Nurse Practitioner

SUMMARY: The Residential Nurse Practitioner provides medical care for patients with substance use disorders. Key responsibilities include (but are not limited to) performing medical evaluations, prescribing and managing medications, and providing periodic monitoring. This position plays a vital role partnering with medical leadership to develop, implement, and update medical protocols and procedures.

ESSENTIAL RESPONSIBILITIES AND TASKS:

• Provide direct patient care, including history and physical and examination of all incoming patients.
• Prescribe and manage medications for substance use disorders, including methadone in full compliance with OTP policies, and other medications according to established medical practice policies.
• Review relevant external medical records and labs as indicated to assess for potential drug interactions and impacts on patient comorbidities. Coordinate with external providers to ensure safe prescribing and management of CODA prescribed medications.
• In collaboration with other members of interdisciplinary treatment team, develop recommendations and referrals to additional or ongoing treatment services.
• Recognize and initiate appropriate response to medical emergencies. Lift patient if necessary for safety. Notify and consult with Medical Director, Program Managers, and/or Program Director (or designee) as needed for clinical guidance, to report on patient progress, and to address complex care issues.
• Maintain timely, accurate and complete medical records for each patient treated in accordance with facility policies and regulatory requirements.
• Participate in coordination of medical care, treatment team meetings, and similar other activities as needed.
• Collaborate with Medical and Program Directors to develop, implement, and update medical-related program policies and procedures to ensure quality care.
• Maintain current licensure by updating job knowledge by participating in educational opportunities; reading professional publications; participating in professional organizations.
• Work within the parameters of all facility practice policies and procedures, including those specific to OTP.
• Achieve outcomes using methods that align with CODA’s mission and values:
• Communicate accurately and positively about recovery and the use of evidence-based treatments.
• Use data and science to identify barriers, overcome obstacles, and inform decisions.
• Be financially responsible; avoid waste, document accurately, seek new opportunities to serve.
• Demonstrate compassion and respect for others.

SECONDARY RESPONSIBILITIES AND TASKS:

• Travel to sites to provide services, pick up supplies or deliver medications if required to drive.
• Assist with short-term coverage for other positions on a short-term basis as needed.
• Provide information and assistance to other team members, including training as assigned.

SUPERVISORY RESPONSIBILITIES:

This position may provide work guidance for other positions within the department.

Qualifications

REQUIRED EDUCATION AND EXPERIENCE:

• You must have graduated from a NLNAC- or CCNE-accredited master's or doctoral degree nursing program. You must hold national certification in a NP specialty through one of the OSBN-approved organizations.
• Graduated from a nurse practitioner program specific to the NP category you are seeking within the last year; or,
• Graduated from a nurse practitioner program specific to the NP category you are seeking & practiced as a nurse practitioner at least 192 hours within the last two years; or,
• Practiced a minimum of 960 hours as a nurse practitioner within the last five years.
• All initial NP applicants must provide documentation of a minimum of 384 hours of RN practice, which includes assessment and management of clients and is not completed as an academic clinical requirement or continuing education program. This requirement is waived for individuals practicing in the specialty area as a licensed certified nurse practitioner in another state besides Oregon for at least 384 hours in the advanced practice role.
• The practice requirement allows for advanced nursing practice in a teaching, research, consulting or supervisory role in addition to direct practice.
• All nurse practitioner applicants must additionally meet the requirements for prescriptive authority found in Division 56 of the Oregon Nurse Practice Act.

COMPETENCIES AND SKILLS:

• Patient Care that is compassionate, appropriate, and effective for treating substance use disorders and promoting health.
• Interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
• Professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
• Ability to work well with a multidisciplinary treatment team.
• Comprehensive knowledge of substance use disorders, management and evaluation of substance use withdrawal syndromes, and treatment principles OR the ability to show proficiency in these areas within six months of hire.
• Ability to utilize both oral and written communications skills to effectively communicate with patients, co-workers, community resources, supervisors, and various other individuals encountered in the course of performing work while maintaining patient confidentiality and establishing professional rapport.
• Ability to maintain professional communications and boundaries while managing complex situations and interacting with individuals diagnosed with substance use or co-occurring conditions.
• Ability to operate a computer, utilize basic MS Office programs, and effectively navigate and maintain patient records in an electronic medical records system.

REQUIRED CERTIFICATIONS AND LICENSES:

• Current unencumbered Oregon Nurse Practitioner license.
• Unrestricted DEA certificate to prescribe controlled substances.
• Basic Life Support (BLS) certification or ability to acquire within 30 days of hire.
• Crisis prevention training completion within 90 days of hire.
• A valid Oregon or Washington driver’s license.

PHYSICAL DEMANDS:

• Ability to safely operate a motor vehicle if required to drive.
• Must be able to occasionally lift up to 25 lbs.
• Must be able to perform BLS for 15 minutes continuously and maintain BLS certification.
• Must be able to utilize personal protective equipment and follow safety procedures while interacting directly with patients and working in a clinical environment, including handling of laboratory specimens.
• Must be able to operate a personal computer, including reading from a computer monitor, keyboarding, and using a mouse.
• Must be able to negotiate staircase, reach, bend, and handle objects.

OTHER REQUIREMENTS:

• A negative result on all pre-employment, reasonable basis, and post-accident drug screens.
• An acceptable criminal record as determined by DHS, the Oregon Administrative Rules, and the Oregon Revised Statutes.
• An acceptable driving record and automobile insurance coverage as recommended by CODA’s automobile insurance provider if driving is required.