Nurse Practitioner

Position Summary

The Nurse Practitioner works within the Harm Reduction framework to provide low-barrier, trauma-informed medical care to individuals experiencing homelessness and those disconnected from traditional healthcare systems. This role delivers mobile medical services across TNM’s outreach platforms, including Street Medicine, Health Outreach Bus, CTA outreach, shelter-based services, and youth programming, while bridging individuals to ongoing primary care, specialty care, and other community-based services.

General Purpose

The purpose of this role is to deliver comprehensive, harm-reduction–oriented medical care in nontraditional settings; reduce barriers to care for unsheltered and marginalized populations; support engagement in substance use treatment, mental health care, and chronic disease management; strengthen referral pathways and partnerships; ensure compliance with regulatory and funding requirements; and contribute to ongoing program development and quality improvement.

Role Qualifications

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program
• Licensed Advanced Practice Nurse in Illinois (Family preferred; Adult-Gerontology or other relevant population focus considered)
• DEA license or eligibility to obtain
• Minimum 2+ years of clinical experience; primary care or community health preferred
• Experience working with individuals experiencing homelessness, substance use disorders, serious mental illness, or complex trauma strongly preferred
• Ability to work evenings and weekends
• Valid driver's license and good driving record

Position Responsibilities

Provide low-barrier, harm-reduction-oriented medical care across TNM outreach settings, including Street Medicine, Health Outreach Bus, CTA outreach, shelters, and youth programs

Conduct focused assessments and treat acute and chronic medical conditions in mobile and outdoor environments

Initiate and manage pharmacologic treatment, including medications for opioid use disorder and other substance use treatments

Provide wound care, vaccinations, preventive services, and health education, including participation in public health response efforts when needed

Facilitate referrals and warm handoffs to primary care, specialty care, mental health, substance use treatment, and social services

• Maintain accurate and timely documentation in the Electronic Health Record and required reporting systems
• Collaborate with interdisciplinary outreach staff to coordinate client care and engagement
• Support medical supply management and medication inventory for outreach platforms
• Provide clinical guidance to medical students, residents, and volunteers
• Participate in quality improvement efforts, training, and required agency meetings
• Travel to various outreach locations and work in outdoor environments as required

Perform Additional Duties as Assigned

This job description is intended to provide a general overview of the responsibilities and qualifications required for this position. It is not an exhaustive list, and duties may change as business needs evolve.

Essential Skills and Experience

• Strong commitment to harm reduction and trauma-informed care
• Demonstrated experience working with individuals with substance use disorders
• Comfort practicing medicine in nontraditional, resource-limited environments
• Ability to make sound clinical decisions independently
• Excellent interpersonal and de-escalation skills
• Ability to exercise sound judgment and respond calmly in dynamic and emergency situations
• Strong organizational skills and attention to documentation detail
• Familiarity with community referral networks and safety-net systems

Cultural Humility and Commitment to Health Equity

Collaborative team mindset with flexibility to adapt to changing schedules, environments, and interdisciplinary outreach needs

Preferred, Non-Essential Skills

• Spanish language proficiency
• Experience in street medicine or mobile health
• Experience with MAT induction and maintenance
• Experience working in shelters, syringe service programs, or community-based outreach
• Experience supervising learners or volunteers

Reporting to This Position

• No Direct Reports
• Physical Demands, Work Environment, & Reasonable Accommodation:

The physical demands and work environment characteristics described below are representative of those that must be met by an employee to successfully perform the essential functions of this position. The Night Ministry is committed to providing reasonable accommodations to individuals with disabilities. If you require accommodation to perform the essential functions of the job or to participate in the application or hiring process, please contact the People & Culture team.

Physical Demands: While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools or controls; climb stairs; crouch, or crawl; talk or hear; taste or smell.

The employee must occasionally drive an automobile; and lift and/or move 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment

While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate but may vary at the different locations required in this job. This role may require additional hours, sometimes weekends, during certain busy seasons.

Equal Employment Opportunity (EEO) Statement

The Night Ministry is an equal opportunity employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status under applicable laws. We encourage individuals from all backgrounds to apply.

At-Will Employment Disclaimer

This job description is not intended to be an employment contract. Employment with The Night Ministry is at will and may be terminated by the employee or the organization at any time, with or without cause or notice.