Lead Registered Nurse (MOUD/MAT Program)

Health Care for the Homeless; Baltimore (MD); On-site; USD 97,000 - 104,000; Full time

Job summary

Health Care for the Homeless seeks a Lead MOUD Registered Nurse for the Fallsway site to provide clinical leadership for the MOUD program and supervise nursing staff. You will oversee clinic workflows, ensure high-quality care, and coordinate services across primary care, behavioral health, and recovery supports.

Grounded in trauma-informed, harm-reduction approaches, you will mentor staff, drive quality improvements, and maintain compliant, safe patient care in a fast-paced, low-barrier setting.

Qualifications

• BSN required; current Maryland RN licensure and BLS CPR certification.
• Minimum three years of nursing in a community health, addiction treatment, harm reduction, or primary care setting.
• Experience caring for individuals with substance use disorders and homelessness.
• Supervising or mentoring clinical staff preferred.
• MOUD or office-based addiction treatment experience preferred.

Responsibilities

• Provide direct nursing care in the MOUD program, including addiction care and care coordination.
• Model trauma-informed, person-centered, harm-reduction approaches to care.
• Provide clinical coaching and supervision to MOUD nursing staff.
• Supervise nursing staff and ensure clinical oversight within MOUD clinic.
• Coordinate clinic workflows, scheduling, and supply management.
• Lead clinic-level quality improvement, compliance, and environment of care.
• Collaborate with behavioral health, primary care, and community partners.
• Support warm handoffs and interdisciplinary care planning.
• Ensure documentation per agency standards and timeframes.

Skills

Leadership

Clinical assessment

Critical thinking

Nursing judgment

Communication

Team collaboration

Organization

Adaptability

Trauma-informed care

Harm reduction

Education

BSN

Maryland RN license

BLS CPR certification

Job description

Salary Range:

$97,100.00 To $104,000.00 Annually

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 when appropriate.
• Maintains an active clinical practice and models person-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 staff and provides clinical oversight, guidance, and support for all nursing staff delivering care within the MOUD clinic.
• Supports integration of preventive care, chronic disease management, and health screenings into MOUD services.

• Completes documentation in accordance with agency standards and required timeframes.

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 ensure the availability 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, supportive services, 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 of dignity, authenticity, hope, justice, passion, and balance.
• Actively participates in performance improvement and advocacy activities that support the mission.
• Performs other duties on an as‑needed basis.
• Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant healthcare related IT security regulations.

Knowledge, Experience and Skills:

Formal Education and Training:

• BSN required.
• Current licensure as a registered nurse in Maryland required.
• BLS CPR certification.

Experience:

• Minimum three years of nursing experience in a community health center, addiction treatment, harm reduction, primary care, or comparable setting required.
• Experience providing care to individuals with substance use disorders and applying harm reduction principles in clinical practice required.
• Experience working with underserved populations, including individuals experiencing homelessness or other significant barriers to care required.
• 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 and is able to balance direct clinical care responsibilities with leadership, coordination, and administrative responsibilities.
• Able to identify operational 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.