Requisition ID: 117770
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.

MINIMUM QUALIFICATIONS

• 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.

PREFERRED QUALIFICATIONS

• 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
  Total Rewards
  The referenced base salary range represents the low and high end of Johns Hopkins University’s salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate’s geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees’ health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/.
  Education and Experience Equivalency
  Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
  Applicants Completing Studies
  Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
  Background Checks
  The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate’s conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
  Diversity and Inclusion
  The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.
  Equal Opportunity Employer
  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
  EEO is the Law
  https://www.eeoc.gov/sites/default/files/2023-06/22-088EEOCKnowYourRights6.12ScreenRdr.pdf
  Accommodation Information
  If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit https://accessibility.jhu.edu/.
  Vaccine Requirements
  Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.
  The following additional provisions may apply, depending upon campus. Your recruiter will advise accordingly.
  The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
  Hybrid: On-site 3-4 days a week

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.