Registered Nurse (MAT Program)

Spoke Registered Nurse for MAT Program Full‑time Weekdays Responsibilities Comprehensive Care Management: Activities undertaken to identify patients for Medication Assisted Therapy, conduct initial assessments working with the site team, and help formulate individual plans of care. Care Management also includes the activities related to managing and improving the care of the patient population across health, substance abuse and mental health treatment and social service providers. Care Coordination: The implementation of individual plans of care (with active patient involvement) through appropriate linkages, referrals, coordination and follow‑up, as needed, to services and supports across treatment and human services settings and providers. The goal is to assure that all services are coordinated across provider settings, which may include medical, social, mental health, substance, corrections, educational, and vocational services. Health Promotion: Activities that promote patient activation and empowerment for shared decision‑making in treatment, support healthy behaviours, and support self‑management of health, mental health, and substance abuse conditions. There is a strong emphasis on person‑centered empowerment to promote self‑management of chronic conditions. Comprehensive Transitional Care: Care coordination services focused on streamlining the movement of patients from one treatment setting to another, between levels of care, and among health and specialty mental health/substance abuse service providers. The goal is to reduce hospital readmissions, facilitate the timely development of community placements, and coordinate sharing of necessary treatment information among providers. The key orientation is a shift from reactive responses to transitions to planned, seamless transitions of care. Individual and Family Support: Assist patients in fully participating in treatment, reduce barriers to accessing care, support age and gender appropriate adult role functioning, and promote recovery. Help create and support the patient’s support system. Referral to Community and Social Support Services: Assist patients in obtaining and maintaining eligibility for formal supports and entitlements (e.g., health care, income support, housing, legal services) and facilitate the connection of patients to informal community resources. Participate in weekly staff meetings. Participate in group supervision meetings as scheduled. Participate in clinical and administrative supervision meetings as scheduled by Clinical Director. Participate in scheduled Performance & Quality Improvement Meetings (PQI) as directed by Clinical Director. Ensure all policies and procedures as they pertain to patient’s engagement in treatment are upheld. Develop effective working relations and cooperate with the provider team throughout the entire case management process. Serve as an ambassador in support of integration between behavioral and medical team throughout entire case management process. Establish a network of connections and effective relations with community agencies, hospitals, and service providers to effectively link patients with services that meet their needs and strengthen their stability. Provide continuity of care as evidenced by documentation of and communication with collaborative providers and agencies. Act as client advocate to coordinate required services or to resolve emergency problems in crisis situations. Collaborate with therapist, medical providers, and other members of the care team to ensure patient needs are being met and monitor program compliance. Qualifications Current RN licensed in Vermont required and BSN preferred. Demonstrated ability to connect patients to area resources, to serve as a patient advocate and to effectively perform case management. This high‑visibility position requires excellent interpersonal skills, the ability to effectively deal with change, and the capability of interfacing with the community in an organized and collaborative way. Supports our mission to improve the lives of people with Substance Use Disorder and to promote good health and disease prevention. Ability to work independently and as part of a team. Ability to plan and prioritise work with limited supervision. Working knowledge of the area social services, justice, health, community service, and governmental agencies is a plus. Ability to serve as a liaison to participants, monitors, employees, and professional liability insurance providers and provide advocacy as needed. One‑year experience using an Electronic Health Record. Previous use of Athena Electronic Health Record (or EMR) is a plus. Computer literacy; typing skills, knowledge of EHR/EMRs. Ability to work with individuals and groups from diverse populations; bilingual/bicultural preferred. Excellent verbal and written communication skills. Ability to present information in a group setting. Ability to effectively manage time to meet deadlines. Ability to administer medical injections. Proficiency in clinical documentation (assessment, treatment planning, progress notes). Equal Opportunity Employment We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. #J-18808-Ljbffr