Job Openings

This position requires the ability to work independently within a team environment. The employee must be able to continuously assess the building needs regarding clean up or maintenance and report these needs to the supervisor. Must be able to take direction well and be flexible in meeting the changing housekeeping and maintenance needs of the building.

The Case Manager on the Family team works directly with in collaboration with other members of the Family Team to ensure access to high quality healthcare and support services for homeless pregnant women and families. This position is responsible for providing all of the homeless families and pregnant women sheltered at assigned sites with information concerning available services and community resources, strategies for accessing them and assistance and support in doing so as needed. Family Team services are provided by a multidisciplinary staff in a variety of sites. The team is part of an integrated health care program for homeless people. Their services include episodic adult and child health care, mental health and substance abuse treatment, family planning, nutrition, referral to primary and specialty care, social service advocacy and case management services.

The Technical Support Specialist provides hands-on and telephone/remote support related to the operation of information systems across the program. Supported technologies include, but are not limited to, computers, printers, IP phones, mobile devices, software, and other components of the computer network. As a member of the Help Desk team, the Technical Support Specialist provides assistance to the user community in a team-based approach.

This position will serve as a backup for the Patient Finance Manager so as to guarantee continuity of business by securing the department’s leadership capacity. The Patient Billing Supervisor will amass the necessary knowledge and information to serve as the Patient Finance Manager in the latter’s absence and/or assist the Patient Finance Manager with the more complex tasks pertaining to the department’s operations and management.

Boston Health Care for the Homeless Program is seeking a full time RN evenings and weekends at our clinics at the Southampton Shelter, Transitions Shelters, and other sites as dictated by program needs. Travel between sites is required. This position provides daily nursing support for clinic patients as part of a multidisciplinary team in a highly collaborative environment. The RN has responsibilities for patient assessment, administering of medicines and overall patient care. Other responsibilities include educating patients on medication and general health information.

As part of the HIV medical team, the medical case manager (MCM) will meet with new patients to assess his or her financial and psycho-social needs. She/he will develop and help the patient carry out a plan to achieve success in housing, substance abuse treatment and access to other services. The MCM will meet with other members of the team regularly to exchange information about the needs of particular patients. She/he will also be available on an ongoing basis to provide support and referrals as needed to the established patients. The MCM will be a liaison between the many AIDS service organizations and the HIV medical team of BHCHP. She/he will also be available on an ongoing basis to patients for crisis support and psycho-social support. The MCM will regularly visit shelters, congregate living facilities, the street, homeless service agencies and apartments to connect with patients who may have fallen out of care or whom are at risk of falling out of care. The MCM will help to reduce barriers for people to access services, both medical and non-medical, to help improve their lives. This may include provision of transportation vouchers, reminders via phone calls, outreach visits, and patient accompaniment to medical and social service appointments.

The Respite Aide (CNA or MA) is an important and integral part of the nursing department at the Barbara McInnis House. The purpose of the position is to provide the highest quality care to the McInnis House patients by collaborating with the team RN.

With direction from the team RN, the Respite Aide will offer clinical support services to the patients and will offer assistance and support to the McInnis House team RNs. These duties are essential to the overall functioning of the McInnis House clinic. The position is crucial to assure the continuity of patient care, providing an essential link for communication involving all departments

• To provide and to facilitate quality care to homeless patients in a dignified, positive and appropriate manner. Obtain report from outgoing shift; assist with admission and discharge needs of the patients, including cleaning beds when appropriate
• Obtain and document vital signs and weights (when appropriate) and notify RN of abnormalities; recheck abnormal vital signs later as needed
• Assist RN with obtaining specimens
• Serve as “buddy” for patients needing assistance attending appointments

The HIV Team outreach worker will work on the HIV Prevention and Screening Team to provide health education, as well as harm reduction, counseling and testing for HIV, hepatitis C and sexually transmitted infections (STIs) to high risk populations. The HIV Prevention and Screening program is part of a broader multidisciplinary HIV Team at Boston Healthcare for the Homeless Program that also provides HIV primary care, behavioral health services, nursing care, and intensive case management. The Outreach Workers will travel to homeless shelters and drop in centers, addiction treatment programs, the streets, and other locales as needed to identify people who are HIV infected and not in care, and to offer HIV, hepatitis, and STI testing to those who are at risk, with a priority placed on reaching people who inject drugs. The Outreach Worker will also provide short term navigation for people with newly identified HIV, hepatitis C or sexually transmitted infections to support them in successfully accessing necessary health care and support services. The Outreach worker will also collaborate with the shelter staff, street teams, drug treatment programs and other agencies to recruit clients for testing and education and to coordinate support services.

Boston Health Care for the Homeless Program is seeking an experienced and reliable driver to join our team as a per diem Driver to safely transport patients to medical and other appointments. The ideal candidate will be flexible, have clean driving record and possess a strong desire to work with underserved populations. Due to the various hours and shifts for this position, flexibility to work when needed is highly desirable.

Are you looking for an opportunity to lead in the nursing field? We are seeking an Associate Director of Nursing (ADON) at Boston Health Care for the Homeless Program (BHCHP) where we are committed to delivering exceptional health services to some of our community’s most vulnerable—and most resilient—citizens.

The ADON is a valued member of the Respite Clinical Leadership Team with primary responsibility to oversee the daily clinical and administrative operations of the Medical Respite Nursing Department. Medical Respite consists of two programs; The Barbara McInnis House and the Stacy Kirkpatrick House, that encompass 124 beds for men and women experiencing homelessness who are too sick to live on the street or in a shelter.

The ADON addresses immediate operational needs of the facility, supervising and directing other members of the team to coordinate and advance positive health outcomes for patients. This person develops strong reciprocal relationships to ensure the needs of patients are addressed.

This nursing leader assists the Director of Nursing (DON) in implementing the mission and vision of BHCHP which emphasizes nursing excellence and reinforces the department’s overall philosophy, policies, procedures and guidelines while incorporating evidence-based nursing practice. In the absence of the DON, the ADON assumes that role.

This role will work with a team of providers, RNs, and case managers to improve care delivery for a population of about 500-800 MassHealth that are receiving care from Boston Health Care for the Homeless Program. The Team Coordinator will work with his/her team to ensure that the enrolled population is getting access to needed behavior health and primary care services as well as connecting to services that address a person’s social determinants of health needs. The Team Coordinator will work with his/her team to identify services that will inform Health and Wellness programming; monitor metrics including quality, utilization, and patient engagement and work with team to identify and implement strategies that improve those metrics; and work with the senior administrative staff to leverage community resources to address population health needs. The Team Coordinator must be self-confident and comfortable collaborating with a multi-disciplinary team providing data feedback to improve population health. Experience working with homeless populations and navigating homeless/housing services and the health care system is desirable.

This position requires the ability to work independently within a team environment. The employee must be able to continuously assess the building needs regarding clean up or maintenance and report these needs to the supervisor. Must be able to take direction well and be flexible in meeting the changing housekeeping and maintenance needs of the building.

This role will provide care coordination services to outreach, enroll, and engage BHCHP patients in the OneCare program—a program for patients with Medicaid and Medicare coverage between the ages of 21-64 years of age. The Care Coordination Liaison will work on a team with OneCare Nurse Care Managers and other Care Coordination Liaisons as well as our medical teams to ensure that patients are receiving needed services to improve their health and overall well-being. This position will be a combination of ensuring that our OneCare Managed Care Organization is receiving essential data and communications from our team about patient status as well as direct patient communication that will be a combination of telephonic and face to face outreach. In addition, we would like this position to spend approximately 2 days a week to help identify BHCHP patients eligible for OneCare and actively work to enroll them in the program. As this is an evolving position, duties and responsibilities may vary.

Are you a professional nurse with expertise and interest in Substance Use Disorder who has an interest in administrative and clinical responsibilities? Would you like to help play an important, positive role in connecting patients to healthcare? If so, we urge you to apply for this position. At Boston Health Care for the Homeless Program we are committed to ensuring that every homeless person has access to comprehensive health care, from preventative dental services to cancer treatment.

JOB SUMMARY:

The Site Director will be responsible for the daily operation of the Supportive Place for Observation and Treatment (SPOT) and the Engagement Center. Responsibilities include planning, implementing, supervising and evaluating the delivery of patient care within established regulatory guidelines and professional nursing practice standards. This is done through management of human, fiscal and other resources as well as through professional coordinated relationships.

This vital role will provide critical weekday telephone support to the patients and clinical staff at Boston Health Care for the Homeless Program (BHCHP). At BHCHP over 12,000 men, women, and children experiencing homelessness are seen each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental services to cancer treatment. Our clinicians, case managers and mental health care providers work in more than 60 locations delivering exceptional care to some of our community’s most vulnerable—and most resilient—citizens.

The Clinical Support RN will possess strong clinical and communication skills as well as strong decision-making and investigational skills in order to assist our complex patient population with important choices, medication questions, triage of health issues and abnormal lab results. This new position provides the opportunity to play a part in the development of key role-specific guidelines and algorithms.

The Per Diem RN position will work closely with the OneCare team to perform initial and annual assessments for BHCHP patients enrolled in the One Care Program. OneCare is a state initiative to provide complex care management for those patients under 65 receiving benefits under Medicare and Medicaid. The Per Diem OneCare RN will be required to undergo training from the Commonwealth Care Alliance to perform Minimum Data Set (MDS) assessments and create care plans customized to meet the needs of BHCHP patients who are going to participate in the One Care program. The Per Diem RN may also be assigned to update these assessments and corresponding care plans annually, check in with patients as needed via phone, as well as work with the OneCare team to address other program needs. BHCHP’s mission is to provide or assure access to the highest quality health care for all homeless men, women and children in the greater Boston area. Patients can be housed; living in shelters or on the streets and this RN will need to be resourceful to connect with our patients. It is anticipated that success with connecting with patients will require communication with BHCHP care teams and shelter partners, use of BHCHP and CCA electronic medical records, as well as outreach to patients who are living on the street. The Care Coordinator RN will need to remain flexible and creative as this role will continue to expand and evolve as experience is gained with continued participation with the One Care Program.

This role will serve as a vital member of a multidisciplinary team responsible for linking homeless individuals with serious mental illness, substance use disorders, and/or complex medical illnesses with primary and mental health care, substance use treatment, and case management to help address the social determinants of health. This work is a part of a new MassHealth initiative that provides eligible MassHealth enrollees with a service benefit called Behavioral Health Community Partners. The Nurse Care Manager will collaborate closely with a multidisciplinary care team, including providing clinical support to 3 Care Coordinators with caseloads of approximately 45 patients each. The NCM and the Care Coordinator from the BH CP Care Coordination Team will collaborate with the broader care team (PCP, BH clinicians, etc.) to ensure that the enrollees are receiving needed services and measuring progress towards the goals outlined in their patient-centered care plan.

This role will be based in the community and serve as a vital link connecting homeless individuals with serious mental illness, substance use disorders, and/or complex medical illnesses with needed care including mental health, substance use, and primary care as well as services that address social determinants of health needs. This work is a part of a new MassHealth initiative that provides qualified MassHealth enrollees with a service benefit called Behavioral Health Community Partners. The BH CP Care Coordinator will work as part of an interdisciplinary BH CP team and take responsibility for coordinating the care for 35-45 enrollees. The BH CP Care Coordinator will work closely with nurse care managers and will be responsible for the engaging their enrollees regularly (several times a month), mostly face to face, and making sure that the enrollee is getting connected to vital services and progressing towards the goals outlined in their Person Centered Care Plan.

Would you like to work with some of Boston's most vulnerable- and most resilient residents? Are you a clinician passionate about providing individual and group therapy? Are you willing to provide expertise to providers and others regarding treatment plans in conjunction with the medical needs of patients? Drug overdose is the most common cause of death among people experiencing homelessness in Boston. In Massachusetts, homeless people are 16 to 30 times more likely to die of overdose than the rest of the state’s population. And in Massachusetts, overdose deaths among Latinos are rising more sharply than in any other group—doubling from 2014 to 2016, and likely continuing to rise at a sharp rate. At Boston Health Care for the Homeless Program, (BHCHP) we are trying to impact this reality in a positive way.

Some of the priorities that draw us to this work are:

- responding to social crisis and injustice

- developing long-term individual relationships

- empowering the disempowered; and

- giving life-saving interventions.

We are searching for a clinician to provide group and/or individual therapy, ongoing assessment, intakes, evaluations and support services to opioid dependent patients at BHCHP where we are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental services to cancer treatment. Our clinicians, case managers, and mental health providers work in more than 60 locations to deliver the highest quality health services. This clinician will also collaborate with team members and the patient with making outside referrals.

We are looking for experienced Nurse Practitioners and Physician Assistants to work per diem in our 104 bed nationally known medical respite facility, the Barbara McInnis House. Medical care in respite is collaborative, challenging and rewarding. You will work alongside a multidisciplinary team of committed professionals to provide short-term medical and recuperative services for patients who are too sick for the shelters but who are not sick enough for the hospital. In this 24/7 program you will treat people experiencing a wide array of illnesses including pneumonia, cancer, diabetes, HIV/AIDS, cirrhosis, heart failure and participate in pre- and post-operative and end-of-life care.