Nurse Clinician

TB HIV Care (THC), in existence since 1929, is an internationally recognised non-profit organisation. We provide health care services throughout South Africa to both the general population and communities at increased risk for HIV and TB, including adolescent girls and young women, sex workers and people who use drugs. THC provides a stimulating work environment and the opportunity to work with leaders in the field of HIV and TB prevention and care. Our work culture is adapted to the constantly evolving South African health care environment and will suit solution-driven team players interested in opportunities for career development while working to connect people with care

Purpose of the position:

To deliver comprehensive care, which includes and integrated approach to the management of inmates with opioid use disorder (OUD), HIV, TB, STIs, viral hepatitis, and mental health issues. Additionally, the nurse clinician is instrumental in facilitating successful referrals for inmates to community-based OAT programmes following their release, providing patient education, and enhancing the effectiveness of the OAT project through data collection and feedback.

• Minimum 5 years' experience in nursing after registration
• Experience working with Department of correctional services (DCS)
• Experience in IHI QI methodology
• Facilitation
• Degree / diploma
• Adult Primary Care Certificate
• Registration with the South African Nursing Council as a Professional Nurse
• NIMART training and certified
• OAT training
• RTCQI certficate
• Proficiency in English & IsiZulu languages
• Valid code 8 driver's license

• Conduct clinical assessments, screenings, and examinations for HIV, hepatitis, TB, STIs, and opioid use.
• Identify and manage opioid dependency, withdrawal, and overdose using approved screening tools.
• Interpret test results, consult with medical officers when needed, and explain treatment plans to inmates.
• Provide daily OAT dosing, ART initiation and management, PrEP provision, and follow-up care according to guidelines.
• Maintain accurate clinical documentation, including Schedule 6 drug books and medical charts.
• Update all programme registers such as ART, HTS, PrEP, viral hepatitis, referral, and linkage registers.
• Manage medication supply, storage, and distribution according to Good Pharmacy Practice (GPP).
• Monitor programme data, track targets, validate referrals, and submit clinical reports.
• Provide health education and awareness on HIV, hepatitis, TB, opioid dependency, withdrawal, and overdose prevention.
• Deliver skills transfer to DCS clinicians on ART, PrEP, TB, viral hepatitis, and OAT guidelines.
• Participate in events, campaigns, and stakeholder engagement meetings.
• Implement quality assurance processes including RTCQI, QC, PT, and SPI-RT assessments.
• Identify risks, implement corrective actions, and ensure compliance with infection control and safety protocols.
• Mentor and supervise DCS nurses performing OAT-related procedures and support their clinical skills development.
• Monitor OAT patients for clinical changes, provide counselling, and support adherence to treatment plans.
• Engage in continuous professional development through training, workshops, and guideline updates.
• Assist with QI project planning, data analysis, and support facility-based QI teams.
• Participate in QI meetings, provide onsite mentorship, and complete all related reporting.
• Complete administrative requirements including timesheets, monthly reports, and programme documentation.