Johns Hopkins University Sr. Clinical Nurse in Baltimore, Maryland

Job Title: SR. CLINICAL NURSE

Working Title: PROGRAM MANAGER/Telemedicine, County program

Role: ACRP

Level: 4

Range: MF

Status: Exempt

Hours: 8:30 AM to 5:00 PM

Work week: M on-Fri

Division: Infectious Diseases

Department: DOM

Location: Western Maryland

To provide program coordination, nursing assessments and coordination of care for HCV patients to be seen and treated through the HCV telemedicine , provide HCV education; provide medical case management services to patients and contacts served at Western Maryland health department’s telemedicine program(s). Active management of telemedicine program launch and coordination of all program operations.

Duties and Responsibilities:

Coordinates the activities of personnel utilized to staff various community health programs:

  • Ensure program policy, procedures and guidelines are developed and in place and achieve consensus to coordinate appropriate activities on clinic days in order for HCV patients to be seen.

  • Ensure that community visits are completed in accordance with HCV treatment program expectations and guidelines.

  • Ensures that nursing and non-nursing staff complete tasks outlined during weekly medical management meetings.

  • Supervise non-nursing staff by overseeing day-to-day activities and completing work plans and evaluations.

  • Provide guidance to health department staff and Hopkins nursing to ensure program goals, patient care and documentation is performed in accordance with program policies and procedures.

  • Coordinate all program activities with the medical director/program manager of county programs.

  • Solicit referrals from local community programs

  • Initiate and manage marketing activities in support of the program

  • Act as a resource and liaison between the local health departments and outside entities evaluating and treating individuals for HCV in the programs areas

  • Plans and directs coordination between JHH pharmacy, patients insurances and prior authorization activities needed in order to achieve medication approvals

  • Establishes and monitors procedure and lab orders during the treatment period to ensure that treatment protocols are met and follow up care is provided.

  • Ensures that all activities related to contact investigations are properly documented in the electronic medical record.

  • Ensures that all relevant clinical data on patients is collected from hospitals, nursing homes, and other sources.

  • Coordinates clinical care for patients, including communications with the primary care physician, hospital medical team, social workers and ancillary staff.

  • Reviews that routine monitoring of actively treated patients is carried out and discusses plan to address complications or drug toxicities with JHH HCV medical team.

  • Ensures that new patients with are evaluated within 30 days

  • Assists with clinic and case management activities as necessary

  • Prepares after treatment plan with local primary care, GI ( if necessary) for monitoring purposes

Participates in the development of program goals and objectives, policies, guidelines and procedures for nursing practice.

  • Develop and review all SOP’s to ensure they are up to date.

  • Update SOP’s and oversee the implementation of all SOP’s.

  • Ensure that the facility meets standards appropriate for Infection Control. Review Infection control practices/policies and ensure they are carried out.

  • Evaluate referral process and develop strategies for improvements based on numbers of referrals, referral-sources, clinic capacity, and appointment delays

  • Patient Flow: Establish standardized procedures and ensure appropriate patient flow throughout the clinic for all TB patients.

  • Establish and monitor procedures for administration of all drugs in conjunction with Medical Director.

  • Coordinate with state on special procedures for drug level monitoring.

Represents JHH on a variety of community boards and committees; may attend meetings on behalf of the program director.

  • Attend all meetings with the State as appropriate

  • Attend meetings at JHH as required for educational, programmatic purposes.

Oversees the maintenance of records and quality assurance program. Oversees the recording and analysis of data for epidemiological and program reports

  • Ensure that all reportable elements are being ascertained and recorded accurately on intake forms

  • Work with Database Administrator to ensure accuracy of all reportable data

  • Work with health department epidemiology team to design reports to track HCV transmission and incidence and assess overall data quality.

  • Oversee data entry by clerical staff and case-managers and provide recommendations.

  • Oversee filing system for all charts and ensure that it is organized.

  • Oversee flow of charts through the clinic from time of initial referral until completion of clinical care (i.e. from initial creation of chart to initial appointments to order writing to data entry into central database

  • Handle data-entry of information on active HCV patients to state system.

Routinely schedules and conducts staff meetings to inform subordinates of administrative directives and changes in department and nursing policies and procedures.

  • Meet and communicate with the Health officers, Medical Directors and other member of management regarding program needs

  • Attends and actively participates in weekly medical management meetings

  • Meet at least monthly with all staff to present and reinforce program needs changes etc.

Performs related work as required

  • Provide case management services as needed.

  • Assists Medical Director in implementing novel interventions.

  • Provide case management for actively treated HCV cases and contacts

  • Conducts TB contact investigations in the field.

  • Collects medical information and coordinates clinical care with hospitals, clinical providers, and other medical facilities

  • Conducts nursing assessments for active HCV cases referred for treatment

  • Assists with public health reporting of notifiable diseases, and coordinate public health activities between local health departments and Maryland Department of Health and Mental Hygiene and Centers for Disease Control and Prevention (CDC)

  • Counseling of patients regarding treatment, medication adherence and secondary prevention

  • Coordinates medications dispensing, according to standing orders and the health department.

  • Coordinates treatment for HCV patients, and provides directly observed therapy of HCV treatment in the field when indicated

  • Provides education on STD/HIV/HCV to patients, contacts, and health care providers

  • Assist with clinic initiatives as necessary.

Minimum Qualifications: Bachelor’s degree in nursing or related discipline required. Individual must be a registered nurse, licensed in the State of Maryland.

Licensure, Certification, Registration: Active Maryland Nursing License

Experience : Minimum two year’s related nursing experience. More experience preferred. Additional experience may substitute for bachelor’s degree. Related master’s degree may be considered in lieu of some experience.

Special Knowledge, Skills, and Abilities:

  • Managerial skills

  • Basic data management skills

  • Knowledge and interest in STD/HIV/HCV disease and treatment

  • Knowledge and interest in public health aspects of infectious disease control

  • Ability to work with culturally diverse patients, staff and community populations

  • Ability to work in 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

  • Phlebotomy skills

  • Reliable transportation

  • Proficiency in medical and conversational Spanish is preferred

Equal Opportunity Employer:

Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.