Nurse Practitioner (FNP)

Casa Esperanza•Tewksbury, MA

61d•$156,000 - $160,000•Onsite

About The Position

Casa Esperanza’s Conexiones program is a 32-bed facility that provides integrated acute treatment services for withdrawal management and clinical stabilization services to adults struggling with co-occurring substance use and mental health treatment needs. At Casa Esperanza’s Conexiones program, located at Tewksbury Hospital, we provide inpatient addictions and mental health treatment in a physically and psychologically safe environment, delivered by medical, clinical, peer support, and paraprofessional staff under the direction of a Medical Director. We serve adults in a structured, yet individualized treatment environment focused on building the foundation for a sustainable recovery and developing a healthy, productive, and meaningful lifestyle. The program is staffed by highly skilled professionals who work with each patient to develop an individualized treatment plan, deliver evidence-based individual and group treatment, and develop an appropriate aftercare plan and establish placement in community-based care. About the role The Family Nurse Practitioner works with the Medical Director to oversee the medical services at our Conexiones location. The Nurse Practitioner will oversee the medication reconciliation process, supervise the medical and nursing teams, approve assessments and evaluations, and provide consultation and supervision to on-site medical staff. This will include the oversight and initiation of standing orders, medication withdrawal protocols, and logs of documentation aligned with licensing, accreditation, and payor requirements. The Nurse Practitioner will lead weekly Care Management and Multidisciplinary Team Meetings. The Nurse Practitioner is responsible for all medical services performed by the program, either by performing them directly or by delegating specific responsibilities to appropriate qualified healthcare professionals such as an Nurse Practitioner, Nurse Manager, Registered Nurse or Licensed Practical Nurse functioning under the Medical Director’s supervision. The Nurse Practitioner must be on site at least 40 hours per week, Monday through Friday, between 10am and 6pm. In collaboration with the Nursing Manager and Medical Director, the Nurse Practitioner will ensure 24-hour medical coverage, and seven days per week, to ensure timely assessment of patients and ongoing support. The Nurse Practitioner must be available to be on-site during any hours of program operation, as needed. The Nurse Practitioner should have demonstrated medical experience treating substance use disorders, supervising withdrawal management, conducting medication reconciliation, and treating co-occurring conditions. The Nurse Practitioner must be familiar with patients experiencing both co-occurring substance use and serious mental illness and be prepared to work with patients with complex mental health needs. A successful Nurse Practitioner will be prepared to work collaboratively across the Conexiones team and will help to fill gaps and support the nursing team with vitals, med pass, and nursing assessments as needed.

Requirements

Board Certified Nurse Practitioner
Must be certified to prescribe buprenorphine, methadone, and other Medication Assisted Treatment for substance use
Medicaid/Medicare enrolled provider
Maintains DEA, NPI and license updates
Knowledge of EHR systems
Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations
Knowledge on best practices associated from the American Society of Addiction Medicine
Knowledge on Medication Assisted Treatment for substance use disorders
Knowledge of Substance Use Disorders
Knowledge of Co-Occurring disorders and screening assessments
Bilingual Spanish/English language capacity

Responsibilities

Provides direct physical assessments services to patients
Provides oversight to standing orders of admission
Provides oversight to standing orders of withdrawal management protocols
Provides prescriptions monitoring for patient and complete medication reviews, as needed
Conducts clinical assessments to determine eligibility and appropriateness for MAT
Works in collaboration with community providers, including local hospitals and clinics, to ensure referral to specialty care for medication, diagnostic and testing needs
Provides medication reconciliation and ensure continuity of care with medication prescriptions with nursing team
Provides eligibility screening for level of care for medical and psychiatric needs as per ASAM 3.5 and/or ASAM 3.7
Completes discharge medication instructions
Provides onsite, urgent care exams and collaborates with community providers on laboratory and follow-up orders as needed
Works directly with Clinical Operations Director and CSS medical provider on the medical emergency process to continue follow up maintenance
Completes medical clearance exam at time of intake
Completes Medication Monitoring and all required documentation
Works closely with clinical team during MDT meetings to offer and provide patient medical insight as part of case presentations
Consults with staff and attend case conferences, as needed
Work collaboratively with Medical Director for medication reconciliation process
Directly works in collaboration with community providers for medication refills and reconciliation
Directly collaborates with other internal providers on psychiatric assessments, crisis management, and Section 12
MAT/MOUD assessment, induction, education and maintenance
Complete evaluations based on patient request for medical attention, emergency and non-emergency triage and physical/mental health rounds for safety and condition monitoring
Keep electronic health records up to date including progress notes and assessments of service
Educating patients on their current medical diagnosis, needs and medical histories; educating patients on medication information and usages
Works in collaboration with counselors to ensure proper medication management and medication planning
Works directly with Program Director, Casa Medical Provider on any medication errors and medication monitoring procedure
Offers training to new and current staff on medication monitoring and procedures with other leaders of Conexiones
Works uniformly with Recovery Specialist on medication monitoring procedure
On-call responsibilities as delegated
Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled
Any other job duties as needed for patient needs and program needs as designated by Clinical Operations Director or Medical Director
Work collaboratively with the Medical Director on the initiation of best practices and protocols for patient care and safety
Maintain a QA/QI protocol for medical team
Maintain logs that ensure compliance to the regulatory requirements of DEA and BSAS

Benefits

Compensation: $156,000 - $160,000
Sign-on Bonus: $10K (paid 50% at hire and 50% after successful completion of introductory period)
Holiday Pay (12 days per year + 1 floating holiday)
Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
Sick Pay - 10 paid days per year
Long/ShortTerm Disability
Paid by Company Life Insurance
Health Insurance (Medical, Dental, Vision)
Health Reimbursement Arrangement (HRA)
FSA/DCA (Flexible Spending Account & Dependent Care)
ComPsych Guidance Resources - EAP
Educational Opportunities
Tuition Remission
Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
Career Advancement Opportunities
Increased Salary for Credentials