Mid-Level Provider - Grand Mesa Youth Services Center

About the position

The Division of Youth Services (DYS) provides a continuum of residential and non-residential services that encompass juvenile detention, commitment, and parole. DYS is the agency statutorily mandated to provide for the care and supervision of youth committed by the District Court to the custody of the Colorado Department of Human Services. The Division operates fifteen secure facilities that serve youth between the ages of 10 and 21, who are pre-adjudicated, sentenced, or committed. The Division also contracts with numerous private residential and non-residential service providers throughout the State. For pre-adjudicated youth, the Division is also responsible for the management and oversight of Colorado Youth Detention Continuum, a State-funded, locally administered program that provides services to youth at risk of further progressing into the juvenile justice system. In addition to residential programming, the Division administers juvenile parole services throughout the State. The purpose of this position is to deliver health care to detained, pre-trial, and committed youth, with primary care provided by licensed independent practitioners/Mid Level Providers. The Lead Mid Level Provider practices as a clinician and has primary oversight and supervision of the clinic.

Responsibilities

• Clinical Management: Ensuring that health screens, health appraisals, histories and physicals, and SOAP notes reflect accurate assessments and appropriate treatments and referrals.
• Supervising the health screens, health appraisals, and physical exams of all youth admitted to the facility through observation and review of documentation by medical clinic staff.
• Ensure that communicable diseases are detected in a timely manner and appropriate action is taken to prevent their spread within the facility.
• Reports to the CDC/State Health Department per requirements in applicable cases.
• Serves as the facilities' lead decision-maker during emergency medical situations.
• Approve and monitor the effectiveness of plans and adjust them as indicated.
• Responsible for overseeing the accuracy of pharmacy orders.
• Communicates pertinent and appropriate health information to facility staff, families, supervisors, and administration to ensure ongoing optimal health care for all youth in the youth center.
• Functions in the medical clinic as the first line resource for staff when evaluating case complexity.
• Determines the need for referrals to other physicians and/or specialists for medical, dental, and specialty problems beyond the scope of the facility clinic in a fiscally minded manner.
• Main contact with the DYS Medical Director for consultation and collaboration on individual cases.
• Oversees and monitors the necessity, coordination, and transportation of youth to specialty medical services off campus.
• Supervises the coordination of appointments for specialty care and recommendations made by providers.
• Collaborates directly with the DYS Medical Director and/or other providers to determine referrals to other specialty providers in the community and that necessary follow-up is completed to ensure ongoing and continuing care of youth with special health care needs.
• Evaluate mental status, and mental health conditions of youth through interview and observation.
• Provides basic mental health intervention.
• Reports mental health information.
• Thoroughly documents history, exam, diagnosis, and treatment in medical records.
• Documents any communication with outside providers, guardians, or other interested stakeholders in the youth record, as appropriate.
• Completes the medical logs pertinent to the medical department.
• Direct and monitor quality assurance projects by reviewing medical documents that may include but not be limited to medication administration records, medication packages, incident reports, pharmacy invoices, and Electronic Health Record documentation.
• Ensures that DYS medical audit standards are met in the medical clinic and responds to yearly audits by formulating and implementing corrective action plans as needed.
• Supervises clinical staff to ensure compliance with established treatment protocols.
• Communication with the Medical Operations Coordinator and Medical Authority to plan, make recommendations, strategize, and implement any modifications and improvements for the clinic.
• Ensures that medical clinic staff under their supervision maintains current licensure, appropriate certification, and mandated annual training dictated by DYS policy and Colorado state law.
• Participates and assists in the coordination of health training and education for staff on the campus.
• Assesses and identifies the knowledge deficits regarding general health and hygiene topics presented by youth in routine and formal encounters.
• Provides individual and group education regarding health promotion, disease, and injury prevention to youth and staff on an ongoing basis.

Requirements

• Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid licensure as a Physician Assistant from the Colorado Medical Board.

Nice-to-haves

• Two or more years experience in prescriptive authority in the State of Colorado.
• Experience in adolescent health care.
• Experience in assessing, diagnosing, and treatment of acute and chronic illness.
• Experience in documentation in an electronic medical record.
• Relevant years of State service experience.

Benefits

• Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans.
• Medical and dental health plans.
• Employer supplemented Health Savings Account.
• Paid life insurance.
• Short- and long-term disability coverage.
• 11 paid holidays per year plus vacation and sick leave.
• BenefitHub state employee discount program.
• Employee Wellness program.
• Excellent work-life programs, such as flexible schedules, training and more.
• Remote work arrangements for eligible positions.
• Some positions may qualify for the Public Service Loan Forgiveness Program.