APRN/Physician Assistant (PA) - Per-diem

The Southeastern Council on Alcoholism and Drug Dependence•New London, CT

About The Position

SCADD is seeking a per-diem Physician Assistant (PA) or Advanced Practice Registered Nurse (APRN) to provide routine monitoring and treatment for people receiving care across its substance use disorder and behavioral health programs in Southeastern Connecticut. The role works with nursing, physician, and psychiatric teams to support patient care and outcomes. For the PA role, duties include psychiatric assessment and diagnosis, ordering and monitoring tests, prescribing and managing psychopharmacological medications, and collaborating on psychotropic and Medication Assisted Treatment regimens. The PA also reviews treatment plans with patients and families, coordinates with nursing and clinic staff, supports continuity of care across programs, advises staff on general health issues, follows evidence-based practice and applicable standards, and helps orient new employees. For the APRN role, duties include comprehensive primary care and medical assessment for people receiving substance use disorder treatment, including withdrawal management and residential services. The APRN prescribes within applicable scope and policies, monitors medication and treatment effects, reconciles medications, identifies and coordinates responses to conditions requiring higher levels of care, arranges referrals, and assesses medical stability for admission, continued stay, transfer, or discharge. The APRN collaborates with clinical and administrative teams and outside providers, participates in team meetings and care planning, and maintains accurate clinical documentation. The position is per diem with flexible, as-needed scheduling. Listed pay rates are $65–$80 per hour for APRNs and $60–$75 per hour for PAs. SCADD describes its work as recovery-oriented and highlights collaboration, meaningful work, diversity, equity, inclusion, and trauma-informed practice. A pre-employment drug screen is required in accordance with Connecticut law.

Requirements

  • PA: Master’s degree as a Physician Assistant.
  • PA: Active Connecticut PA license in good standing.
  • PA: DEA registration or eligibility for DEA registration.
  • PA: CPR certification.
  • PA: Complete continuing education units as required to keep the license current.
  • PA: Strong clinical judgment, clear written and verbal communication, and thorough, timely documentation.
  • PA: Recovery-oriented, trauma-informed approach and commitment to diversity, equity, and inclusion.
  • APRN: Master’s degree or Doctor of Nursing Practice degree from an accredited nurse practitioner program.
  • APRN: Graduate training and current certification as a Family Nurse Practitioner or other appropriate primary care nurse practitioner.
  • APRN: Current unrestricted Connecticut Registered Nurse license.
  • APRN: Current unrestricted Connecticut Advanced Practice Registered Nurse license.
  • APRN: Current Basic Life Support certification.
  • APRN: Connecticut Controlled Substance Registration and DEA registration required if prescribing controlled substances is part of the role.
  • APRN: Maintain required continuing education, licensure, certification, and professional requirements.
  • Commitment to SCADD’s values of diversity, equity, inclusion, and trauma-informed practice.
  • Successful applicants must complete a pre-employment drug screen in accordance with Connecticut law.

Nice To Haves

  • APRN: Two or more years of experience in primary care, family medicine, internal medicine, urgent care, community health, correctional health, addiction medicine, withdrawal management, or residential treatment.
  • APRN: Experience or demonstrated interest in addiction medicine, medications for substance use disorders, harm reduction, withdrawal management, and recovery-oriented medical care.

Responsibilities

  • PA: Perform psychiatric assessments, formulate differential diagnoses, and select and initiate appropriate treatment.
  • PA: Order and monitor laboratory and routine diagnostic tests.
  • PA: Prescribe and manage psychopharmacological medications and provide ongoing medication management for assigned patients.
  • PA: Collaborate with the psychiatrist and physician on psychotropic and Medication Assisted Treatment regimens.
  • PA: Review and adjust treatment plans with patients and families to support progress toward their goals.
  • PA: Coordinate with nursing and clinic staff on medications and medical and treatment support services.
  • PA: Work with other clinical teams and programs to ensure continuity of care.
  • PA: Provide direction to nursing and physician staff on general health issues and help develop interdisciplinary treatment protocols.
  • PA: Practice evidence-based care and comply with practice standards, policies, and local, state, and federal laws.
  • PA: Help orient new employees and share knowledge with the team.
  • APRN: Provide primary care services, including histories, examinations, health assessments, diagnosis, and management of acute and chronic medical conditions.
  • APRN: Assess and manage patients receiving substance use disorder treatment, including withdrawal management and residential treatment services.
  • APRN: Prescribe medications and treatments within scope of practice, Connecticut law, organizational policies, and clinical protocols.
  • APRN: Monitor treatment effectiveness, medication response, side effects, and changes in medical status; modify care plans as indicated.
  • APRN: Reconcile medications and review patient regimens for safe and appropriate use.
  • APRN: Identify conditions requiring specialty consultation, emergency evaluation, transfer, hospitalization, or a higher level of care, and coordinate appropriate action.
  • APRN: Coordinate referrals to primary and specialty care, hospitals, community health centers, pharmacies, laboratories, and other community medical resources.
  • APRN: Assess medical stability and appropriateness for admission, continued stay, transfer, or discharge with the medical and nursing team.
  • APRN: Collaborate with physicians, nurses, counselors, recovery support staff, and administrative staff to coordinate patient care.
  • APRN: Communicate with outside providers, hospitals, pharmacies, and referral partners to support continuity of care.
  • APRN: Participate in interdisciplinary meetings, case conferences, care reviews, and discharge planning as appropriate.
  • APRN: Maintain accurate, timely, and complete clinical documentation in accordance with organizational, regulatory, accreditation, payer, and professional standards.

Benefits

  • Competitive per-diem rate.
  • Flexible, as-needed scheduling.
  • Collaborative, multidisciplinary clinical team.
  • Meaningful work making a lasting difference in the lives of individuals in recovery.
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