Care Manager, RN, Buprenorphine Treatment Program

Overview

Buprenorphine is a partial opioid agonist, blocking their effects and preventing withdrawal symptoms, and is an effective overdose intervention that can be prescribed in the general practice setting. The Nurse Care Manager who reports to the Director, Care Coordination, will work with primary care providers to deliver team-based care, and manage the care and coordination of patients being treated for opioid use disorders at Bishop Walker through the Buprenorphine Treatment Program. The Nurse Care Manager is responsible for screening and assessment of potential buprenorphine treatment patients; medication induction; stabilization; and maintenance of care under the supervision of the primary care provider.

Responsibilities

The duties and responsibilities of the Nurse Care Manager include but are not limited to:

• Support delivery of buprenorphine treatment, including engagement, assessment, intake, induction, stabilization, maintenance, and relapse prevention and care
• Manage patients under the guidance of the waivered prescriber with close clinical follow-up and ongoing communication with the waivered prescriber by telephone, EMR, and team meetings
• Coordinate ongoing follow-up care, close telephone monitoring, relapse prevention and care, and support for patient self-management
• Ensure the initiative follows state and federal guidelines, and collaborate as needed with other care staff, including prescriber, social worker/counselors, psychiatrists, pharmacy, and specialty care providers
• Coordinate issues including obtaining medication history, prescription processing and refills, prior authorizations, insurance, concerns of diversion, safety, and behavioral health referrals
• Champion buprenorphine prescribing with the care team and the rest of the hospital
• Attend an initial NYC DOHMH eight-hour Nurse Care Management training
• Attend four (4) NYC DOHMH “booster trainings” per year (quarterly) on topics relevant to this buprenorphine expansion initiative (e.g., Hepatitis C treatment and management, urine toxicology screening, relapse prevention, motivational interviewing, harm reduction, compassion fatigue)
• Attend four (4) NYC DOHMH Buprenorphine in Primary Care learning communities per year (quarterly) on essential topics for buprenorphine treatment (e.g., assessing patients for buprenorphine treatment, polysubstance use, mental illness and buprenorphine treatment)
• Collaborate with NYC DOHMH, including participating in NYC DOHMH-led evaluation
• Conducts initial visit including detailed opioid use history and education about the nature of opioid use disorder and the goals and expectations of treatment
• Consults with patient and primary care provider about treatment options and preferences; coordinates initiation of treatment plan
• Monitors patient closely (in-person or by phone) for changes in severity of symptoms and medication side effects; educates patients about medications and medication side effects, as needed; encourages treatment adherence
• Uses behavioral activation techniques with patients as an adjunct to other treatments
• Documents all encounters according to organizational policies and procedures, monitors the outcomes of all interventions and achievement of outcome measurements.
• Facilitates treatment referrals, as needed
• Completes relapse prevention plan with patients who are in remission
• Works with Director, Care Coordinator and practice’s performance improvement team
• Participates in Quality and Performance Improvement activities
• Other duties as assigned.

Qualifications

Education:

• High School Diploma or equivalency, required. 
• Bachelor's degree (BSN), preferred.

Experience:

• Minimum two (2) clinical experience with care/case management, populations with high poverty, chronic illness, and/or behavioral health issues; psychiatric and outpatient care setting, preferred.  

Knowledge and Skills:

• Knowledge of community resources for older adults.
• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge and word processing skills.
• Effective written and verbal communication skills.
• Demonstrated ability to establish rapport quickly with a wide range of people.
• Demonstrated ability to work collaboratively with other members of a patient care team to achieve patient goals and meet patient needs.
• Organized and detail oriented.
• Effective critical thinking skills.
• Ability to use verbal and nonverbal calming techniques to prevent crisis situations.

Licenses, Certifications:

• Licensed and currently registered as a Professional Nurse in New York State required.

Physical Requirements:

• Involves standing, walking, sitting, lifting and talking.
• May include some repetitive motions.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.