Primary Care Services Provider-Nurse Practitioner (NP)

POSITION TITLE: Primary Care Services Provider-Nurse Practitioner (NP) Non-Exempt Position

SALARY: $100,000 - $115,000

RESPONSIBLE TO: Chief Clinical Officer and Medical Director

MAJOR DUTIES: Lifeline Connections is a community-based behavioral health organization that specializes in providing confidential and compassionate care to individuals who experience a substance use and/or mental health condition
Lifeline’s Primary Care Services is a unique model to help address short term outpatient primary care, basic mental health and when needed addiction health services
We help serve a bridge for patients until they can access long term primary care and/or mental health and addiction care
Our model assists patients in getting access to long term care
This position may also include providing training and education for Family Medicine medical students and residents


Responsibilities include:

1. Provide interim care and medications (if indicated) and screening for chronic illnesses such as hypertension, diabetes, hyperlipidemia, hypothyroidism, etc.
   
2. Treat minor injuries such as strains, sprains, and non-complicating extremity fractures and dislocations within the physician’s scope of practice
   
3. Treat superficial minor lacerations, abrasions, minor first and second-degree bums within the provider’s scope of practice
   
4. Provide refills for medications for chronic medical issues and mental health (within comfort and consult with MH providers)
   
5. Evaluate, examine, and provide individualized treatment plan for acute and chronic issues, and minor injuries for patients
6. Provide Hep C evaluation and treatment (can be trained for this)
7. Provide MAT evaluation, treatment plan and medication management if needed
   (can be trained for this)
8. Order and interpret diagnostic tests including but not limited to labs and imaging
   
9. Engage in a collegial consultative relationship with other providers including mental health providers, registered nurses, medical assistants, office staff, Residential Treatment Center staff, and Outpatient Treatment Center staff
   
10. Counsel and instruct patients in health maintenance problems such as: 1) nutrition, diet and weight reduction; 2) risk factor prevention and modification (chemical addictions including alcohol, tobacco and drugs); 3) mental health referrals; 4) self-care measures for health maintenance; 5) family planning 6) STD prevention and treatment 6) Hepatitis C management (can be trained for this)
11. Identify and appropriately refer patients to higher level of care in a timely manner
    
12. Assist medical team in coordination of care that the patient receives from other providers and agencies and advocate for the patient within the health care system
    
13. Assist with rounds in withdrawal management if needed, may be weekly
    
14. Maintain commitment to providing culturally sensitive care
    
15. Assist the medical team with health education to individual patients or groups as needed
    
16. Provide staff development education as requested by the Program Director and other departments
17. Be a preceptor for medical students, residents who rotate through Lifeline
    
18. Engage in ongoing education and specialized training in order to maintain a high quality of care to the clinic's patient population
    
19. Attend staff/provider meetings
    
20. Document patient care legibly and appropriately within medical standards of care
    
21. Notify Human Resources regarding any changes in state licensure, DEA licensure, board certification, Medicare provider status; send updated copies of licenses to human resources
    
22. Perform other duties as assigned
    

POSITION REQUIREMENTS:

1. Washington State Department of Health medical License required;

NP,

1. Preferred Board certified or Board Eligible in Family Practice or Internal Medicine required or equivalent training
2. Board certified in Addiction Medicine preferred but not required
3. CPR card;
4. Experience working with underserved, houseless, and patients with addiction preferred
   
5. Experience with MAT medication management but not required
6. Possess a current DEA credential with X waiver;
7. Ability to maintain client confidentiality;
8. Good verbal and written communication skills;
9. Great attendance; and
10. Ability to work well with others

GUIDELINES:

The position performs duties in accordance with Washington Administrative Codes, Federal regulations governing confidentiality, and all of Lifeline Connections Policies and Procedures
The position requires that the incumbent maintain certification or qualification standards delineated in RCW 71.05, and RCW 71.34 and WAC 246-341 or its successors, and maintains licensure with the Department of Health
The incumbent relies on specialized training and/or equivalent experience in the field of psychiatry, addiction medicine, co-occurring disorders, Division of Behavioral Health and Recovery, WACs and RCWs of Washington and the performance standards developed for the position


COMPLEXITY

The incumbent provides individual therapy, group therapy, case management and diagnostic services to clients who differ widely in age and socioeconomic status and who may possess a variety of chronic and serious social, behavioral and psychological problems
Strong clinical skills, sound judgment, and creativity are required to help implement and deliver treatment services that will meet the complex needs of the clients


PERSONAL CONTACT:

Contacts are with members of the treatment team, clients, significant others of the clients, Board of Directors, representatives of various community agencies specializing in the treatment of chemical abuse, psychiatric disorders, co-occurring disorders, and related community representatives including lawyers, and other court officials
All personal contacts are carried out in accordance with federal and state statues, laws and regulations dealing with the confidentiality of alcohol and drug dependent client records


PHYSICAL DEMANDS:

While performing the essential functions of the job, the employee is regularly required to sit, speak clearly, hear and use hands and fingers to manipulate writing utensils and keys on a keyboard
The employee is occasionally required to stand, walk, reach with hands or arms, stoop, kneel, crouch or lift and/or move maximum of 15 lbs


WORKING ENVIRONMENTS:

Working hours are spent indoors in offices or meeting rooms
Occasional supervision of outdoor activities, visits to community agencies, and participation in staff retreats and staff development activities may be required.