Senior Staff Provider (APRN/NP/PA)

About the Role

At Groups, the Senior Staff Provider provides essential support and backup for our team of providers and serves as the primary medical consultant for non-medical members of the care team. This role manages a team of contract and staff providers across multiple locations, balancing 50% direct care and 50% administrative management responsibilities.

Responsibilities

Clinical Responsibilities

• Adhere to clinical policies, procedures, and practice guidelines.
• Manage a panel of members as their dedicated continuity provider, reviewing care plans and medication at each group visit or more often if required.
• Provide direct care to members, including group and individual sessions, and Initial Provider Evaluations (reviewing medical histories and assessing appropriateness for care).
• Provide coverage for makeup groups, individual sessions, and initial evaluations.
• Conduct individual sessions to review progress and provide evaluation and management (E&M) services as necessary (average 10-12 hours of face-to-face member care per week).
• Assess each member's medical needs and determine appropriateness for treatment according to Groups Recover Together's clinical models, policies, and procedures.
• Prescribe medication for opioid use disorder and other approved medications following Groups Recover Together's policies and procedures.
• Review and sign all generated prescriptions when appropriate.
• Coordinate with community providers and agencies to support members as needed.
• Offer cross-coverage for colleagues and answer medical questions when other providers are unavailable or cases require review.
• Act as a medical consultant for interdisciplinary care team meetings (intercom).
• Participate in the on-call schedule for urgent prescription coverage, typically one Saturday per month for 2-3 hours.
• Delegate access to the state’s prescription drug monitoring database to allow Groups staff to monitor member access to controlled substances, according to clinical protocols.
• Complete high-quality, thorough, and accurate documentation for all medical encounters on the same day, as outlined in Groups policy.
• Maintain patient records confidentially and complete records as required by HIPAA and other applicable laws and regulations.

Administrative Responsibilities

• Manage assigned medical providers (10-20 contracted providers and/or up to 4 FTEs of staff providers), ensuring quality care aligns with policies and procedures.
• Maintain expertise in Groups' policies, procedures, and workflows.
• Navigate complex clinical situations and "gray areas" consistent with Groups' philosophy and medical practice guidelines.
• Serve as the primary point of contact for medical concerns and escalations.
• Assist with onboarding, training, education, and support for new and existing providers.
• Conduct chart reviews and direct care observations, providing feedback to assigned providers and supporting Medical Directors as appropriate.
• Complete required provider reviews and offer feedback on clinical and performance issues.
• Support Groups' training, performance improvement, and change management activities.
• Assist in rolling out new protocols, workflows, and care pathways.
• Provide middle management support to front-line providers.
• Collaborate on piloting initiatives to improve clinical outcomes.
• Work closely with the Provider Support Manager and the Operations Director for administrative support.

• Other duties as assigned by medical or operational leadership.

Requirements

• Active, unencumbered medical license (APRN/PA) in the state(s) of hire where Groups Recover Together operates, with appropriate behavioral health or addiction medicine NPI taxonomy (or willingness to adjust primary or secondary NPI taxonomy).
• Active DEA with practice address in the state(s) of hire where Groups Recover Together operates, and willingness to obtain additional licenses in other states as requested (no background issues that could limit state licensing or credentialing).
• Proof of active board certification(s).
• Willingness to become credentialed with all government and private health plans with whom Groups Recover Together is in network.
• Ability and willingness to see members in person at pre-agreed-upon locations.
• Evening availability 2 evenings (until 8pm) per week, preferred.
• Minimum 1-year experience managing OUD with buprenorphine and proof of completion of the minimum 8-hour SAMHSA training.
• At least 2 years of experience working in a team-based-care setting with behavioral health providers (therapists, social workers, case managers, etc.).
• At least 2 years of experience working with a similar member population, preferably within primary care or behavioral health settings.
• Access to reliable internet and telephone services (10M download and 5M upload package or higher, as well as a strong WiFi signal from your remote work location).
• Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening, which may include fingerprinting, drug testing, health screening, CPR/Basic First Aid, and license/credential verifications.

Skills

• Ability to demonstrate recovery-sensitive behaviors, including choice of language, attitudes, and interactions with members and staff.
• Ability to thrive in the group medical visit setting and use telehealth modality effectively.
• Commitment to harm reduction principles and the ability to drive a culture of member-centeredness and harm reduction on the teams you supervise.
• Ability to maintain courtesy and professionalism in all communications (verbal and written) with staff and members.
• Ability to use discretion and work independently under general supervision.
• Ability to lead, coach, and inspire a team.
• Understanding of and adherence to the Professional Code of Conduct.
• EMR fluency.
• Spreadsheet and basic data analysis proficiency.

Physical Requirements & Working Conditions

These physical demands are representative of those necessary to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities on a case-by-case basis.

• While performing the responsibilities of the role, the employee is required to talk and hear.
• The employee is often required to sit and use their hands and fingers.
• The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and stoop, kneel, crouch, or crawl.
• Vision abilities required by this job include close vision.