SCHEDULE: 40 hours, Monday – Friday, 8:30 a.m. - 5:00 p.m., or comparable. Some flexibility required.
The Housing Stabilization Nurse will be available to tenants and staff in the Housing Program at Pine Street Inn (PSI) to provide support around health and wellness, disease prevention, clinical services and consultation, appropriate resources addressing the complexities of care for tenants with histories of trauma, mental illness and/or addictive disorders. The Housing Stabilization Nurse will utilize Harm Reduction as a model of engagement, intervention and evaluation and use the Housing First model promoting long-term stability in housing and the end of homelessness in Boston. The Housing Stabilization Nurse works closely with the PSI Case management team and other providers such as BHCHP providers. The individual will be self-motivated, with solid communications skills, capable of supporting tenants to meet their highest level of self-sufficiency in housing. Housing Stabilization Nurse is an integral member of the Housing Stabilization Team (HST) and will therefore need to maintain close communication team, collaborate and coordinate with the team regarding high-risk individuals and programs that are high risk/acute/high need
- Master’s degree or higher in a related field (i.e. nursing)
- Registered Nursing License
- Minimum of three (3) years direct care experience providing services, including assessment and individual and/or group therapy, to adults living in the community with mental illness, chronic illness and/or addictive disorders
- Experience conducting ADL/IADL assessments
- Clinical skills and competence to offer education around chronic disease maintenance, health and wellness, substance use, trauma, co-occurring disorders, mental illness diagnoses, and emotional and mental health generally
- Experience working with elder population, aging in place
- Strong computer skills, including but not limited to use of management information systems or database programs
- Knowledge of and strong commitment to Harm Reduction philosophy, principles and practices.
- Ability to travel to all PSI Housing residences regularly in all weather conditions
- Ability to access public transportation
- Ability to climb many flights of stairs
- Ability to lift heavy objects
- Ability to work at a computer for prolonged periods of time
- Strong awareness of and commitment to self-care strategies, practices and support
- Strong, professional organizational and interpersonal communication skills, including the ability to engage very vulnerable and disenfranchised individuals and the people who care for them
- Positive and supportive attitude, including the ability to see, elicit, acknowledge and appreciate the strengths, intentions, skills, wisdom, values, commitments and resilience of direct-care staff
- Ability to provide coaching, mentoring, and accompaniment in addition to clinical supervision and psycho-education
- Empathy, creativity and compassion in holding the complexities of the many and competing needs, demands and expectations that direct-care staff face in their work
- Excellent self-care and personal modeling of active self-care practice
- Ability to model teamwork, dialogue, empowerment, healthy boundaries, time management and other supportive skills
- Ability to work collaboratively as a member of cross-functional teams
- Ability to function under pressure in a fast paced human service environment
- Ability to develop, implement and evaluate training curriculum for direct supports staff
- Previous open door experience of creatively working with and problem solving effective ways to meet a diversity of needs of an at risk, and sometimes non-compliant population who choose not to engage in services
- Highly developed professional ethics to maintain appropriate boundaries
- Ability to work independently and as a part of a team
- Experience working with chronically homeless, medically vulnerable individuals, with tri-morbidities (mental illness, substance abuse, medically compromised)
- Experience coaching, mentoring, empowering and otherwise supporting non-clinical direct-care staff
- Familiarity with Housing First as a model of permanent, supported, affordable housing
- Expertise in Motivational Interviewing and case management responsibilities
- Expertise in Trauma-Informed Care, including the impact on direct-care staff (i.e. secondary traumatic stress, vicarious traumatization)
- Bilingual Spanish/ English
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
- Conduct regular ADL/IADL assessments to determine housing safety for those tenants deemed medically complex or elders at risk by housing clinicians/clinical specialist
- Facilitate regular groups on health and wellness, chronic disease prevention, smoking cessation
- Meet with HST Clinical Specialist weekly to discuss current shared caseload and collaborate care for medically complex clients in Supportive Housing and provide medical consultation as needed
- Meet with HST Housing Clinicians to discuss her/his experiences of the work; consult on a regular basis about clinically sensitive and/or challenging situations with particular tenants.
- Identify clinical challenges present in each clinician’s work, and offer clinical insight, ideas and advice to support and empower clinicians in working with clinically vulnerable tenants.
- Coordinate with the HST Clinicians and Clinical Specialist to support tenants experiencing mental health crises to facilitate access to emergency psychiatric services; facilitate the connection of appropriate HST staff to draft and communicate safety and risk planning and assessments, and risk response plans, as well as hospitalization discharge planning.
- Interact with PSI tenants as necessary, both as a role model for staff and, as necessary, when an immediate clinical intervention is required.
- Coach and mentor staff through the process of advocating for tenants within medical and mental health settings. As needed, serve as liaison with outside agencies and others with regard to a resident’s treatment needs and follow up in coordination with the HST clinical specialist.
- Provide education and resource identification including, but not limited, to trauma, mental health, addiction, Harm Reduction, Motivational Interviewing, and Trauma-Informed Care to case management staff, individually (as needed).
- Collaborate with Care Coordination Entities and other providers to ensure access to appropriate medical, clinical, self-help, and peer modalities during times of crisis, care transitions, other life transitions and changes in health status.
- Conduct trainings on subjects of interest or concern with the case managers. Assist PSI Housing Leadership team in development and implementation of a training curriculum.
- Attend all mandatory trainings and other trainings that will enhance ability to assist residents in maintaining and enhancing their quality of life.
- Uphold the rights of all residents. Be continually aware of these rights and act in accordance with these rights. Interact with residents in ways, which establish a climate of respect for human dignity.
- Work cooperatively with representatives of all PSI departments, including but not limited to Operations, Advancement and External Affairs, Finance and Human Resources.
- Represent PSI in a professional manner in all contacts with neighbors and representatives of other agencies.
- Partner with program supervisors to coordinate communication, team-building, ongoing education and training for PSI congregate staff community.
- Provide continual quality assurance around clinical documentation including the documentation of all Clinician tenant visits and interactions in Carelogic (Electronic Health Record) to ensure compliance for both contract and insurance billing
- Perform additional duties as required.
- Coordinate with the Associate Director of Clinical Supports and Crisis Response Team to support tenants experiencing mental health crises to facilitate access to emergency psychiatric services; facilitate the connection of appropriate CR staff to draft and communicate safety and risk planning and assessments, as well as hospitalization discharge planning. Provide medical consultation as needed for section 12As.
- Mentor staff through the process of advocating for program participants within medical and mental health settings
- Work in collaboration with other clinical personnel across the organization
- Represent PSI and the Housing Department in the Housing Court system in conjunction with the Case Management Supervisors.
- Collaborate with PSI’s partner, Boston Healthcare for the Homeless Program’s visiting nurse and psychiatrist to serve tenants with severe and persistent mental illness and chronic substance abuse issues. Lead joint case conferences between the partnering organizations.
- Participate in collaborative networking with the Pine Street Inn program supervisors to share knowledge and experience and act as a member of the Housing Leadership Team to ensure consistent policies and procedures
- Maintain quality communication with other programs at PSI
- Represent the mission of Pine Street Inn both within the community and with people and agencies outside Pine Street Inn
- Due to emergency or unforeseen program needs, staff may be temporarily or permanently reassigned to another PSI Housing program at any given time.
- Other duties as required by programmatic need.
Apply at: Pine Street Inn | Careers