Sr. Clinical Nurse Case Manager

Under the supervision of the Clinical Nurse Manager, we are seeking a Sr. Clinical Nurse Case Manager who will perform duties related to medical case management and non-medical case management nursing duties as a member of the health care and support service team providing services to people living with HIV and viral hepatitis. The candidate will counsel and manage patients on HIV pre-exposure prophylaxis (PrEP) and non-occupational HIV post-exposure prophylaxis (nPEP) under standing orders in an RN-led care model. The candidate will test, treat, and provide prevention interventions to patients for sexually transmitted infections per clinic protocols, and triage and consult with clinic providers (NP, PA, physicians) at the Baltimore City Health Department (BCHD) sexual health and wellness clinics.

Specific Duties & Responsibilities

HIV program duties

• Case management of a panel of HIV continuity patients, including monitoring and educating clients about medication side effects, disease process, and lab values.
• Conduct psychosocial assessments, identify needs for interventions, and facilitating the ability for patients in the HIV care program to access recommended interventions, and develop treatment plans.
• Provide HIV treatment adherence counseling.
• Adherence assessment/Plan.
• HIV/HAART education.
• Pill box preparation.
• Regular monitoring of adherence and tolerance to medications.
• Pharmacy monitoring of prescription completion by the patient.
• Administer and coordinate long-acting injection delivery for HIV therapy. Coordinate appropriate drug storage and handling.

PrEP and nPEP Program Duties

• Evaluate BCHD Sexual Health Clinic patients for HIV PrEP or nPEP initiation, order baseline labs, provide education and counseling, manage prescriptions under clinician NPI number and following standing orders, work with support staff to eliminate financial and insurance barriers to PrEP, and act as the main point of contact for patients.
• Manage a panel of patients on PrEP and doxycycline PEP, lead the site-specific PrEP team through a regular process of reviewing the patient panel and conducting appropriate follow-up to support persistence on PrEP/doxycycline PEP.
• Administer and coordinate long-acting injection delivery for PrEP therapy. Coordinate appropriate drug storage and handling.

Hepatitis C Program Duties

• Case management of a panel of patients being treated for Hepatitis C, including monitoring and educating clients about medication side effects, disease process, and lab values.

General Duties

• Conduct "express" STI testing visits for patients appropriate for laboratory testing only.
• Obtain sexual and behavioral risk history.
• Provides patient education on HIV, sexually transmitted infections, hepatitis test results, disease transmission, and risk reduction.
• Collect specimens and coordinate with the lab when necessary.
• Assist with performing point of care testing (rapid HIV, rapid Hepatitis C, etc.).
• Review test results, communicate results to patients, and triage to providers as appropriate.
• Administer medications and vaccines as appropriate per clinic protocols.
• Assist with prescription refills.
• Consult with the ordering clinician or medical director for patients with complex medical conditions or any medical decision-making that is not covered in standing orders.
• Triage patients presenting with acute issues, by phone or in person.
• Assist with tracking and restocking the clinic's medication inventory.
• Complete all charting in medical records per protocol.
• Additional administrative tasks as necessary.
• Assist with clinic initiatives, including QI activities.
• Interpret for Spanish-speaking patients when medically necessary

Protocol Development and Continuous Quality Improvement

• Assist with developing and updating case management-specific protocols and standard operating procedures (SOPs)
• Assist with implementing new protocols, such as injectable antiretroviral therapy for HIV.
• Oversee medical case management activities and facilitate communication between the care teams.
• Lead continuous quality improvement activities for the HIV continuity program focused on viral suppression, linkage, and retention in care.
• Assist with developing the clinic schedule and coordinating staff coverage.
• Assist with coordinating the care of all patients enrolled in the HIV Directly Observed Therapy program.
• Assist with additional administrative and patient care tasks as necessary.

• Individual must be a registered nurse, licensed in the State of Maryland or the state where practicing. Bachelor's degree in nursing or related discipline required.
• Require a minimum of two years of related nursing experience, with additional experience preferred.
• Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula.

• Knowledge of STI/HIV/TB/HCV disease, treatment, prevention, and resources.
• Ability to work with culturally diverse patient, staff, and community populations.
• Ability to work in a multidisciplinary, multi-organizational team setting.
• Strong organizational skills with attention to detail and follow-through.
• Self-starter with the ability to work with minimal supervision.
• Strong leadership potential.
• Phlebotomy and injection skills.
• Proficiency in medical and conversational Spanish is desired.

Classified Title: Sr. Clinical Nurse
Job Posting Title (Working Title):Sr. Clinical Nurse Case Manager
Role/Level/Range: ACRP/04/MF
Starting Salary Range: $75,100 - $131,700 Annually ($103,000 targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday-Friday 8:30am - 5:00pm
FLSA Status:Exempt
Location:Hybrid/School of Medicine Campus
Department name: SOM DOM ID BCHD
Personnel area: School of Medicine