Registered Nurse - Street Medicine
The Street Medicine Registered Nurse (RN) will provide nursing care to individuals experiencing homelessness directly in their living environments, including parks, encampments, and under bridges. This role involves working alongside a multidisciplinary team to deliver trauma-informed care, health education, and support to a diverse and vulnerable patient population. The RN will play a key role in reducing barriers to healthcare by offering services directly to those who may not access traditional healthcare settings.
This role is on-site in Midtown Sacramento, CA (95811).
Essential Functions
- Provide comprehensive nursing care, including assessment, planning, interventions, and follow-up, to unhoused individuals in non-clinical environments such as streets, shelters, and encampments.
- Collaborate with medical providers, behavioral health professionals, case managers, social workers, and outreach workers to develop and implement patient-centered care plans.
- Conduct triage and nursing assessments on-site, addressing urgent health concerns, chronic disease management, wound care, and substance use issues.
- Administer medications as prescribed by providers, including oral, inhaled, intramuscular, intravenous, and wound care treatments in field settings.
- Facilitate access to care by coordinating follow-up appointments, referrals, lab testing, and specialty services for patients.
- Provide patient education on harm reduction, chronic disease management, hygiene, and medication adherence, tailoring information to each individual's needs and circumstances.
- Document all patient interactions, assessments, and treatments accurately and in a timely manner in the electronic medical record (EMR).
- Utilize nursing protocols to offer telephone or in-person triage for patients, using industry-recognized standards approved by the Chief Medical Officer.
- Participate in post-hospital discharge follow-up for patients to prevent complications and readmissions, coordinating care transitions and follow-up visits.
- Offer leadership and guidance to medical assistants (MAs) and licensed vocational nurses (LVNs) within a team-based care model, ensuring continuity and quality of care.
- Maintain compliance with safety standards and universal precautions in all patient encounters, particularly in non-clinical settings.
- Foster a person-centered, culturally competent approach to care, building trust and rapport with a diverse population experiencing homelessness.
Additional Duties
- Participate in street rounds with the outreach team and attend case conferences and team meetings as required.
- Assist with coordinating care and referrals with external agencies, including shelters, harm reduction programs, and mental health services.
- Provide active support to ensure continuity of care, including follow-up on lab results, EMR messaging, and patient communications within established timelines.
- Report suspected cases of child, elder, dependent adult, or domestic abuse in compliance with applicable legal mandates (Penal Code, Section 11166, Section 15630, and Section 1160).
- Perform other duties as assigned by the Nurse Manager or Medical Leadership.
Travel Responsibilities
- Primarily local with occasional travel to community sites and partner organizations.
- Traveling to encampments, shelters, and other sites to meet the needs of the unhoused individuals.
- Candidate should possess reliable transportation, valid driver's license, and car insurance.
Minimum Requirements
- Associate's degree in nursing (ADN) required.
- Current/Active RN license to practice in the state of California.
- 1-2 years of clinical experience.
- Active CPR and Basic Life Support (BLS) certification.
- Familiarity with Electronic Medical Records (EMR), Epic experience preferred.
- Demonstrated understanding of trauma-informed care, harm reduction principles, and the healthcare needs of marginalized populations.
Preferred Background
- Experience working in Federally Qualified Health Centers (FQHCs) or community health settings.
- Bachelor's degree in Nursing (BSN) preferred.
- Previous experience in acute care settings, with proficiency in triage and management of complex medical and social conditions.
- Experience in community health, street medicine, or working with unhoused populations.
- Passion for serving vulnerable populations and a commitment to improving health equity.
- Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices.
Reasonable Accommodations
One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at OCHhumanresources@onecommunityhealth.com.
Our Benefits
For more information on the comprehensive benefits we provide, please visit: https://onecommunityhealth.com/careers/benefits/
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