CHN - Transitions of Care for Justice Limited-Duration
CHN - Transitions of Care for Justice Limited-Duration
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Job Description
Current employees: Please apply through the employee portal to be considered for this opportunity.
Pay Range:
$46.41 $59.65 HourlyDepartment:
Health DepartmentJob Type:
Limited DurationExemption Status:
United States of America (NonExempt)Closing Date (Open Until Filled if No Date Specified):
The Opportunity:
THIS WORK MATTERS!
The Multnomah County Community Health Clinics (part of Integrated Clinical Services) seeks a Limited Duration Transitions of Care Community Health Nurse (TOCCHN) to provide complex case management for individuals transitioning from incarceration into primary care. This role focuses on connecting recently released individuals with primary care MOUD treatment and community resources through working with clients within 90 days of their planned release. The TOCCHN collaborates closely with Behavioral Health Case Managers and Peer Support Specialists. The position requires a commitment to advancing health equity eliminating health disparities and fostering a respectful work environment for the diverse populations served by the clinic. This aligns with the ANA Code of Ethics focus on protecting human rights and reducing health disparities.
As the Community Health Nurse Transitions of Care for Justice Limited Duration other duties will include:
Transition of Care Management Community Health Nurse
Comprehensive Transition of Care: Provides full health assessments goal planning medication reconciliation and management and arranges communitybased continuity of care including prerelease registration and appointment scheduling with MCCHC.
MOUD and Medication Management: Implements evidencebased practices for pre and postrelease MOUD plans for medication continuity postrelease (including the first dose) and oversees the transition of chronic health condition medications from Corrections Health to MCCHC.
Collaboration and Care Coordination: Conducts jail case management utilizes the shared EMR integrates the Patient Centered Medical Home and ACO model provides health education and collaborates with the BHCM and Corrections Health providers (including pharmacists and nurse practitioners) to ensure seamless transitions and medication management.
Community Engagement and Outreach
Facilitates Transitions Beyond Multnomah County: Provides warm handoffs and referrals to program contacts in neighboring counties for released individuals assessing needs and triaging for urgent primary care appointments at MCCHC before their transition.
Supporting OutofCounty Care: Assists with scheduling prerelease telemedicine appointments to establish relationships and registration with primary care providers outside Multnomah County while staying current on case management best practices.
Inter Department Care Coordination
CrossDepartmental Collaboration: Requires close coordination with Corrections Health primary care teams and external community partners (mental health substance use treatment) to facilitate referrals and connect individuals to ICS primary care.
PreRelease Planning and Registration: Conducts depression and SUD screenings patient registration (including consents and releases of information) and assists with health goal setting and linkage to primary care and medication management before client release.
Care Coordination and Referrals: Manages chronic conditions (diabetes HIV Hepatitis C) ensures seamless access to longacting medications documents referrals in Epic collaborates with MOUD providers and facilitates warm handoffs to CHWs Eligibility Specialists and other support staff. Participates in case conferences and Population Health huddles.
Documentation and Quality Improvement
Timely Documentation and Response: Responds promptly to referrals via Epic documenting all patient interactions (encounters calls etc. in the electronic health record within established timelines.
Quality Improvement and Data Collection: Participates in quality improvement activities utilizes population health strategies and data collects clinical engagement data and maintains strict medical record confidentiality in compliance with HIPAA. Includes completing required training within 90 days of hire.
Diversity and Inclusion: At Multnomah County we dont just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the Countys attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.
Multnomah County offers an exceptional benefits package including employerfunded retirement savings; health and dental insurance at very low cost to fulltime employees and their dependents; paid parental leave; wellness programs; a focus on worklife balance; and much more. Find more details on our benefits website.
Our Commitment to Safety Trust and Belonging: Multnomah County is committed to developing nurturing and continually improving workforce equity by identifying and addressing the structural and policy barriers to equal employment opportunity faced by our employees and communities. County employees across the organization have stepped forward to develop a strategic plan and help create a workplace where everyone can reach their full potential. Learn more by reading our Workforce Equity Strategic Plan and exploring our Core Competencies for all County employees.
TO QUALIFY:
We will consider any combination of relevant work experience volunteering education and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications review our overview of the selection process page.
Minimum Qualifications/Transferable Skills*:
Any combination of experience and training that would likely provide the knowledge and abilities is qualifying. A typical way to obtain the knowledge and abilities would be as noted below. All nontraditional education training and experience will be evaluated.
Education/Training:
An Associates degree or a Bachelors degree in nursing from an accredited nursing program
Registered Nurse Licensure
Experience/Certification:
BLS CPR Certification
Oregon license through State Board of Nursing
Preferred Qualifications/ Transferable Skills*: You need to have the following preferred qualifications/ transferable skills to qualify. However keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.
Experience in Corrections Health and/or Case Management.
Working with Justice Involved Clients.
Working with clients who have SUD MH challenges and/or chronic diseases requiring medication adherence support.
Epic experience is required.
*Transferable skills: Your transferable skills are any skills you have gained through education work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.
SCREENING & EVALUATION:
REQUIRED:
The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.
1. Attach a Resume demonstrating you meeting minimum qualifications; AND
2. Attach a Cover Letter addressing the following:
Demonstrate your experience working with diverse vulnerable populations; and
How you meet the qualifications for this position; and
Why you are interested in the position
Note: The application resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the Overview and To Qualify sections of the job announcement. Please be thorough as these materials will be scored and determine your eligibility to advance in this recruitment process.
After You Apply:
Please save a copy of this job posting for your reference as it will not be available for you to view online after the job posting closes.
Log in to your Workday account before the job posting closes to see if you have any pending tasks or actions to complete. These can be found under the My Applications section. You must complete these tasks or actions before the job posting closes.
Check both your email and Workday account for updates regarding this recruitment.
The Selection Process: For details about how we typically screen applications review our overview of the selection process page. We expect to evaluate candidates for this recruitment as follows:
Initial review of minimum qualifications
Resume and Cover Letter Review
Phone screen
Consideration of top candidates
Language assessment
Background reference
Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.
Future Opportunities: Applying for this posting will give you the opportunity to be placed on the eligible list for future positions as they become available. The eligible list created from this recruitment may be used to fill regular full or part time temporary on call and limited duration assignments.
Salary / Equal Pay Law: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidates relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.
Inclement Weather and Disasters Serving the Public Even During Disasters:
Everyday Multnomah County staff work together to serve as a safety net for our communities. During a disaster this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather natural disaster or other types of community emergency response. During these emergency responses while typically there begins with a call for volunteers county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information please visit the Disaster Service Worker Information page.
ADDITIONAL INFORMATION:
Type of Position: This position is eligible for overtime.
Type: Represented by ONA
FLSA: NonExempt
Location: East CountyPrimary Location (all clinic locations) plus remote
Schedule: Monday Friday 8am 5pm
Diversity and Inclusion: At Multnomah County we dont just accept difference; we value it and support it to create a culture of dignity and respect for our employees.
We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race color religion sex sexual orientation gender identity national origin disability veteran or protected veteran status genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.
Veterans Preference: Under Oregon Law qualifying veterans may apply for veterans preference. Review our veterans preference page for details about eligibility and how to apply.
Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.
Questions
Recruiter:
Christopher BoganEmail:
Phone:
Application information may be used throughout the entire selection process. This process is subject to change without notice.
Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.
Job Profile:
6315 Community Health NurseEmployment Type
Full-Time
