Oregon Health & Science University
PATHS-CC Nurse Care Program Manager
Oregon Health & Science University, Portland, Oregon, United States, 97204
Department Overview
The Oregon Health & Science University (OHSU) Division of Geriatrics and Internal Medicine is seeking a clinically licensed, Nurse Care Manager 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 Affecitive Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
#J-18808-Ljbffr
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 Affecitive Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
#J-18808-Ljbffr