GENERAL SUMMARY

The Nurse Practitioner is responsible for caring for patients, maintaining accurate and current medical records, administering follow-up appointments and dose evaluations for OUD medications. This position provides primary medical care to patients enrolled in the program for treatment of substance use disorders.

This position ensures confidentiality, security, and accuracy of records, and promotes positive employee, customer, and community relations. Strong written and verbal communication skills are required and outstanding customer service to fellow employees, customers, vendors, etc. is expected. Regular attendance is required, later hours or weekend time may be required, and a neat well-groomed professional appearance is essential at all times.

PRIMARY RESPONSIBILITIES

• Provides primary care patients of the Nisqually Generations Healing Center with appropriate clinical management which may include prescription of medications, referrals, and education/counselling. Manages common health issues that arise including Hepatitis C, Wound Management, URI, HTN, and asthma.
• Diagnoses or treats complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.
• Provides medical services including taking a history and physical examination for the opiate treatment program and performs appropriate follow-up visits.
• Accurately and efficiently monitor daily doses of Methadone/Buprenorphine (Suboxone/Subutex) or other medications as indicated by the physician.
• Develops treatment plans, based on scientific rationale, standards of care, and professional practice guidelines.
• Provides general health counseling services under the supervision of the Medical Director and follows the progress of patients. Makes appropriate records of findings during examinations and submits charts to the Medical Doctor for review and signature.
• Educates patients regarding how to take prescribed medication and possible side effects.
• Monitors organization-wide performance improvement activities as a member of the clinic medical team and participates in staff meetings and/or c
• Ensure security and confidentiality of all program data and operate in accordance with applicable regulations of Health Insurance Portability and Accountability Act (HIPAA) and 42 CFR Part 2.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS

Education and Experience

• Must be a Licensed Nurse Practitioner in good standing with the State of Washington.
• Five years' experience of professional work as a Nurse Practitioner.
• Previous substance abuse treatment and/or primary care experience.
• Must possess a valid Washington State Driver's license and maintain a driving record that meets the minimum requirements established by Nisqually Indian Tribes vehicle insurance provider.
• Successfully pass a pre-employment drug screen and criminal background check.
• The ability to work with vulnerable populations including adults and children.
• Must pass a State and National (FBI) criminal history background check prior to employment.

PREFERRED QUALIFICATIONS

• Several years of experience in substance abuse treatment and primary care settings
• Knowledge of the Nisqually Indian Tribe's history, customs, traditions, and ability to demonstrate cultural sensitivity.
• Experience working with Federally Recognized Tribes.

SUPERVISION

This position does not supervise.

COMPETENCIES

Knowledge of:

• Current medical practices in primary care, mental health, and addiction medicine.
• Management of sexually acquired illnesses, Hep C, family planning and familiarity with prenatal care beneficial.
• Information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
• Tribal, Federal, and state laws, codes, and regulations.
• HIPAA and PHI requirements. Knowledge and adherence to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2)
• Common office and administrative procedures.
• Trauma and its impact on wellness and recovery.

Skilled in:

• Operating a personal computer and standard office programs and equipment.
• Organizational management practices.
• Exceptional written and verbal communication abilities.
• Strong public speaking and presentation skills.
• Commitment to providing excellent customer service.
• Motivational interviewing (MI) skills or a desire to learn MI.

Ability to:

• Work in a computer-based environment, especially Microsoft Windows.
• Work in a cross-cultural environment and understand the social and cultural contexts of patients.
• Prioritize multiple tasks amidst frequent interruptions.
• Establish and maintain effective working relationships with patients, staff, and external agencies.
• Maintain personal, professional, and ethical boundaries.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this position. While performing the duties of this position, the employee is frequently required to stand; walk; use hands; handle; feel; or grip objects, stretch and/or reach with hands and arms; stoop; crouch or work in cramped or awkward positions; repetitive motions. This person may regularly lift and/or move up to 30 pounds. Specific vision abilities required by this position include close vision, distance vision, depth perception, and ability to adjust to focus.

Salary : $137,306 - $183,989