Registered Nurse (RN) - ICM, Homeless Services

In this role you will provide street-based outreach and nursing support to unsheltered individuals across Boston. You will deliver care coordination, medication management, crisis response, and medical support, meeting clients directly in the community. You will collaborate across a large system of multidisciplinary teams and community partners to bridge critical gaps in care.

The ideal candidate is a compassionate, autonomous Registered Nurse with at least two years of experience supporting adults facing homelessness, severe trauma, substance use disorders, and/or co-occurring mental health conditions.

Responsibilities

• Perform intensive, field-based nursing outreach to unsheltered individuals and high utilizers of crisis systems across prioritized Boston neighborhoods.
• Meet clients where they are physically located—on the street, in hospitals, treatment programs, and houses of correction—to build trust and maintain continuity of care.
• Coordinate comprehensive nursing care for physical health domains, assessing medical issues (e.g., HIV, Hep C, prenatal care), providing street based wound care, and supporting chronic disease management through education and medication adherence strategies.
• Assist clients with complex medical, psychiatric, and trauma profiles by providing medication linkage, specialized case management, and strong systems advocacy.
• Provide harm reduction counseling to clients using substances, facilitating rapid referrals for post-use monitoring or medication for opioid use disorder (MOUD) if desired.
• Respond rapidly to urgent client medical needs, and provide follow-up care coordination after critical events, such as overdoses or hospital discharges to prevent care gaps.
• Collaborate closely with outside agencies, hospital emergency departments, detox providers, and multidisciplinary care teams to ensure seamless warm handoffs and holistic care.
• Participate in relevant care team meetings (internal and external) and multidisciplinary case conferencing to ensure appropriate nursing involvement/intervention as it relates to member care.

Qualifications

• Licensed Registered Nurse in Massachusetts with a Bachelor's degree in Nursing and at least 2 years of experience working with adults with complex medical and/or behavioral health diagnoses.
• Demonstrated skill and comfort working autonomously in street-based and community settings with patients experiencing homelessness, severe trauma, mental illness, and substance use disorders.
• Strong commitment to providing non-judgmental care, including overdose prevention and response.
• Ability to gauge and effectively engage patients across all phases of active substance use and the recovery continuum.
• Working knowledge of psychiatric medications, psychiatric/medical treatments, and population health management metrics.
• Strong interpersonal skills and ability to collaborate with a diverse multidisciplinary team of outreach workers, case managers, recovery coaches, and medical providers internally and externally.
• Must have a valid driver's license and reliable transportation to commute and transport clients to appointments as needed.
• Nurse Practitioner or Certified Addiction Registered Nurse (CARN) preferred.

Location: Outreach Community based work in Boston, including Dorchester, Roxbury, Mass and Cass area, Downtown, South Station.

Schedule: Monday-Friday, 9am-5pm