About the Role
The Lead Nurse Care Manager (NCM) is a core member of a collaborative clinical care team, working alongside a prescribing clinician (PC) and care coordinator (CC). The NCM is responsible for supporting and coordinating the care of approximately 100 patients receiving MOUD during treatment stabilization and maintenance.
Duties and Responsibilities
- Patient engagement: Facilitate patient engagement and follow-up care in collaboration with the CC.
- Education: Provide patient education on OUD and MOUD.
- Monitor/Medication Management: Systematically track treatment response and monitor patients for changes in clinical symptoms and side effects, treatment adherence, effectiveness of treatment or complications.
- Treatment Plans: Collaborate with the PC to determine individualized treatment plans for all patients; facilitate changes to treatment plans when patients are not improving as expected in consultation with the PC.
- Charting: Document all patient encounters in Ophelia’s EHR in a timely manner.
- Case Consultation: Participate in regularly scheduled (weekly) case consultations with the PC. Consultations will focus on patients new to the caseload and those who are not improving as expected under the current treatment plan.
- Referrals: Facilitate referrals for clinically indicated services outside of the organization (e.g., psychiatry/therapy, social services such as housing assistance, vocational rehabilitation, or mental health specialty care).
- Behavioral Interventions: Provide brief behavioral interventions using evidence-based techniques such as problem-solving treatment or motivational interviewing, as appropriate.