OBAT Registered Nurse, Care Manager (RN)

OBAT Nurse Care Manager

Pay: $98,000 to $113,000 per year

Location: Roxbury, MA

Job Summary

The OBAT Nurse Care Manager plays a key role in the care and management of patients with substance use disorders (SUD) receiving office-based addiction treatment (OBAT). This registered nurse serves as the central point of contact for patients enrolled in medication-assisted treatment (MAT) and coordinates care among providers, behavioral health clinicians, and community resources. The Nurse Care Manager ensures evidence-based, patient-centered care that promotes recovery and overall wellness.

Key Responsibilities

Clinical Assessment and Patient Care

• Conduct comprehensive nursing assessments of patients initiating or continuing MAT (e.g., buprenorphine, naltrexone).
• Monitor patients’ clinical response, side effects, and adherence to treatment through regular follow-ups.
• Provide patient education on MAT, withdrawal symptoms, harm reduction, and relapse prevention.
• Administer or oversee administration of medications as needed; coordinate with prescribers on treatment adjustments.
• Perform and interpret toxicology screening and coordinate care based on results.
  
  

Care Coordination and Case Management

• Serve as the primary care manager for OBAT patients, ensuring continuity of care across settings.
• Develop and maintain individualized care plans in collaboration with the care team.
• Coordinate referrals to behavioral health, primary care, social services, housing, and recovery support services.
• Assist with insurance authorizations, prior authorizations, and medication access barriers.
• Care coordination with other Dimock Addiction levels of care including ATS, CSS and Askia.
  
  

Team Collaboration and Communication

• Work closely with physicians, nurse practitioners, recovery coaches, and counselors to ensure holistic care.
• Participate in interdisciplinary team meetings, case reviews, and performance improvement initiatives.
• Maintain accurate, timely documentation in the electronic health record (EHR) in compliance with regulations.
  
  

Program Development and Quality Assurance

• Support program metrics, data collection, and reporting for regulatory or grant requirements.
• Contribute to development and implementation of policies, procedures, and clinical protocols related to OBAT services.
• Educate clinic staff and patients on addiction care practices and emerging trends in MAT. Assists in other projects such as Addiction related clinic grants.
• Collect data for the bureau of substance addiction services on new patients, quarterly and at discharge: submit this data as required
  
  

Qualifications

• Licensure: Current and unrestricted Registered Nurse (RN) license in Massachusetts
• Education: Associate or Bachelor of Science in Nursing (BSN preferred).
• Experience:
• Minimum 2 years of nursing experience; experience in addiction treatment, behavioral health, or community health strongly preferred.
• Familiarity with MAT protocols (e.g., buprenorphine, naltrexone) and trauma-informed care.
• Certifications:
• BLS required.
• CARN (Certified Addiction Registered Nurse) or similar credentials preferred but not required.
  

Skills And Competencies

• Compassionate, nonjudgmental approach to patient care.
• Strong clinical assessment and critical thinking skills.
• Ability to work independently and as part of a multidisciplinary team.
• Excellent communication, organizational, and time management skills.
• Proficiency with electronic health records and care coordination tools.
  
  

Work Environment

• Outpatient clinical setting, with possible telehealth or mobile outreach responsibilities.
• Full-time, Monday through Friday schedule, with some flexibility based on patient need.
  
  

Salary: The approved range for this role is 84,000.00 – $113,000.00