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Boston Health Care for the Homeless Program Outreach HIV Nurse Case Manager in Boston, Massachusetts

Who We Are:

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 12,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 60 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply .

To learn more about working at BHCHP, watch our video Please Click Here ( .

Job Summary:

Hours: Monday - Friday, 8:00 am-5:30 pm


We are seeking an Outreach HIV Nurse Case Manager who is interested in a unique opportunity to work on a dynamic, supportive multidisciplinary team, at the intersections of the HIV, homelessness, and drug overdose crises. In this role, you will work with an interdisciplinary HIV team, which includes medical providers, case managers, social workers, and other HIV nurses to provide excellent HIV care to homeless individuals receiving HIV primary care from Boston Health Care for the Homeless Program (BHCHP). Within this multidisciplinary, patient centered medical home model, you will conduct clinical nursing assessments and triage for HIV team patients during routine and urgent medical visits in the outpatient clinic, as well as during outreach visits to shelters, drop-in centers, street venues and patients’ homes. You will also provide care coordination, medication adherence support (including directly observed therapy for HIV mediations), behavioral risk reduction counseling and harm reduction education for HIV primary care patients at BHCHP. As the Outreach HIV Nurse Case Manager, you will have the opportunity to promote harm reduction, linkage and retention to HIV primary care, with the aim of supporting people experiencing homelessness and living with HIV to achieve health and wellness. We are looking to fulfill both part-time and full-time positions for this role.


  • Conduct comprehensive intake assessments on new HIV team patients and along with other nursing personnel, the case manager and primary care clinician, will formulate a care plan with the patient; meet periodically with each established patient to assess their medical and psychosocial needs and update the HIV team with the patient’s care plan; coordinate care with integrated HIV team behavioral health providers (including psychiatry and psychotherapy/counseling services) as necessary.

  • Track appointments, referrals and primary care activities and follow up with patients to assure that they keep their appointments and assist in rescheduling any missed appointments; maintain client medical records and be proficient in use of BHCHP’s electronic medical record; familiarity with Boston Area substance use disorder treatment facilities, including detoxification units as well as residential treatment programs in order to facilitate referrals and coordinate care.

  • Responsible for medication adherence assessment and counseling and will meet with each patient on HIV medications to ensure they understand their regimen and will give special instructions as needed. If indicated, the nurse will supply the patient with pill boxes and other aids, including directly observed therapy, to facilitate HIV medication adherence.

  • Visit patients at shelters and other outreach sites to provide nursing care and case management services, as well as to better understand any barriers to medication adherence and engagement in care, Collaborate with shelter nurses, transitional facilities staff, halfway house staff etc. to ensure care is coordinated and that the patient receives the necessary medication adherence support.

  • Responsible for the clinical quality improvement activities. Along with the Director of HIV Services, coordinate chart reviews and other data reviews to ensure that HIV patients are receiving care according to the BHCHP HIV Clinical Guidelines; assist medical providers in coordinating activities and follow up related to the provision of medication assisted treatments (such as buprenorphine and naltrexone) for opioid use disorder.

  • Identify any structural barriers patients face in accessing medical care and adhering to HIV medications, and will work with the interdisciplinary team to address those barriers (e.g. housing, transportation, drug treatment, food, clothing, benefits, etc.); participate in onsite educational programs as well as participate in external continuing education programs on HIV related topics on annual basis, participate in relevant team and program meetings.


  • Licensed as Registered Nurse in the Commonwealth of Massachusetts

  • Bachelor’s Degree in Nursing preferred.

  • Certification by Association of Nurses in AIDS Care (ANAC) as AIDS Certified Registered Nurse (ACRN) preferred, however this can be obtained after hired, and program funding available to support this training.

  • 2 years of experience working in HIV care preferred; expertise in substance use disorder and harm reduction principles strongly preferred, experience working with people experiencing homelessness strongly preferred; Mental Health experience, including knowledge of trauma informed care, a plus.

  • Bilingual in Spanish and English preferred.


  • BHCHP full time employees are eligible for our competitive time off policy of 4 weeks’ vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of up to $7,500 added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.

    Does this amazing opportunity interest you? Then we'd love to hear from you.

    As an Equal Opportunity Employer, BHCHP pledges not to discriminate against and encourages those from underrepresented and underserved backgrounds to apply, particularly Black, Indigenous, and People of Color (BIPOC), LGBTQIA identifying, first generation college students and adults without a college degree, Bilingual and Bicultural persons; and individuals from low economic backgrounds.

    Covid-19 Vaccination: For the protection of our workplace and patients, BHCHP requires all staff to be fully vaccinated against Covid-19. Proof of Covid-19 vaccination(s) is required for employment. All candidates offered employment will be given details about how to demonstrate receipt of vaccination.

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