Nurse Practitioner

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The Community Health Care Van (CHCV) program is a fully integrated medical and harm reduction program. The CHCV has a mobile medical clinic and a fixed clinical location in New Haven. The CHCV has operated in New Haven, since 1993, delivering accessible and barrier‑free care at the doorsteps of the community. The CHCV program provides medical and behavioral health care, overdose prevention, and case management.

As one of the clinical locations for Yale Clinical and Community Research, the CHCV offers providers and patients the opportunity to participate in innovative research projects.

This position is a dual‑focus clinical role, with time split between
1) providing direct primary care, infectious disease treatment in both an office and mobile health setting; and
2) providing telehealth and in‑person hepatitis C (HCV) assessments and treatment for a SAMHSA‑funded project (COMPASS).

The APRN / PA will report to the medical director / Principal Investigator of the Community Health Care Van, and will collaborate with the clinical team to provide coverage for day‑to‑day clinical operations as well as split responsibility to provide clinical coverage for SAMHSA HCV treatment grant.

The APRN ensures that patients receive a patient‑centered, low‑barrier approach to care. The APRN provides bridging primary care, STI diagnosis and treatment, PrEP, and other infectious disease related services on a mobile clinic or fixed clinic location. The APRN also provides care for skin and soft tissue infections and wounds related to injecting and coordinates care with emergency and inpatient services.

The APRN provides overdose prevention, infection and disease prevention counseling to patients. The APRN participates in team and funder meetings and quality improvement activities to guide service delivery.

For the COMPASS project, the APRN/ PA will accept referrals from partner sites in CT for medical management of HCV and other medical needs by telehealth per a designated schedule.

APRNs will complete thorough patient assessments, assess health‑related social needs, make timely clinical decisions and order labs and prescriptions for HCV, PrEP, and other conditions as needed.

The Clinical team will problem‑solve issues participants may have in accessing HCV treatment medications. Works with Outreach Workers to integrate (HIV/HCV/SUD/SMI) screening protocol into workflow.

Requires travel on mobile medical clinics in New Haven and at partner outreach locations. Travel as needed for project meetings. Must be available for various shifts, including nights and weekends, as operational demands require.

• Experience providing basic primary care, ability to coordinate care with other primary care sites as applicable. Ability to provide care in a mobile setting and telehealth.
• Experience treating infectious diseases (HCV, STIs) and prescribing PrEP, PEP, and doxyPEP. Experience providing vaccinations (e.g., for viral hepatitis [A/B], influenza, HPV, others as needed) to at‑risk populations.
• Knowledge of medical care for target population of people who use drugs, homeless patients, and those with serious mental illness.

• Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) with at least 5 years’ experience.
• Demonstrated leadership in infectious disease oriented clinical settings.
• Experience working in an integrated clinical setting (primary care, treatments for substance use disorders, behavioral health, harm reduction, research) preferred.

• Human Research Protection Training will be required.
• Training in prescribing medications for opioid use disorder and wound care available if desired.

• Examines patients to collect information about their physical condition and establishes a…