Job Description
Job DescriptionDescription:
JOB LOCATION: GALT, CA
- Conduct comprehensive histories, physical assessments, and diagnostic evaluations for all new clients.
- Diagnose substance use disorders and co-occurring mental health conditions within scope of practice using current clinical standards.
- Assess medical, psychiatric, and psychosocial factors affecting admission, treatment planning, and ongoing care.
- Evaluate suicide risk, self-harm, disruptive behavior, and withdrawal complications.
Withdrawal Management & Medical Oversight
- Assess clients for withdrawal risk on admission and throughout treatment.
- Provide clinical oversight for withdrawal symptoms and collaborate with nursing staff on symptom monitoring and escalation.
- Develop and adjust withdrawal-management protocols consistent with evidence-based practices and program policy.
Medication Management
- Evaluate, prescribe, and manage medications, including medication-assisted treatment (MAT), in accordance with licensure, furnishing authority, and program policy.
- Monitor medication efficacy, side effects, and interactions with substances or other prescribed medications.
- Adjust clinical plans based on treatment response, emerging symptoms, and client safety needs.
- Coordinate referral to psychiatry or other specialists when higher-acuity medication management is indicated.
Ongoing Client Care
- Conduct follow-up visits as clinically indicated to evaluate response to treatment and medical stability.
- Modify treatment interventions based on clinical progress, relapse risk, and withdrawal status.
- Provide crisis intervention and clinical stabilization support when needed.
- Participate in interdisciplinary treatment team meetings and level-of-care discussions.
- Collaborate with counseling staff regarding assessment results, treatment needs, and discharge planning.
Documentation & Compliance
- Complete all clinical documentation timely, accurate, and compliant with regulatory standards.
- Document all assessments, diagnoses, medication changes, clinical decisions, and client progress.
- Ensure compliance with state licensing, accreditation standards (CARF), and ASAM guidelines.
- Maintain records suitable for audits, reimbursements, and quality assurance reviews.
- Complete all disability forms within the required time frame.
- Work in conjunction with the nursing staff to ensure that documentation is complete and meets all regulatory standards and that all medication orders are correct
Collaboration & Communication
- Collaborate closely with counselors, case managers, nursing staff, program leadership, and the medical director.
- Provide consultation to staff regarding client care needs, clinical risks, and treatment recommendations.
- Communicate with family members and external providers when appropriate and authorized.
- Refer clients to primary care, psychiatry, or specialty services as needed.
- Coordinate chronic-medication issues and care transitions with outside prescribers.
Program Support & Quality Improvement
- Participate in program meetings, conferences, and program development activities.
- Attend all training sessions.
- Assist in creating or updating medical policies and procedures as needed.
- Support quality improvement efforts, including chart audits and performance reviews.
- Adhere to all licensing and county regulations/standards.
- Adhere to all auditing requirements following county and licensing audits
Requirements:
- Current California Nurse Practitioner license in good standing.
- Graduate of an accredited Nurse Practitioner program with national certification appropriate to specialty.
- Meets applicable California requirements for Nurse Practitioner practice, including furnishing authority and registration requirements as applicable to the position.
- Minimum two (2) years of clinical experience preferred in addiction medicine, behavioral health, psychiatry, family medicine, emergency medicine, or residential substance use disorder treatment.
- Knowledge of substance use disorders, co-occurring conditions, withdrawal management, detox support, and medication-assisted treatment (MAT).
- Knowledge of Department of Health Care Services residential treatment requirements and Incidental Medical Services standards when applicable.
- Ability to perform comprehensive clinical evaluations, prescribe and manage medications within scope, and provide follow-up care.
- Ability to complete timely, accurate, and compliant clinical documentation.
- Current BLS/CPR certification required; ACLS preferred if required by program policy.
- Must be free of Medicare, Medicaid, and state program exclusion or sanction.
- Must meet pre-employment health screening, tuberculosis clearance, background check, and credentialing requirements.