This position is accountable for designing and maintaining systems to ensure the continuity of care between the OTP program and somatic and behavioral healthcare providers both within Open Arms & Hearts Health Services and in the community, as well as developing processes to assist consumers in the development and maintenance of healthy lifestyles and illness management skills. Responsibilities and Tasks Develops and maintains working relationships with primary and specialty care providers including inpatient facilities and emergency departments. Monitors Health Home performance at the population and participant level, and implements improvement efforts. Designs and develops prevention and wellness initiatives. Establishes the effective use of patient registries (CRISP and eMedicaid) as applicable to manage specific patient populations and to improve disease and population health outcome measures. Collaborates/consults with specialty practices to identify data needs related to care coordination. Provides input for the preparation of the annual Health Home operating budget. Monitors participants' monthly visits to assure the appropriate health home services are delivered. Qualifications and Requirements Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required. Demonstrated success in exhibiting teaching, coaching, and development skills. Demonstrated effectiveness in a consultative role, and experience leading complex change. Ability to create a motivating environment for clinical and professional personnel. Highly effective interpersonal, verbal, and written communication and presentation skills.

Job Type:

Part-time Pay:

$32.00 per hour

Work Location:

In person