Nurse Practitioner

Purpose:

The primary purpose of the Nurse Practitioner is to maintain patient care within the

Center by providing MAT services within the parameters of policy, state, and federal

regulations and procedures. The Nurse Practitioner is an essential part of creating a safe and

well-balanced environment for ReVIDA’s patients. The position creates an atmosphere of warmth, personal interest, positive emphasis, and a calm attitude when visiting with staff, patients, and visitors.

Duties:

The Nurse Practitioner will work effectively within a multidisciplinary treatment team, assist in

complex problem solving with patients and work autonomously. They will demonstrate

excellent observation, good judgment, and communication skills. Must have the ability to

provide well-written documentation promptly. They are skilled in conducting assessments,

utilizing ASAM criteria for appropriate patient placement and continued to stay justification,

treatment plan development and implementation, service coordination, and crisis

intervention. Knowledge of local community drug trends, the effects on the body and cognitive

functioning of drugs of abuse, signs, and symptoms of opioid overdose, psychosocial

implications of substance use disorders, the process of addiction and treatment, social

service, economic, legal, and medical systems, HIV transmission-health, behavioral, and

emotional implications of addiction.

Physical, Emotional Demands, and Work Conditions:

• Work is sedentary and ambulant with occasional physical exertion (lifting 30 or more pounds, walking, standing, etc.) ability to support patient weight in case of emergency or disability requiring assistance. Must be able to see, stoop, sit, stand, bend, reach, and be mobile (whether natural or with accommodation).
• Quality of hearing (whether natural or with accommodation) must be acceptable. Must be able to communicate both verbally and in writing. Must be able to relate to and work with mentally and physically ill, disabled, emotionally upset, and hostile patients. Must be emotionally stable and exhibit the ability to display coping skills to deal with multiple situations.
• Risk of exposure to infections, bloodborne pathogens, and other potentially infectious materials or contagious diseases. For this reason, "Universal Precautions" must always be followed. The employee should understand, support, and comply with the established workplace violence, ADA, EEOC, and Corporate Compliance program and commit to worker safety, health, and patient safety. Subject to work schedule and shift changes.

Supervision/Competency Evaluations:

• Supervision and competency evaluations are provided through facility monitoring activities, direct observation, staff meetings, in-services, management meetings, individual meetings, Employee Improvement Process, reporting, interactions, strategic planning, outcomes, and annual competency review.

Competencies:

While the list below is by no means exhaustive; it accurately reflects the

skills that are necessary for this position:

• Practice current evidence-based practice guidelines in medications for opioid use disorder (MOUD) treatment programs.
• Knowledge of principles and methods for teaching and instructing patients
• Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; evidence-based practices, and the assessment and treatment of behavioral and affective disorders
• Knowledge of medications, such as drug classifications, dosing, interactions, abbreviations, drug regimens, calculations, brand, and generic equivalencies, and formulary status
• Basic knowledge of computer systems such as word processing, email systems, and other production software applications and computer literate with experience with electronic health record documentation and e-prescribing
• Motivational Interviewing and active listening
• Adept in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems
• Effective time management and communication skills
• Ability to provide compassionate, empathetic, evidence-based care to individuals suffering from substance use disorders
• Ability to understand addiction as a chronic, often deadly, disease process and understand the benefits of positive reinforcement treatment approaches
• Ability to practice autonomously in compliance with operations manual treatment guidelines; with guidance available from the medical director under a collaborative practice agreement
• Able to communicate information and ideas orally and in writing so others will understand
• Working knowledge of HIPAA, 42 CFR Part 2, and Confidentiality for Substance Abuse Records Regulations.
• Assists in decision making pertaining to the medical care of patients that is consistent with current medical practice and REVIDA RECOVERY CENTER policies and procedures;
• Provides backup call coverage;
• Serves in a teaching capacity for the training and development of other personnel;
• Responsible for securing physical exams and history from the patient, reviewing medical records, making medical evaluations, requesting appropriate diagnostic testing, prescribing medications and treatments, assisting in the management of behavioral or mental health problems of patients, maintaining current medical records in accordance with federal or state regulation, and clinic or corporate policies and procedures; and,
• Refer patients to PCP and/or specialist when necessary; Discuss patient’s care as part of the multidisciplinary treatment team
• Collaborate with referral sources, internal team members, and external service providers to ensure appropriate patient care and continuity of care
• Interpret test results to diagnose health issues; provide feedback to patients
• Complete patient evaluations and physical exams with thorough, timely documentation to include coordination of care
• Complete full and appropriate documentation to support professional billing for services
• Perform follow up visits to include detailed, timely documentation, including patients’ progress with medication and/or treatment
• Participates in provider meetings and staff meetings as determined by the Medical Director
• Facilitates leadership regarding new findings in the field of addictions treatment
• Demonstrate use of evidence-based practices
• Commitment to process improvement

Minimum Requirements:

• Education: Master of Nursing
• Experience: Have experience working with individuals with substance use and other co-occurring mental disorders.
• License/certifications: Licensed in the State of TN or VA and must have or be able to obtain a DATA2000 waiver to prescribe buprenorphine
• Background check: ability to pass routine state/federal criminal background check and be eligible for credentialing under CMS and commercial health plans

Special Requirements: Required/Maintained state trainee status, intern, registration,

training standing, and associate level clinical licensure. Knowledge of applicable State Code

of Regulations and 42 Code of Federal Regulations (CFR) Section 8.12. Compliance with

accepted professional standards and practices; Adherence to the NAADAC Code of Ethics and

any other Codes of Ethics for the individual’s respective field.

Continuing Education & Professional Licensing/Certification Requirements: Employee is

expected to participate in appropriate continuing education as may be requested and

required by their immediate supervisor. In addition, the employee is expected to accept

personal responsibility for other educational activities to enhance job-related skills and

abilities. The employee must attend mandatory educational programs and maintain current

professional certifications as delineated above in their state, in good standing.

While this job description is intended to reflect the job requirements, management reserves

the right to add or remove duties from jobs when circumstances (e.g., emergencies,

changes in workload, rush jobs, or technological developments) dictate. Furthermore, they

do not establish an employment contract and are subject to change at the employer’s

discretion.