Medication Management Provider - Assertive Community Treatment

The Well NE•Norfolk, NE

22h•$0 - $135,000

About The Position

The ACT Medication Management Provider delivers psychiatric assessment and medication services to participants in The Well’s multidisciplinary Assertive Community Treatment (ACT) program. The provider collaborates with participants and the ACT team to make timely, person-centered treatment decisions; monitor medication response and safety; and coordinate psychiatric care with physical health, substance use, housing, vocational, and recovery supports. The position participates in ACT’s shared-caseload and daily meeting practices, provides services in community settings when clinically appropriate, and supports the program’s scheduled 24/7 crisis response through an assigned after-hours on-call rotation. During assigned coverage, the provider offers prescriber-level consultation and medication follow-up according to The Well’s protocols, professional scope, and emergency procedures. The provider conducts psychiatric evaluations and follow-up assessments; develops and updates medication plans using shared decision-making; prescribes and monitors medications within applicable scope and requirements; coordinates medication access and continuity; and consults with ACT staff and outside providers. The role also includes crisis coverage, staff consultation and training, clinical quality activities, documentation, grant reporting, and compliance with agency, regulatory, payer, and funding requirements. This is a full-time exempt position reporting to the Medical Director. The work includes regular sitting, standing, walking, and computer use, as well as community-based services and travel for assigned duties. Occasional lifting of up to 25 pounds is required. A valid driver’s license, current auto insurance, and reliable transportation are required; mileage is reimbursed at the federal rate.

Requirements

Graduate medical or nursing education appropriate to the provider’s license and scope.
Current, unrestricted Nebraska professional license and prescribing authority appropriate to assigned services.
Maintain required certifications, agency privileges, and state or federal registrations for prescribed medications, including controlled-substance registration when applicable.
Demonstrated psychiatric judgment, medication knowledge, risk assessment, and ability to make shared treatment decisions with participants.
Ability to coordinate treatment across psychiatry, primary care, nursing, substance use services, hospitals, pharmacies, and community providers while protecting participant choice and confidentiality.
Clear communication with participants and staff, accurate recordkeeping, and calm response to changing clinical needs and crisis consultation.
Use of trauma-informed, culturally responsive, recovery-oriented practice; maintenance of professional boundaries and ethical standards.
Meet The Well’s job-related credentialing, background, screening, and fitness-for-duty requirements; maintain professional liability coverage as applicable.
Ability to participate in flexible scheduling, community-based services, and scheduled ACT after-hours coverage.
Valid Nebraska driver’s license and insurable driving record when driving is required for assigned duties.
Valid driver’s license, current auto insurance, and reliable transportation required.
Ability to perform regular sitting, standing, walking, and computer use, and occasionally lift up to 25 pounds.

Nice To Haves

Psychiatry or psychiatric mental health training and experience treating adults with serious mental illness.
Experience with ACT, community-based care, co-occurring substance use, and people with complex medical or social needs.

Responsibilities

Conduct psychiatric evaluations and follow-up assessments, including review of symptoms, functioning, medical history, substance use, medications, treatment response, and safety concerns.
Develop and update medication plans with participants through shared decision-making; prescribe, adjust, discontinue, and monitor medications within professional scope, training, agency privileges, and applicable requirements.
Provide medication education and monitor effectiveness, adverse effects, interactions, adherence barriers, and participant preferences.
Coordinate laboratory testing, vital signs, physical health screening, and medical follow-up with ACT nursing and medical providers as appropriate.
Coordinate access to and continuity of psychiatric medications with pharmacies, hospitals, residential programs, and other prescribers, including during care transitions.
When qualified and clinically indicated, assess and prescribe medications for substance use disorders in coordination with the SUD Specialist and participant’s broader treatment plan.
Participate in daily ACT meetings and shared-caseload reviews, communicating medication-related needs, clinical risks, pending tests, follow-up tasks, and changes in participant status.
Provide psychiatric services in the clinic and, when clinically appropriate, in participants’ homes or other community settings; coordinate service timing and access with the ACT Team Lead.
Contribute to individualized treatment, rehabilitation, recovery, and crisis plans, and review them with participants and the team at required intervals and when clinical needs change.
Consult with ACT team members and outside providers to coordinate integrated care and reduce gaps during hospital, jail, or residential transitions.
Participate in the scheduled ACT 24/7 on-call rotation, including evenings, weekends, and holidays as assigned, and provide timely psychiatric and medication consultation during coverage.
Respond to after-hours calls under The Well’s protocols by reviewing available information, assessing urgency, advising ACT staff, arranging appropriate medication follow-up, and coordinating with relevant clinical or emergency resources.
Make prescribing and medication decisions only when clinically appropriate and within professional scope, available information, agency privileges, and applicable law; escalate situations requiring urgent assessment or higher-level care.
Promptly document on-call contacts, clinical advice, medication decisions, and follow-up plans in the EHR or approved on-call record, and hand off unresolved needs to the team.
Consult with ACT staff about psychiatric symptoms, medication concerns, side effects, adherence barriers, and coordination with other treating providers.
Contribute to ACT orientation and staff training on psychiatric medications, medication safety, recognition of urgent symptoms, and escalation procedures, as assigned.
Participate in case reviews, supervision or consultation, TMACT fidelity preparation, clinical quality improvement, and review of incidents or medication-related concerns.
Complete timely, accurate EHR documentation of assessments, diagnoses, medication orders, informed consent or shared decision-making, coordination, on-call contacts, and follow-up.
Complete required authorizations, medical necessity documentation, treatment plan contributions, and payer or agency records within required timeframes.
Provide accurate ACT service information for grant reporting with the Project Director, evaluator, and Program Assistant.
Support compliance with Nebraska requirements, applicable CCBHC and payer standards, TMACT fidelity expectations, The Well policies, HIPAA, 42 CFR Part 2, professional ethics, and approved grant conditions.
Accurately document grant-related effort and services according to approved funding allocations and do not charge the same time or service to more than one funding source.
Follow The Well’s policies for attendance, timekeeping, confidentiality, participant rights, safety, incident reporting, and professional conduct.
Complete assigned orientation, training, meetings, credentialing, performance reviews, and continuing education; maintain required licenses and registrations.
Represent The Well professionally with participants, families, coworkers, pharmacies, and community providers, and perform other related duties consistent with the position and professional scope.