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Sr. Clinical Nurse

Employer
Johns Hopkins University
Location
Maryland, United States
Salary
Salary Not Specified
Start date
Nov 20, 2023

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 meetings.

Specific Duties & Responsibilities

PrEP Clinical Care & Panel Management (0.75 FTE)

  • 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 orders.
  • 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 Director.
  • 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 needed.



Advancing the Nurse-Led PrEP Clinical Model

  • Collaborate with BCHD Sexual Health Clinics nurse practitioners, physician assistants and physicians to incorporate PrEP clinical care into the scope of practice of all STI clinicians.
  • Provide PrEP and nPEP education to clinical staff.
  • 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 visits.
  • Creating and implementing new protocols and procedures with advances in PrEP administration, such as injectable PrEP.

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 events).
  • Coordinate PrEP staff participation in community events.
  • 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 Implementation

  • Contribute to the development of PrEP documentation templates and dashboards during EMR rollout.
  • Serve as a super-user and support/educate other staff on effective documentation and efficient use of the EMR.


Special Projects

  • Lead the development, implementation, and analysis and results distribution of patient satisfaction surveys.
  • Contribute to the completion of grant-related activities as needed.
  • Other duties as assigned.


Minimum Qualifications
  • Individual must be a registered Nurse, licensed in the State of Maryland or state where practicing. Bachelor's Degree in nursing or related discipline required.
  • Require minimum of two years of related nursing experience, with additional experience preferred.
  • Additional experience may substitute for bachelor's degree and related Master's Degree may be considered in lieu of experience.


Preferred Qualifications
  • Ability to work with culturally diverse patients, staff, and community populations.
  • Ability to work in a multidisciplinary team setting.
  • Strong organizational and communication skills with attention to detail and follow-through.

Classified Title: Sr. Clinical Nurse
Role/Level/Range: ACRP/04/MF
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

Total Rewards
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 here: https://hr.jhu.edu/benefits-worklife/

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
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 function.

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, theJHU Roadmap on Diversity and Inclusion.

Accommodation Information

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visitaccessibility.jhu.edu.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.

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.

Note: Job Postings are updated daily and remain online until filled.

Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf


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 during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. 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 accordingly.

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
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm

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