Nurse Practitioner (Full-time & Part-time) - Health Care for the Homeless

• Effectively provide clinical services  including assessment, diagnosis, treatment and referral.
• Effectively provide quality chronic, preventive, acute and outreach services based on established standards of care and evidence based guidelines.
• Effectively provide patient centered, trauma informed, nonjudgmental care.
• Actively participate in an integrated, multidisciplinary team to develop and implement an integrated treatment plan, within the context of an individual or family’s unique social needs, as well as contribute to interdisciplinary case conferences on an ongoing basis.
• Accurately complete documentation of services in the electronic medical record in a timely manner.
• Demonstrate appropriate skills for obtaining and evaluating up-to-date information from scientific and practice literature and other resources to assist in quality care of patients, and to broaden skill set and for professional growth.
• Balance stakeholder expectations, build relationships and be attuned to the needs of others.
• Communicate in a timely, clear, compelling and concise manner.
• Set clear, meaningful and attainable goals and expectations and monitor progress towards meeting those outcomes.
• Work to identify and address health disparities; actively work to develop own racial equity lens, and support the development of a racial equity lens in colleagues.

• Models and reinforces the core values of dignity, authenticity, hope, justice, passion and balance.
• Actively participates in performance improvement and advocacy activities that support the mission.
• Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant health care-related IT security regulations.
• Performs other duties on an as-needed basis.

• Master’s or Doctorate Degree in Nursing as an adult or family nurse practitioner.
• Possess current licensure as a registered nurse practitioner in Maryland.
• CDS and DEA licenses.
• BLS CPR certification.

• 3 years of direct clinical care experience in primary care, preferably working collaboratively in a multi-disciplinary clinical setting.
• Comfortable working with individuals and families who are homeless and/or low-income.
• Direct client care experience with populations similar to clients of the Agency; experience in a community or public health setting working with historically underserved populations is preferred.

• Excellent interpersonal skills to interact and maintain relationships with a wide range of personalities.
• Commitment to self-assessment, and to integrating, giving and receiving constructive feedback.
• Demonstrated efficiency, organization and good judgment in the use of one’s time and the time of others.
• Strong written and verbal communication skills.
• Demonstrated proficiency with EMRs.
• Able to cope with interruptions, be flexible, and be a team player.
• Flexible approach, working with several cross-disciplinary teams in a collaborative style.
• Culturally sensitive working with staff and clients from diverse backgrounds.
• Able to work with ill, disabled, emotionally upset and sometimes hostile individuals.
• Bilingual Es/En preferred.

• Must be willing and able to work in outreach sites.

Locations: Baltimore City – Downtown - 421 Fallsway, Baltimore, MD 21202Baltimore City – West Baltimore - 2000 W. Baltimore St., Suite 3300 Baltimore, MD 21223Baltimore County - 9150 Franklin Square Dr., Suite 301 Baltimore, MD 21237 Our Vision Everyone is healthy and has a safe home in a just and respectful community. Our Mission We work to end homelessness through racially equitable health care, housing and advocacy in partnership with those of us who have experienced it. Our mission: "...to prevent and end homelessness for vulnerable individuals and families by providing quality, integrated health care and promoting access to affordable housing and sustainable incomes through direct service, advocacy and community engagement." Over 35+ years, we at Health Care for the Homeless have steadily grown and strengthened our approach to care to meet the needs of the vulnerable people we served. We are driven by a single and unwavering goal: to improve access to care for clients, and to provide them with the highest possible quality of care. Continuing in that spirit, we are now implementing a care model that takes quality and access to a new level. A health home delivers person-centered, whole-person care that is evidence-based, uses data and listens to clients to continuously improve the care we deliver. We have been person-centered and focused on the whole person since the first client walked through our clinic doors in 1985. We’ve also always applied evidenced-based standards to our work and used data to inform our care. What’s changed is how much we’ve grown over the years: We have more disciplines, staff members and sites. Coordinating all of our activity today requires a more powerful and standardized way of delivering care. We are a health home.Five areas of focusAs a health home, we apply five (5) clinical areas of focus to the care we deliver. ACCESS FOR THOSE WHO NEED USPeople should be able to reach us easily when they need help. So we ensure 24/7 access to clinical advice; make our appointment schedules and hours flexible and accommodating; and enable clients to access their health records electronically. We also are increasing our presence throughout the community. We have clinics in dowtown Baltimore, West Baltimore and Baltimore County. And we are continually expanding our street outreach and reaching more people with our mobile clinic.TEAM-BASED CAREWhole-person care requires the expertise of many different providers. Done well, it demands collaboration and constant communication among these providers. We are integrating our care providers into multidisciplinary care teams, each with a “panel” of clients, so they can develop care plans that span the range of treatment and services with clients.CARE MANAGEMENTNot only are we committed to providing clients with the best possible care; we are committed to positioning them to manage their own care. To that end, we make sure we know which client groups have the highest needs; we share clients' care plans with them and across their care teams; we provide clients with the tools to care for themselves and we make sure they are part of all decisions relating to their care; and we help them manage their medications. BETTER MANAGE AND COORDINATE CAREPeople experiencing homelessness often have complex conditions that require intensive care coordination. Our providers specialize in identifying these particularly vulnerable individuals. They provide them with the multi-disciplinary support that keeps them out of hospital emergency rooms, and they help them develop reasonable, healthy goals for themselves. This coordinated and comprehensive care includes helping individuals put a roof over their heads.IMPROVE THE HEALTH OF THE LARGER POPULATIONAs a population, people without homes have higher rates of chronic disease, such as diabetes, than their housed counterparts. We are using evidence-based guidelines to standardize and expand our assessments for these conditions. And we are continuously seeking ways to help our clients manage and treat their conditions.________________________________________Person-centered, whole-person careWe provide person-centered, whole-person care, combining health care services and supportive services with advocacy.We provide whole-person care in a safe, respectful environment with acute sensitivity to clients’ life experiences. All have endured trauma; many engage in behaviors that pose a risk to their health. Through a trauma-informed and harm reduction approach, we meet individuals where they are, engage them in care with dignity and work to engage them fully in their own overall wellness.TRAUMA-INFORMED CARETrauma is central to the homeless experience. People without homes often experience life trauma before they end up on the street, and living on the street is, in itself, traumatic. Trauma affects everything from our ability to trust others and build relationships to our brain development. For these reasons, we at Health Care for the Homeless are committed to providing trauma-informed care, a best practice that recognizes the impact of violence on an individual’s well-being, and that helps heal the social and psychological wounds violence leaves in its wake. HARM REDUCTIONTotal adherence or abstinence doesn’t work for all who engage in behaviors harmful to their health, like substance use. Harm reduction leverages the relationship between the care provider and the individual to lower the individual’s health risks. Our providers work with individuals to set goals that both reduce harm and are realistic to achieve.Our model of care is known in the health care industry as a patient-centered medical home. Because we provide comprehensive care that goes beyond medical care, we call ourselves a health home.________________________________________Health Care for the Homeless is Participating in the Maryland Primary Care Program (MDPCP)Our practice is participating in the MDPCP, a state-wide initiative to improve primary care. To help us provide you with the best care, Medicare will share some of your personal health information with HCH and the State Designated Health Information Exchange (CRISP), to share with other health professionals providing care to you. This will provide us with a more complete picture of your health and allow us to better coordinate your care.For further information and to opt out of data sharing, read more here. ________________________________________Health Care for the Homeless is accredited for quality: Health Care for the Homeless is an FTCA-deemed facility and is accredited by the Joint Commission for ambulatory care and behavioral health, and as a patient-centered medical home. We invite you to apply and join a welcoming team.