Family Nurse Practitioner

About the role

At Jefferson Center, we are passionate about building a community where mental health matters and equitable care is accessible to all races, ethnicities, abilities, socioeconomic statuses, ages, sexual orientations, gender expressions, religions, cultures, and languages. The Nurse Practitioner will provide medical oversight and medical education for behavioral health staff for residential services for adults and youth with behavioral health and substance use disorder diagnoses.

Responsibilities

• Complete physical evaluations and medication management.
• Identify potential physical health concerns impacting the individual's ability to engage in treatment.
• Consult and collaborate with psychiatric staff, nursing staff, and other treatment team members.
• Outreach and collaborate with family, caregivers, PCPs, and other healthcare providers in the overall health management of consumers.
• Prescribe Medication Assisted Treatment (MAT) when appropriate.
• Provide diagnostic/medication evaluations and individual and group medication management.
• Provide consumers with all necessary medication and education.
• Consult with nurses in triaging phone calls, addressing medication problems, and requests for refills; respond promptly to nurse questions or requests.
• Order and monitor appropriate laboratory tests at clinically indicated frequency.
• Monitor and review consumers’ charts for medication/medical issues with appropriate follow-up.
• Provide crisis support for clinical emergencies at clinical sites.
• Attend mandatory training and comply with individualized training plans if required.
• Report high risk/problem cases and solicit consultation and help as needed.
• Attend supervision at agreed-upon times and incorporate supervision into clinical practice and job performance.
• Complete 90% of peer review charts needing corrections within fourteen calendar days.
• Submit 90% of all SRFs/Initial Evaluation/Progress-to-Date forms within three working days (or within the team-specific time).
• Complete 95% of all paperwork by the due date.
• Ensure that fee collections meet the team's goal as determined by Chief Medical Officer and Chief Clinical and Operations Officer.
• Provide medication-group treatment as determined by Chief Medical Officer.
• Meet caseload requirements and required number of consumer service hours as determined by Chief Medical Officer and Chief Clinical and Operations Officer.
• Engage consumers and their families in the treatment process and goal setting.
• Identify/provide appropriate intervention for risk factors including lethality.
• Work constructively with consumers to reach agreed-upon outcomes, and coordinate care with internal and external providers.
• Maintain appropriate professional boundaries and standards and provide appropriate follow-up for consumers.
• Exhibit professionalism, enthusiasm, courtesy, adaptability, flexibility, and spirit of cooperation in the work environment.
• Maintain effective interpersonal relations with consumers, peers, subordinates, management, visitors, and the public.
• Effectively respond to client/consumer needs and problems, initiate and maintain positive interactions, and provide timely response to phone calls, pages, email, and other requests.
• Work cooperatively with other community agencies; participate in committees, task forces, etc. of the Center or the community as appropriate.
• Provide medical consultation of active patients and on-call responsibility for admission decisions and medical concerns.
• Act as a medical consultant to admissions staff to help assess appropriateness of referrals; participate in scheduled doc-to-doc consultations.
• Perform physical exams within 24-72 hours of admission; conduct clinic 2-3 days a week with a minimum of 75% scheduled hours worked on site.
• Triage patients’ medical concerns as emergent, urgent, or non-urgent, and ensure appropriate follow-up.
• Coordinate care with external providers as indicated.
• Document medical evaluations and follow-ups in the EHR within 24 hours of service.
• Prescribe relevant medical and MAT medications, including continuing home medications and/or starting new medications if indicated; enter medications in the EHR.
• Practice within regulatory guidelines, including Colorado Department of Human Services (CDHS) Volume 7 Rule, Behavioral Health Administration (BHA), and Behavioral Health Administration Service Organization (BHASO).
• Communicate medical status updates and medication changes to staff.
• Be informed of all abnormal medication events, including medication occurrence reports.
• Be informed of vital sign abnormalities and advise staff on appropriate follow-up.
• Consult on protocols and workflows with the pharmacy.
• Develop and ensure maintenance of Emergency Medication/AED Stations for the Youth Recovery Unit.
• Update OTC MARs as necessary.
• Periodically review Vital Sign Parameters and flow charts.
• Review and edit medical policies and procedures.
• Provide training to staff on desired medical and MAT-related topics.
• Provide vital sign and emergency medications training for staff.
• Participate in relevant Critical Incident Reviews (CIRs) and other medical director functions as directed by the Chief Medical Officer.

Additional Duties

• Maintain an understanding of how trauma impacts the lives of the people being served, ensuring every interaction is consistent with the recovery process.
• Perform other site or program-specific responsibilities as assigned by the CMO or the Program Director or Manager.
• Act as part of the emergency escalation chain; may be called during nights or weekends to clarify or resolve critical issues when primary support cannot be reached.

Requirements

• RN degree (or equivalent), master's degree in nursing.
• FNP-BC, PNP-BC, or ENP-BC certification.
• Prescriptive Authority licensure by the Colorado Board of Nursing, and DEA certificate required.
• Experience working with acute and chronic medical conditions, and substance use disorders in adolescents and adults with co-occurring psychiatric disorders is preferable.
• 3-5 years' experience working in primary care, emergency medicine, and/or addictions medicine.
• Knowledgeable and current regarding general medicine, urgent care medicine, and evidence-based MAT.

Pay

Salary: $145,763 ($70.078/hour). The salary listed includes a 10% differential for working with youth in a residential (24/7) program. Jefferson Center pay is based on various factors including education level, licensure level, and years of relative experience. The salary listed is based on 1.0 FTE (40 hours per week).