Registered Nurse - Street Medicine

The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.

The Registered Nurse works collaboratively within an Integrated Health Care for the Homeless team.  The RN in this position is responsible for performing both independent and delegated duties in the provision of providing comprehensive health care to all Colorado Coalition for the Homeless (CCH) patients.  

This health outreach role focuses on health outreach within an integrated outreach team, as part of Denver Street Outreach Collaborative focusing on Encampment Response, Healthcare within Micro-Communities, Unsanctioned encampments and Sanctioned Encampments 

NOTE: In order to ensure that our consumers receive the best possible care the candidate chosen to fill this position will be required to complete our internal credentialing and privileging process prior to a start date.  The credentialing and privileging timeline is dependent on the selected candidate's submission of documents necessary for clearance.  Please note that a start date will be scheduled once credentialing and privileging is complete.

• Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage. 
• Choice of dental insurance or discount plan. 
• Vision insurance.  
• Flexible spending accounts for health care / dependent care / parking expenses. 
• Free basic life and AD&D insurance coverage. 
• Employee Assistance Program, a problem-solving resource available to you and your household members. 
• Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting. 
• Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year. 

• Provides skilled nursing care according to accepted community standards of quality healthcare.
• Provides patient-centered care within an integrated, trauma-informed, culturally-aware, harm-reduction model.
• Develops rapport, trust, and professional relationships with people experiencing homelessness, focusing on the rough-sleeper population in large encampments.
• Utilizes motivational interviewing techniques to provide optimum client-centered engagement in care, care coordination, and continuity of services while respecting the autonomy of clients.
• Works collaboratively, advocates respectfully, communicates effectively, and develops partnerships with community organizations and key stakeholders, including but not limited to Homeless Service Providers, Peer Specialists, Denver Department of Public Health and Environment, Department of Public Health, Parks and Recreation, Denver Police, and other city entities.
• Ability to perform quick and accurate triage assessments with appropriate recommendations of care as outlined in SSHC nursing protocols via telephone or in-person.
• Empowers patients by providing appropriate health education and information, including but not limited to addressing common chronic and acute health conditions in this population, such as diabetes management, hypertension management, nutrition, wound care, and disease prevention.
• Administers medications in a safe, evidence-base manner following written protocols or direct provider order, including but not limited to immunizations, antibiotics, insulin, normal saline, psychiatric medications, Depo-Provera and testosterone injections.
• Ability to enter patient data and numbers and retrieve that data on a weekly basis for analysis with the Nurse Manager, Director of Nursing, Medical Director, and Revenue Cycle team as appropriate.
• Collaborates with other members of the multi-disciplinary health care team and coordinates care with internal programs, such as Housing First, Assertive Community Treatment, Respite, Medication Assisted Treatment.
• As a member of an OBH licensed Substance Use Disorder (SUD) treatment team, provides treatment services such as case management, crisis services, initial intake program screenings, individual medication assisted treatment (MAT) counseling, and administering scales to assess withdrawal.
• Provides transitional, chronic, and complex care management.
• Provide nursing services as needed all CCH programs including but not limited to Stout Street Health Center, Health Outreach, , and Hospital-based Respite, Transitional Care Management, West End Health Center, Fort Lyon, Housing First, and SIB.
• Preceptor to new nurses and nursing students.
• Completes required onboarding, orientation, annual competencies, and assigned continuing education
• Participates in team-based or interdisciplinary quality improvement initiatives.
• Attends required disciplinary, inter-disciplinary, suite, quality improvement, and all-staff meetings.
• Record all clinical services in a timely and complete fashion in the EHR.
• Maintain up to date records in EHR.
• Record telephone and other clinical communications as needed in the EHR.
• Manage tasks, PAQ and scanning as needed to have a complete and current chart.
• Maintain accurate information regarding client’s insurance status and complete CCARs/DACODs and other clinical authorization documentation as needed.
• Utilize the EHR and any future upgrades as directed.
• Ability to work day or evening clinic as scheduled or appropriate.
• Transports individuals who are homeless using a personal or organizational vehicle. 

• AD, BSN, or MSN in nursing from an accredited college or university.
• Current licensure from the State of Colorado to practice as a Registered Nurse.
• Certification in Basic Life Support.
• Successful completion of the privileging and credentialing process for RNs at the Coalition.
• Preferred experience in ambulatory, public, mental health or community nursing.
• Highly preferred experience in, emergency room, urgent care, or critical care. 
• Bilingual, English-Spanish preferred.  

Qualified candidates are eligible for the NURSE Corps Loan Repayment Program which offers payment of 60% of unpaid nursing education debt in exchange for a two-year commitment at a NURSE Corps approved site with an option to extend to a third year for an additional 25% of the original balance.

Employee must be able to perform essential job functions with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Employee will perform job according to applied laws. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, medical condition related to pregnancy, military status, or any other applicable status protected by law.