Nurse Care Manager Model
The nurse care manager model streamlines
office-based opioid treatment (OBOT) under the supervision of a nurse care manager. In this
model, nurse care managers perform the initial screening, connect patients to waivered providers for
medication prescription, and conduct follow-up appointments with patients to monitor maintenance and
recovery. The waivered provider confirms that treatment with medication for opioid use disorder
(MOUD) is appropriate for the patient.
Examples of Nurse Care Manager Programs
Boston Medical Center's Office Based Addiction
Treatment (OBAT) Program, also known as the Massachusetts Model, relies on nurse care managers to
support physicians in treating opioid use disorder (OUD). Within this program, the nurse care
managers are responsible for conducting the initial screening and providing continued support for
patients throughout the treatment process. This collaborative approach ensures the provision of
effective, coordinated, and team-based care to patients with OUD.
Use of a
nurse care manager model for OBOT can improve patient access to and retention in MOUD treatment
while supporting the efficient use of waivered physicians. This model relieves some of the burden of
work from physicians prescribing medication.
This model is highly dependent on the availability of a nurse care manager who can coordinate and
manage a patient's care in the office-based setting. In rural areas with a shortage of healthcare
providers, this can be a challenge.
Program Clearinghouse Examples