Johns Hopkins, founded in 1876, is America's first research
university and home to nine world-class academic divisions working
together as one university.
We are seeking a PrEPSr. Clinical
Nurse who will spearhead the provision of HIV prevention
services within the Baltimore City Health Department Sexual Health
Clinics under a nurse-led model of care. Under standing orders, the
candidate will initiate PrEP and nPEP, provide follow up care, and
lead panel management to ensure successful referrals and retention
in care. This senior level nursing position will also be
responsible for PrEP community outreach and collaboration with
existing BCHD outreach programs, as well as Baltimore-based CBOs.
Beyond clinical care, the position will also entail leadership in
continuous quality improvement activities, the rollout of a new
electronic medical record, and integrating PrEP and nPEP clinical
duties into the scope of practice of all clinicians within the BCHD
Sexual Health Clinics. This is a lead nursing position crucial for
successful clinical operations within the sexual health clinics and
reports directly to the PrEP/STI Nurse Manager. The individual will
participate in weekly clinical operations leadership
Specific Duties &
PrEP Clinical Care & Panel Management
Evaluate BCHD Sexual Health Clinic patients
for HIV PrEP or nPEP initiation, order baseline labs, provide
education and counseling, manage prescriptions under clinician NPI
number and following standing orders, work with support staff to
eliminate financial and insurance barriers to PrEP, act as the main
point of contact between patients and the PrEP team.
Ensure PrEP patients receive appropriate
follow up, monitor medication tolerability and adherence, order and
follow up with labs as specified in PrEP guidelines and standing
Conduct comprehensive sexual histories,
collect and process specimens for STI screening. Provide treatment
for STIs under standing orders.
Communicate lab abnormalities immediately to
the ordering clinician and/or the PrEP Medical
Consult with the ordering clinician and/or
the PrEP Medical Director for any medical decision-making that is
not covered in standing orders.
Manage a panel of patients on PrEP, lead the
site-specific PrEP team through a regular process of reviewing the
patient panel and conducting appropriate follow up to support
persistence on PrEP.
Refer patients to the social worker or the
peer navigator to address social services needs that are impacting
HIV prevention care for the patient.
Coordinate with the HIV continuity program
to quickly link any new HIV diagnoses to care, including rapid
antiretroviral therapy initiation.
Respond to internal and external referrals
to the PrEP program in a timely manner. Delegate referrals as
Advancing the Nurse-Led PrEP Clinical
Collaborate with BCHD Sexual Health Clinics
nurse practitioners, physician assistants and physicians to
incorporate PrEP clinical care into the scope of practice of all
Provide PrEP and nPEP education to clinical
Contribute to the development of protocols
so that all clinicians are comfortable initiating PrEP and nPEP, as
well as conducting annual PrEP follow-up clinician
Creating and implementing new protocols and
procedures with advances in PrEP administration, such as injectable
Community Outreach Efforts
Collaborate with the BCHD outreach team to
develop workflows for offering PrEP in the community and connecting
individuals at risk for HIV acquisition to BCHD Sexual Health
Clinic services (ie, at Blitz and community testing
Coordinate PrEP staff participation in
Develop relationships with relevant
Baltimore-based CBOs to facilitate PrEP referrals and, potentially,
community-based PrEP service delivery.
Continuous Quality Improvement
Work directly with the PrEP Medical Director
and data analyst to develop and maintain a CQI process related to
PrEP clinical and programmatic metrics.
Present internal data to the PrEP team and
lead discussions on improvement workflows. Document and organize
records of this process. Present internal data to other clinic
staff, HIV prevention leadership within the BCHD central office,
and outside partners as appropriate.
Electronic Medical Record
Contribute to the development of PrEP
documentation templates and dashboards during EMR
Serve as a super-user and support/educate
other staff on effective documentation and efficient use of the
Lead the development, implementation, and
analysis and results distribution of patient satisfaction
Contribute to the completion of
grant-related activities as needed.
Other duties as assigned.
Individual must be a registered Nurse,
licensed in the State of Maryland or state where practicing.
Bachelor's Degree in nursing or related discipline
Require minimum of two years of related
nursing experience, with additional experience
Additional experience may substitute for
bachelor's degree and related Master's Degree may be considered in
lieu of experience.
Ability to work with culturally diverse
patients, staff, and community populations.
Ability to work in a multidisciplinary team
Strong organizational and communication
skills with attention to detail and follow-through.
Classified Title: Sr. Clinical Nurse
Starting Salary Range: Min $74,400 - Max $130,400 Annually ($90,000
targeted; Commensurate with experience)
Employee group: Full Time
Schedule: Monday-Friday, 8:30am-5:00pm
Exempt Status: Exempt
Location: School of Medicine Campus
Department name: SOM DOM ID BCHD
Personnel area: School of Medicine
The referenced salary range is based on Johns Hopkins University’s
good faith belief at the time of posting. Actual compensation may
vary based on factors such as geographic location, work experience,
market conditions, education/training and skill level. Johns
Hopkins offers a total rewards package that supports our employees'
health, life, career and retirement. More information can be found
Please refer to the job description
above to see which forms of equivalency are permitted for this
position. If permitted, equivalencies will follow these
JHU Equivalency Formula: 30 undergraduate degree credits (semester
hours) or 18 graduate degree credits may substitute for one year of
experience. Additional related experience may substitute for
required education on the same basis. For jobs where equivalency is
permitted, up to two years of non-related college course work may
be applied towards the total minimum education/experience required
for the respective job.
**Applicants who do not meet the posted requirements but are
completing their final academic semester/quarter will be considered
eligible for employment and may be asked to provide additional
information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a
pre-employment background check. Johns Hopkins is committed to
hiring individuals with a justice-involved background, consistent
with applicable policies and current practice. A prior criminal
history does not automatically preclude candidates from employment
at Johns Hopkins University. In accordance with applicable law, the
university will review, on an individual basis, the date of a
candidate’s conviction, the nature of the conviction and how the
conviction relates to an essential job-related qualification or
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The following additional provisions may
apply, depending on campus. Your recruiter will advise
The pre-employment physical for positions in
clinical areas, laboratories, working with research subjects, or
involving community contact requires documentation of immune status
against Rubella (German measles), Rubeola (Measles), Mumps,
Varicella (chickenpox), Hepatitis B and documentation of having
received the Tdap (Tetanus, diphtheria, pertussis) vaccination.
This may include documentation of having two (2) MMR vaccines; two
(2) Varicella vaccines; or antibody status to these diseases from
laboratory testing. Blood tests for immunities to these diseases
are ordinarily included in the pre-employment physical exam except
for those employees who provide results of blood tests or
immunization documentation from their own health care providers.
Any vaccinations required for these diseases will be given at no
cost in our Occupational Health office.
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remain online until filled.
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without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, or status as a
The successful candidate(s) for this position will be subject to a
pre-employment background check.
If you are interested in applying for employment with The Johns
Hopkins University and require special assistance or accommodation
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HR Business Services Office at email@example.com. For TTY
users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which
campus you will work. Your recruiter will advise
During the Influenza ("the flu") season, as a condition of
employment, The Johns Hopkins Institutions require all employees
who provide ongoing services to patients or work in patient care or
clinical care areas to have an annual influenza vaccination or
possess an approved medical or religious exception. Failure to meet
this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas,
laboratories, working with research subjects, or involving
community contact requires documentation of immune status against
Rubella (German measles), Rubeola (Measles), Mumps, Varicella
(chickenpox), Hepatitis B and documentation of having received the
Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include
documentation of having two (2) MMR vaccines; two (2) Varicella
vaccines; or antibody status to these diseases from laboratory
testing. Blood tests for immunities to these diseases are
ordinarily included in the pre-employment physical exam except for
those employees who provide results of blood tests or immunization
documentation from their own health care providers. Any
vaccinations required for these diseases will be given at no cost
in our Occupational Health office.
Equal Opportunity Employer
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