Street Outreach Nurse Practitioner

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Posted 4/27/2022

The Street Outreach Nurse Practitioner is a full-time professional, direct service position responsible for identifying and building rapport with individuals experiencing homelessness and families living on the street, in encampments or in community places as well as existing program participants open within Welcome House Services. This position will provide a trauma-informed approach, support harm reduction, and use motivational interviewing to develop trust, provide treatment, develop goals, and support people in reaching these goals. Through an evidence-based approach; the Street Outreach Nurse Practitioner assesses, identifies, plans, implements and evaluates the nursing care required to assist Welcome House program participants in meeting their needs. The Street Outreach Nurse Practitioner works within the team’s interdisciplinary clinical framework to provide program participant centered and strengths based care. This position will work to establish and maintain relationships with, and consult with, service and housing providers, program participants, their families and colleagues to provide appropriate treatment services based on best practices and program participant needs.

Through Assertive Community Treatment, this position will assist program participants in breaking the cycle of homelessness by moving from the street to interim housing and accessing necessary social services. Our outreach staff work to build trust with those experiencing homelessness and connect them to various resources by meeting them within the community. The Street Outreach Nurse Practitioner will provide primary health services and education to program participants reluctant to visit a Primary Care facility and will focus on ensuring that the health care needs of program participants are met. This position performs duties in accordance with Welcome House Core Values, including: Compassion, Advocacy, Integrity, Quality, Leadership and Community.

1. Outreach
• Provide comprehensive and holistic primary care through Assertive Community Treatment which can include: physical exams, development of diagnosis, management of acute and chronic illnesses;
• Evaluate outcomes of care and make medical recommendations;
• Evaluate pharmacological treatment regime;
• Collaborate with staff to coordinate prescriptions and orders, and to oversee the overall health of client;
• Collaborate with other health care providers and makes appropriate referrals;
• Develop, maintain and update plans of care and health care records and other documentation as required;
• Monthly Medication/Treatment review of team charts
• Teach health promotion to consumers and staff;
• Advocate for consumers in accessing and navigating the health care system;
• Work closely with the Team and program participants in establishing and following the optimal treatment/service plan;
• Establish a work schedule, in collaboration with team leader, to ensure that program participants are seen in a timely manner;
• Engage qualified consumers in medical services, both on site and in the community;
• Educate/ assist agency staff to develop increase awareness of community health care agencies /resources;
• Serve as a health care resource to Individuals and families/significant others;
• Participate in facilitating appropriate hospitalizations (medical and psychiatric), crisis interventions and referrals;
• Communicate with hospital staff to ensure optimal treatment and discharge planning;
• Perform other related duties as required.
• Responsible for providing documentation of homelessness for the Outreach Team.

2. Internal/External Collaboration
• Collaborates with the Outreach Team to assist program participants in accessing resources.
• Work cohesively with other outreach community members and the NKY CoC Community.
• Identify and engage needed partnerships that will improve services and/or process and reduce barriers for program participants
• Provides respectful and collaborative support to service team members and shares responsibility with all team members for program participant outcomes.
• Maintains positive public relations and serves as a liaison with other related community services.
• Provide other WH direct service staff with mentoring and training about street outreach and nursing procedures.

3. Administration
• Maintains up to date program participant list.
• Keeps accurate data on all program participants and assists the Director and Supervisor of Homeless Solutions with data gathering and reporting, as needed.
• Provides analysis of data and outcomes to the Director and Supervisor of Homeless Solutions, when requested.
• Data entry into VESTA within 3 business days.

4. Other duties as specified by the Director and/or Supervisor of Homeless Solutions.


• Licensed as a Registered Nurse in the state of Kentucky;
• Master’s degree in nursing; required
• Certification by the American Nurses Credentialing Center; preferred
• Registered Nurse: 4 years required
• Experience working with the homeless population, desired.
• Patience, creativity, flexibility, compassion and sensitivity to persons with disabilities and other minority populations;
• Experience or training in community preferred;
• Experience with dually diagnosed population preferred;
• Excellent written and verbal communication skills;
• Driver’s licensed and access to a motor vehicle preferred
Skills/Specialized Knowledge/Abilities
• Proficient knowledge of mental illness
• Proficient in problem solving techniques and have a high capacity to think critically
• Proficient ability to communicate both verbally and in writing
• Proficient ability in conflict management
• Proficient in engagement practices
• Experience and skills sets to be a mentor to team members
• Advanced to work independently as well as part of a team
• Advanced ability to develop community resources and networking ability
• Increased knowledge of and involvement in community resources/partnerships
• Proficient knowledge of Mental Health/Substance Abuse resources
• Strong leadership ability
• Ability to collaborate both internally and externally

Key Performance Indicators:
• Understands agency vision/mission and how to achieve agency goals
• Understands culture of poverty and works effectively with program participants
• Proficient in service planning and program participant engagement
• Proficient in documentation and have to ability to train staff
• High Involvement in community partnerships
• Proficient knowledge of Mental Health/Substance Abuse resources
• Proficient in job readiness
• Proficient in assessment
• Participating in leadership responsibilities within income and benefits team and agency
• Ability to understand and contribute to quarterly and annual reporting
• Takes on leadership role in departmental and cross-functional compliance

Working Hours/Environment
• Work sometimes performed in an indoor, 3-floor office building with stairs only and in the community
• Work mostly performed outdoors or Welcome House medical RV

Tools and Equipment Used
• Personal computer, copier, fax/scanner, phone, and other typical office equipment.

• Average – of 75% of the time.

Physical and Mental Demands
• Ability to walk short distances on possibly uneven terrain
• Frequently required to sit at a desk/workstation for long period of time
• Ability to work at a computer terminal for extended periods of time
• Digital dexterity and hand/eye coordination in operation of office equipment
• Ability to speak to and hear employees/program participants via phone or in person
• Body motor skills sufficient to enable incumbent to move between 3 floors
• Additional Mental Requirements: compare, decide, direct, problem solve, analyze, instruct, interpret
• Minimum lifting up to and above 50 pounds

Interested parties should submit a cover letter and resume via e-mail to:

Welcome House is an equal opportunity employer. Employment selection and related decisions are made without regard to gender, race, age, disability, religion, national origin, color, gender identity, sexual orientation, veteran status or any other protected class.

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