Nurse Practitioner Manager

We are seeking a Nurse Practitioner Manager who will oversees clinical services within the HIV primary care program (Early Intervention Initiative), the PrEP program serving HIV-seropositive and at-risk patients, and the hepatitis C screening and treatment program (CHARM) at Baltimore City Health Department Sexual Health and Wellness Clinics. He/she also oversees the activities of the HIV Directly Observed Therapy (DOT) Program which provides home-based treatment adherence services to HIV-seropositive patients referred from Baltimore City HIV clinics. These professional services are provided through a contract with the Johns Hopkins University School of Medicine. Duties include direct patient care as well as on-site supervision of advanced practice clinicians to ensure that standards for excellence can be met in HIV, PrEP, hepatitis C, STD, and buprenorphine treatment services. The Medical Director works collaboratively with members of the multidisciplinary care team to provide care throughout the spectrum of HIV disease and hepatitis C. Additionally, the Medical Director collaborates with the HIV/STD Prevention team at the BCHD as well as other Baltimore City partners to advance innovative clinical services related to HIV and hepatitis treatment and prevention. The Medical Director participates in the development and implementation of the Baltimore City Ending the HIV Epidemic city-wide plan and may participate in state-wide HIV prevention initiatives. The Medical Director reports directly to the Clinical Chief, and works in collaboration with other medical directors, BCHD Clinical Operations Director, and the Assistant Commissioner to ensure services at the Sexual Health and Wellness Clinics are high-quality and integrated across disciplines.

Specific Duties & Responsibilities

Medical Director for HIV/PrEP/Hep C

• Directly supervises the EII and PrEP/DOT program managers, who supervise patient advocates, social workers, peer navigators, nurses, and community health workers totally approximately 20 staff. Additionally, directly supervises nurse practitioners and physician assistants who provide primarily HIV, hepatitis C, and PrEP care, totally approximately 5 clinicians.
• Oversees management of Ryan White grants and other relevant grants for continued funding of EII, PrEP, and HIV DOT programs. This includes grant preparation, budget development and management, required deliverables and meetings, and grant reporting.
• Participates in leadership meetings with Assistant Commissioner of Clinical Services, Clinic Operations Director, and medical directors, and operational meetings with administrative supervisors at the clinic. Participates in development of all-sexual health clinic staff meetings.
• Supervises the clinical care of the EII, CHARM, and PrEP programs delivered by nurse practitioners and physician assistants to ensure care is delivered in accordance with clinical guidelines.
• Provides direct outpatient primary care to an active panel of at least 30 HIV+ patients, as well as hepatitis C treatment, PrEP, and buprenorphine management as appropriate.
• Provides medical consultation on medically complex cases to nurse practitioners and physician assistants as needed.
• Trains newly hired, nurses, nurse practitioners and physician assistants in clinical HIV and hepatitis C care and prevention.
• Performs chart reviews and periodic evaluations of clinician-patient encounters to monitor quality of HIV, hepatitis C, and PrEP services delivered.
• Participates in the development and revision of clinical practice guidelines and performance improvement plans for the STI clinical program as they relate to HIV clinical and preventative services.
• Participates in multidisciplinary case management meetings focusing on complex HIV patients to ensure that decisions related to support services are medically appropriate.
• Schedules and/or directly provides in-service trainings for staff in topics related to HIV and hepatitis C management and adult primary care and participates as a guest lecturer in the Prevention Training Center courses.
• Oversees all HIV DOT activities, including supervision of DOT program manager/case manager, review of DOT referrals, and medical consultation with team and referring providers.
• Use operational data to guide decisions related to HIV treatment and prevention services. Develop and implement clinical protocols. Support the STI medical director and clinic manager in day-to-day clinic operations.
• Coordinate with data managers and epidemiologists to design data analysis for the purpose of clinical and programmatic quality improvement.
• Works collaboratively with a multidisciplinary team at the BCHD to develop and implement city-wide efforts related to the HIV and hepatitis C care continuum. Collaborate with the Baltimore City Health Department STD/HIV Prevention teams including linkage to care, DIS, outreach, social innovations, PrEP, surveillance, and Ending the HIV Epidemic goals.
• Collaborate with Baltimore City partners to further access to quality HIV and hepatitis C treatment and prevention clinical services, including participation in implementation and evaluation of the city’s HIV Ending the Epidemic Plan.
• Participate in city and state health department HIV outbreak investigations.
• Periodically prepare abstracts for presentation at appropriate conferences and contributed to manuscripts for publication in peer-reviewed journals.
• Moderate patient complaints with staff or services offered in a mindful and empathetic manner.
• Work with learners from various clinical institutions in Baltimore for clinical and research rotations.
• Other duties as required.

Clinical Duties & Responsibilities

• Examines and evaluates all new and return patients and documents findings. This is to include as needed: medical history, physical examination, written orders for medication and diagnostic tests, and review of results of bacteriologic and laboratory results.
• Implements protocols for treatment, monitoring adverse effects, and emergency procedures, recognizing that the condition of individual patients may occasionally require a medical decision to alter certain aspects of these protocols.
• Completes all forms requiring the attention of a clinician, i.e. insurance, vocational, rehabilitation, social services, automated information management input documents and abstracts patient records as required.
• Provides consultations, makes patient referrals and arranges general hospitalizations with appropriated medical care providers.
• Participates in in-service training and supervises clinical training of approved students and physicians in training.
• Participates in research activities authorized by JHU and BCHD.
• Counsels patients, providing disease information about treatment, prevention, follow-up care, sex partner referral and contraception as appropriate.
• Provides emergency services to the Department as needed.
• Maintains a current and valid license in accordance with the respective governing board.

*This position description provides a summary of the major duties and responsibilities by the individual in this position. The incumbent may be asked to perform other clinical or administrative tasks not specifically written in this position, but considered important to the success of the BCHD Clinics or to the Johns Hopkins mission of excellence in teaching, research and patient care. These extra duties may be assigned or deemed necessary by the Chief of Clinical Services, the Assistant Commissioner of the Bureau of Clinical Services, the Commissioner of Health, or the Director of the JHU Division of Infectious Diseases.

Minimum Qualifications

• Master's Degree in Nursing, Registered Nurse license and certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
• Require minimum of 3 years' experience in related clinical area and obtained proficiency in area of specialty.
• Prefer at least 5 years related experience.
• Supervisory experience preferred.
• Residency or fellowship programs in area of specialization may substitute for some experience.

Preferred Qualifications

• Knowledge of STD/HIV//PrEP/HCV/TB disease, treatment, and resources.
• Maintain certification as an HIV Specialist by the American Academy of HIV Medicine or board certification in Infectious Diseases.
• Waiver to prescribe buprenorphine.
• Strong commitment to diversity and inclusion and ability to work with culturally diverse patient, staff and community populations.
• Ability to work in multidisciplinary, multi-organization team settings.
• Strong organizational skills with attention to detail and follow through.
• Experience with grant and budget management.
• Strong analytic skills and ability to analyze and interpret data to present in a scientific setting.
• Fluency in Spanish is preferred.
• Minimum 5 years’ related experience is preferred.
• Managerial experience is preferred.

**Current American Heart Association or American Red Cross CPR certification required.  Must maintain current licensure and certification during duration of employment.  Completion of the JHH credentialing process is required prior to start date**

Physical Requirements: 

Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction.  Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s).  Ability to move standard equipment through a hospital or clinical environment.

Classified Title: Nurse Practitioner Manager
Role/Level/Range: ACRP/04/MH
Starting Salary Range: Min $100,500 - Max $176,000 Annually ($120,000 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, the JHU 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 at [email protected] . For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.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.

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