Opioid Treatment Nurse Practitioner

About the role

This is a Regular, Full-Time (1.0 FTE) position that offers the opportunity to participate in a learning and collaborative environment with the interdisciplinary team at the Public Health Clinic comprising of substance use disorder treatment services, street medicine, and sexual health teams.

The starting salary for this position is: $130,166.40 - $143,956.80 annually.

Responsibilities

• Act as a licensed Opioid Treatment Program (OTP) practitioner for outpatient substance use disorder treatment clinic working under indirect supervision of Medical Director.
• Obtain health and medical history, both general and specific, including but not limited to substance use history, sexual health history, family history, psychosocial/developmental histories and cultural information using patient centered, trauma informed care.
• Identify actual and potential health needs based on medical, behavioral, financial, and social factors.
• Perform comprehensive physical exams and focused physical exams depending on patients’ needs. The ARNP may perform procedures within their scope of practice to include, but not limited to naloxone challenge testing, administration of long-acting buprenorphine, naltrexone, incision and drainage of abscess, placement of long-acting reversible contraception, removal of foreign body, sample collection, etc.
• Diagnose and manage substance use disorders, medical and psychiatric conditions with appropriate referrals.
• Develop and implement treatment plan; oversee the treatment plan throughout treatment. Longitudinal follow-up of patients. Obtain a collateral history.
• Consult with the Medical Director on complex cases and situations as noted in the operational procedures. Refer cases to physicians and allied health professionals for conditions outside the scope of practice to diagnose or treat.
• Confer directly with one or more physicians regarding diagnosis and care management problems as needed. Participate in weekly medical staffing meetings and weekly 1:1 meeting with the medical director.
• Perform and/or interpret appropriate ancillary testing including but not limited to basic blood work (CBC, CMP, etc.), sexually transmitted infection testing and monitoring, toxicology screening and confirmation testing, methadone trough level, electrocardiograms or other indicated testing.
• Prescribe medications based on current evidence. Educate patients on risks, benefits, interactions, and contraindications of use of medications in terms appropriate to the patients’ level of health literacy.
• Document in Electronic Health Record to collect, record, and analyze data. Report IT issues in a time-sensitive manner.
• Participate in daily clinic operations. Actively participate in the planning, implementation, and evaluation of quality improvement initiatives.
• Provide on-call phone consultation to dosing staff during 5 am –8:30 am on Saturdays (rotating schedule, alternate weekends).
• File exemption/exception requests on SAMHSA Extranet.
• Manage acute medical emergencies in the clinic.
• Provide leadership, guidance, and feedback to clinic staff to support a high-performance clinic that focuses on quality and safe patient care.
• Collaborate with other nurse practitioners, RNs, SUDPs, and LPNs in and across the teams to deliver safe and effective patient care.
• Provide compassionate care for patients who are stigmatized and/or discriminated against for substance use disorder.
• Prescribes medications, including controlled substances, based on State and Federal regulations. Ensures each patient receives the appropriate level of education needed to understand the purpose and intended outcome of the use of medications.
• Assesses candidates and collaborates with the medical team to evaluate patients for Medication for Opioid Use Disorder (MOUD).

Qualifications

• Intermediate knowledge of standard Microsoft Office programs and Electronic Medical Records software.
• Knowledge of professional and public health nursing principles, practices, and techniques including trauma-informed and patient-centered care, community health problems, preventative measures, and community resources.
• Knowledge of both motivational interviewing and trauma-informed care to provide individualized support for clients navigating behavior change.
• Skill in analyzing, compiling, recording, and assessing data, i.e., medical decision making, shared decision making, informed consent, mental status assessment, mental capacity evaluation, review of medical records, etc.
• Ability to synthesize and assimilate complex information from variety of sources including internal and external medical records, collateral history from family members/peers/staff, history from patient, objective data from testing and examination.
• Ability to apply evidence-based knowledge to formulate an individualized assessment and plan for each patient based on their unique presenting medical and biopsychosocial conditions.
• Understanding of systems-based quality improvement.
• Ability to stay up to date with advances in clinical medicine.
• Familiarity with community, professional, and educational resources for referral services.
• Knowledge of medication administration, drug interactions, dosages, and effects.
• Understanding of ethical and legal standards of medical practice and patient confidentiality.
• Ability to apply crisis intervention skills.
• Ability to apply diagnostic reasoning and clinical decision-making skills to make educated and timely decisions regarding patient care.
• Skill in maintaining sensitive and confidential data and using discretion when sharing information.
• Skills in communication: Listens to others and communicates in an effective manner. Asks questions in ways that enhance the clarity, quality, and reliability of information. Understands and learns from what others say, attends to nonverbal cues, and responds appropriately. Grasps the meaning of written information and applies it to work situations. Conveys ideas and facts using language the audience will best understand, taking into consideration the audience and nature of the information. Writes in a clear, concise, and organized manner for the intended audience.