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Overview
The Lead MOUD Registered Nurse provides clinical and programmatic leadership for the Medication for Opioid Use Disorder (MOUD) program at the Fallsway site of Health Care for the Homeless, a low-barrier, walk-in program serving individuals with substance use disorders and complex health and social needs. Grounded in trauma-informed care, harm reduction, and client-centered philosophies, this role supports a full continuum of engagement-from harm reduction and safer-use services to treatment initiation, ongoing engagement, and connection to primary care, behavioral health, and other services. The Lead MOUD RN is responsible for supervising MOUD nursing staff, supporting nursing practice standards, coordinating clinic workflows, and leading continuous quality improvement efforts. Working in close partnership with the Lead MOUD Medical Provider, Director of Recovery Services, Senior Medical Director-Fallsway, operations colleagues, and interdisciplinary team members across the organization, this role helps ensure accessible, coordinated, whole-person care for clients accessing the MOUD clinic.
Key Role Responsibilities
Clinical Care and Practice Leadership

• Provides direct nursing care within the MOUD program, including addiction care, wound care, harm reduction services, screening, care coordination, and urgent, chronic, and preventative nursing care whenappropriate.
• Maintains an active clinical practice andmodelsperson-centered, trauma-informed, and harm reduction approaches to care.
• Provides clinical coaching, onboarding, mentorship, and supervision to MOUD nursing staff and other team members supporting the clinic.
• Directly supervises assigned staffand providesclinical oversight, guidance, and support for all nursingstaffdelivering care within the MOUD clinic.
• Supports integration of preventive care, chronic disease management, and health screenings into MOUD services.

• Completes documentationin accordance withagency standards and requiredtimeframes.

Clinic Coordination and Program Implementation

• Coordinates day-to-day clinic functions including staffing, scheduling, workflow development, clinic communications, and supply management.
• Supports implementation and continuous refinement of clinic processes that promote efficient, responsive, and low-barrier access to care.
• Collaborates with the Director of Recovery Services and other partners to ensuretheavailability of harm-reduction and safer-use supplies.
• Facilitates effective communication and collaboration among MOUD team members and interdisciplinary partners.

Quality Improvement, Compliance, and Environment of Care

• Leads clinic-level quality improvement efforts to improve access, client experience, and clinical outcomes.
• Oversees nursing quality, environment of care, and clinic compliance activities, including point-of-care testing, medication storage, staff competencies, and response to audit findings.
• Maintains a safe, clean, and appropriately stocked clinical environment.
• Supports compliance with agency policies, accreditation standards, regulatory requirements, and nursing practice standards.

Collaboration and Care Integration

• Cultivates collaborative relationships with behavioral health,supportiveservices, outreach, operations, primary care, and community partners.
• Supports warm handoffs, care coordination, and interdisciplinary care planning to advance whole-person care.
• Collaborates with clinical and organizational leaders to advance program goals and improve client outcomes.
• Supports relationships with external treatment programs and community partners that enhance access to addiction treatment and recovery support services.

Key Agency Responsibilities
In addition to role responsibilities, each staff member of Health Care for the Homeless has the following responsibilities as a part of their employment:

• Models and reinforces the Health Care for the Homeless core values ofdignity, authenticity, hope, justice,passion,and balance
• Activelyparticipatesin performance improvement and advocacy activities that support the mission
• Performs other duties on an as-needed basis
• Protects clients'personal health information bymaintainingcompliance with HIPAA and other relevanthealthcare related IT security regulations

Knowledge, Experience and Skills
Formal Education and Training

• BSNrequired
• Current licensure as a registered nurse in Marylandrequired
• BLS CPR certification

Experience

• Minimum three years of nursing experience in a community health center, addiction treatment, harm reduction, primary care, or comparable settingrequired.
• Experience providing care to individuals with substance use disorders and applying harm reduction principles in clinical practicerequired.
• Experience working with underserved populations, including individuals experiencing homelessness or other significant barriers to carerequired.
• Experience supervising, mentoring, or leading clinical staff preferred.
• Experience with office-based addiction treatment or medication for opioid use disorder (MOUD) programs preferred.

Skills

• Strong clinical assessment, critical thinking, and nursing judgment skills.

• Demonstrates effective leadership, coaching, and mentoring skills that support staff development and high-quality client care.
• Builds trusting relationships with clients, colleagues, and community partners through empathy, respect, and authenticity.
• Communicates effectively across disciplines and works collaboratively within interdisciplinary teams.
• Demonstrates strong organizational skills andis able tobalance direct clinical care responsibilities with leadership, coordination, and administrative responsibilities.
• Able toidentifyoperational and clinical challenges, develop practical solutions, and support implementation of process improvements.
• Demonstrates flexibility, adaptability, and sound judgment in a fast-paced, low-barrier care environment.
• Demonstrates an ability to engage individuals across the spectrum of substance use, recovery, readiness for change, and treatment goals without judgment or coercion.
• Committed to person-centered, trauma-informed, harm reduction-oriented care and advancing equity in healthcare delivery.