available to support this training . Expertise in substance use disorder and risk reduction principles, strongly preferred. Experience working with people experiencing homelessness strongly preferred. Mental Health experience, including knowledge of trauma informed care, a plus. Experience working in a community health center setting, a plus. Phlebotomy experience preferred or training upon hire Compensation and Benefits: ***NOW OFFERING A $4,000 SIGN ON BONUS*** The compensation increases based on years of experience and ranges from $40.00 - $58.00 hourly. BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Outpatient Per Diem Registered Nurse

Boston Health Care for the Homeless Program Boston, MA

$49 - $55 / hour

Who We Are: Since 1985, BHCHP’s mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each year and ensure that every one of these individuals can receive comprehensive health care, which includes primary care, behavioral health, medical respite, dental, case management, and more. Our staff work in 30+ locations across the city to serve some of our community's most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity, centering trust, mutual respect, hope, and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down physical and systemic barriers that our patients face and provide community-based health care services that are compassionate, dignified, and culturally appropriate. Job Summary: Hours: Per Diem, Days/Evenings/Weekends (Weekday availability preferred) Union: No Union Name: Non-union Patient Facing: Yes Are you a Registered Nurse looking for the flexibility of per diem work while making a meaningful difference in the lives of patients? Join our outpatient care team and bring your clinical expertise to a collaborative environment where every patient interaction matters. As a Per Diem Registered Nurse , you will provide compassionate, high-quality ambulatory care to patients across a range of health conditions and stages of illness. You will have the opportunity to build strong patient relationships while providing education and support focused on medication management, chronic disease management, preventive care, and overall health promotion. This is an excellent opportunity for nurses who value flexibility, meaningful patient connections, and continued professional growth. Graduate nursing students are encouraged to apply and gain valuable hands-on experience in an outpatient clinical setting. Responsibilities: Direct Nursing Care: Provide clinical nursing care to address patients' health needs, conforming to established BHCHP policies and procedures, and Department of Public Health regulations; provide all nursing related activities in association with primary care clinical operations at BHCHP primary clinic settings including nursing case management activities, immunizations, injectable medication administration, point of care testing, phlebotomy, and health screenings; provide triage and nursing assessment of walk-in and scheduled patients. Collaboratively work as part of BHCHP clinical team to address ongoing and new health concerns from patients. Accurately assess and document ongoing clinical nursing care promptly, reporting to appropriate personnel as indicated (i.e., on–call Provider, Nurse Manager, Site Manager, etc.) Assist patients with management of medications and understanding of disease processes. Respond to medical emergencies within the site and activate emergency medical services when indicated; practice trauma-informed care, motivational interviewing, and harm reduction principles in clinical care. Support ongoing quality improvement efforts for the clinic site and program. Communication: Maintain a professional approach with confidentiality. Maintain the standards of accurate and complete recording and reporting; ensuring that the clinical record for each patient is current and accurate. Communicate with clinic team members to support ongoing collaborative clinical care for patients. Collaborate with site partners as appropriate. Qualifications: Commonwealth of Massachusetts RN license Minimum of 2 years nursing experience preferred; or current enrollment in a graduate nursing studies program. Experience with underserved population and active substance use preferable Multiple language proficiency preferred – Spanish, French, Haitian-Creole, etc. Experience with Epic EMR preferred. Strong medical assessment skills. Experience in public health, primary and preventive nursing/medicine. Understanding of substance use, trauma, and behavioral health issues. Compensation: Compensation ranges from $49.00 - $55.00 per hour and is based on years of experience. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.