PATHS-CC Nurse Care Manager at Oregon Health & Science University

Portland, Oregon, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Feb, 26

Salary

0.0

Posted On

21 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Telemedicine, Case Management, Community-Based Care, Clinical Decision-Making, Triage, Confidentiality, Team Leadership, Project Management, Critical Thinking, Communication, Organization, Time Management, Self-Motivation, Behavioral Health, Substance Use Treatment, Infectious Disease

Industry

Higher Education

Description

Department Overview The Oregon Health & Science University (OHSU) Division of Geriatrics and Internal Medicine is seeking a clinically licensed, mid-level Mental Health Provider (MHP) to join a dynamic, multidisciplinary team of clinicians and researchers as part of the PATHS-CC initiative (Peer-Assisted Telemedicine for Health in Substance Users–Comprehensive Care). PATHS-CC is an innovative telemedicine-based program designed to provide on-demand behavioral health and substance use care to people who use drugs across Oregon. The program prioritizes individuals experiencing homelessness, serious mental illness (SMI), co-occurring disorders (COD), and hepatitis C (HCV)—populations often underserved in traditional care models. This initiative integrates same-day HIV/HCV testing and diagnosis with immediate access to behavioral health services and aims to improve outcomes in high-need communities while developing scalable models for HCV elimination. The Nurse Care Manager (RN) serves as the primary clinical liaison between clients, Peers, and healthcare providers within the PATHS-CC program. As a licensed Registered Nurse, the RN Care Manager is responsible for conducting telemedicine-based clinical screenings, coordinating care, triaging clients to appropriate same-day telemedicine visits, and managing follow-up activities to ensure timely and effective treatment across a range of conditions. The RN works closely with Site Peer Coordinators and Peers to support clients through case management, facilitated referrals, and system navigation. Function/Duties of Position Overall coordination of the clinical responsibilities of the program, ensuring client-centered, timely coordinated care serving as a bridge between community-based outreach and medical treatment services. Screening participants for serious mental illness (SMI), co-occurring disorders (COD), substance use disorders (SUD), and suicidal ideation Managing lab results and coordinating follow-up care for HCV, HIV, hepatitis B, and hepatic fibrosis, including initiating follow-up labs and arranging telemedicine appointments with HCV/HIV providers. Discussing PrEP and ordering baseline labs, facilitating on-demand visits for PrEP and PEP initiation as clinically indicated. Coordinating referrals for STI screening, SUD medications, intensive outpatient programs, and ongoing hepatitis B management based on clinical protocols. Required Qualifications BSN and 5 years of related experience in an RN role, or BSN and relevant Master’s degree plus 3 years of related experience in an RN role. Current OR RN licensure and BLS certification required at time of hire. Prior experience with telemedicine, case management, or community-based care Three (3) years of clinical nursing experience Experience in providing integrative care with a track record of working with teams of health care providers and support staff from different disciplines. Experience in nurse management. Strong triage and clinical decision-making skills, with the ability to work independently under delegated protocols. Ability to process and handle confidential information with discretion Ability to adapt to change quickly and positively Ability to lead and facilitate effective teams Ability to support multiple initiatives and balance priorities Detail-oriented Excellent written and verbal communication skills Superior organization and time management skills Self-motivated and able to work autonomously Strong project management and critical thinking/analytical skills Proficiency in Microsoft Office applications Interest in conducting research consistent with the complexity of issues that arise in primary care and the delivery of integrated care Preferred Qualifications Certification in telehealth or care management (preferred but not required) preferably in behavioral health, substance use treatment, infectious disease (HCV/HIV), or care coordination. Additional Details This is a 1.0 FTE position with a daytime schedule and may include weekend or evening hours. This position will be a remote. Must be able to sit or stand for the duration of the shift. Ability to do phone or computer work for the duration of the shift. Must be able to stay alert for long stretches of time. Significant use of computers, copiers, multi-line phones, and fax. Must be able to deal with competing needs and priorities of internal and external customers. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Responsibilities

The Nurse Care Manager coordinates clinical responsibilities within the PATHS-CC program, ensuring client-centered care and acting as a liaison between clients and healthcare providers. Responsibilities include conducting telemedicine screenings, managing lab results, and facilitating referrals for various health services.