Mid-Level Provider / Nurse Practitioner- Gilliam Youth Services Center

State of Colorado•Denver, CO

2d•Onsite

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. This position is responsible for delivering health care to detained, pre-trial, and committed youth. Primary care is provided by licensed independent practitioners/Mid Level Providers with responsibility for a continuum of health care from initial assessment through development and maintenance of health care including physical, psychiatric, and dental maintenance.

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
Prescriptive authority - "RXN status" (Per DORA).
Be a minimum of 21 years of age, with no felony convictions or history of domestic violence
Full Background.
CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults – Mental Health Institutes, Regional Centers, Veterans Community Living Centers).
State of Colorado residency at the time of application (unless otherwise identified in the posting), and residency within the state throughout the duration of employment in this position.
Motor Vehicle Check, (MVR check required) - may be required to drive a state-owned vehicle, either in an on-going capacity while performing normal day-to-day job duties OR on occasion for training/meetings/client visits/etc.
Must possess a valid, non-restricted Colorado Driver’s License
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 with prescriptive authority (RXN status per DORA)
Continued employment is contingent upon successful completion of the DYS Pre-service Training Academy, Field Training Program (FTO) and mandatory annual training in all subject areas.
The Diana Screen®, a sexual risk screening tool, is administered to all applicants to the Division of Youth Services (DYS) seeking positions of trust with children and teens to help ensure that ethical boundaries between children and adults are maintained.
Former State employees who were disciplinarily terminated or resigned in lieu of termination must: Disclose that information on the application. Explain why the prior termination or resignation should not disqualify you from the current position. Provide your employee number from your prior State employment.

Nice To Haves

Two or more years experience in adolescent health care
Assessing, diagnosing, and treatment of acute and chronic illness
Documentation in an electronic medical record
Relevant years of State service experience
Knowledge to detect and prevent the spread of communicable infectious disease
Knowledge to diagnose medical problems including emergency medical situations by performing physical exams, obtaining lab tests, ordering diagnostic tests, interpreting results, formulating treatment plans of the basic principles of supervision
Knowledge to use established protocols for prescribing medication and treating diagnosed illnesses
Knowledge to evaluate the mental status, and the mental health, conditions of youth through interview and observation
Knowledge of Oral and Written Communication Skills
Ability to resolve conflict
Knowledge and ability of Interpersonal Skills
Knowledge and experience clinically supervising medical staff.

Responsibilities

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.
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.
Reports to supervisor or mental health resources for further evaluation or intervention, and referrals or transfers to Mental Health Hospital.
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.
Provides written guidelines (treatment plans) for staff including emergency care and to Food Services for food allergy notification.
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.
Seeks out educational opportunities that will enhance the medical staff’s skills.
Support and coordinate training to include but not limited to CPR, First Aid, QMAP, and the Electronic Health Record.
Shares advanced training received at various seminars with the clinic and DYS medical staff.
Support and coordinate health education groups for youth.
Collects and reports monthly statistical data required for Behavioral Health and Medical Services, and the critical incidents related to medical for the facility.
Review policies and procedures on a regular basis and collaborate with facility administrators and supervisors in writing and/or revising facility medical implementing procedures.
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.
Identifies gender-specific educational needs of youth.
Provides ongoing education regarding medication administration, infection prevention, and other health-related topics specific to staff.

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
State of Colorado Employee BenefitHub Resource Center
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.