Nurse Practitioner (FNP)

Family Nurse PractitionerCasa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.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.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.The Nurse Practitioner will:Provide direct physical assessments services to patientsProvide oversight to standing orders of admissionProvide oversight to standing orders of withdrawal management protocolsProvide prescriptions monitoring for patient and complete medication reviews, as neededConduct clinical assessments to determine eligibility and appropriateness for MATWork in collaboration with community providers, including local hospitals and clinics, to ensure referral to specialty care for medication, diagnostic and testing needsProvide medication reconciliation and ensure continuity of care with medication prescriptions with nursing teamProvide eligibility screening for level of care for medical and psychiatric needs as per ASAM 3.5 and/or ASAM 3.7Complete discharge medication instructionsProvide onsite, urgent care exams and collaborate with community providers on laboratory and follow-up orders as neededWork directly with Clinical Operations Director and CSS medical provider on the medical emergency process to continue follow up maintenanceComplete medical clearance exam at time of intakeComplete Medication Monitoring and all required documentationWork closely with clinical team during MDT meetings to offer and provide patient medical insight as part of case presentationsConsult with staff and attend case conferences, as neededWork collaboratively with Medical Director for medication reconciliation processDirectly work in collaboration with community providers for medication refills and reconciliationDirectly collaborate with other internal providers on psychiatric assessments, crisis management, and Section 12MAT/MOUD assessment, induction, education and maintenanceComplete evaluations based on patient request for medical attention, emergency and non-emergency triage and physical/mental health rounds for safety and condition monitoringKeep electronic health records up to date including progress notes and assessments of serviceEducating patients on their current medical diagnosis, needs and medical histories; educating patients on medication information and usagesWork in collaboration with counselors to ensure proper medication management and medication planningWork directly with Program Director, Casa Medical Provider on any medication errors and medication monitoring procedureOffers training to new and current staff on medication monitoring and procedures with other leaders of ConexionesWork uniformly with Recovery Specialist on medication monitoring procedureOn-call responsibilities as delegatedEnsure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilledAny other job duties as needed for patient needs and program needs as designated by Clinical Operations Director or Medical DirectorWork collaboratively with the Medical Director on the initiation of best practices and protocols for patient care and safetyMaintain a QA/QI protocol for medical teamMaintain logs that ensure compliance to the regulatory requirements of DEA and BSASQualifications:Board Certified Nurse PractitionerMust be certified to prescribe buprenorphine, methadone, and other Medication Assisted Treatment for substance useMedicaid/Medicare enrolled providerMaintains DEA, NPI and license updatesKnowledge/Skills/Abilities:Knowledge of EHR systemsEnsure patient confidentiality in accordance with all federal, state, and local laws and regulationsKnowledge on best practices associated from the American Society of Addiction MedicineKnowledge on Medication Assisted Treatment for substance use disordersKnowledge of Substance Use DisordersKnowledge of Co-Occurring disorders and screening assessmentsBilingual Spanish/English language capacitySchedule:Monday – Friday; 8-hour shiftsFlexible schedule: 9a - 5p; 10a - 6p or 12p - 8pWork Type:Onsite, in person, full-timeSupervisory Responsibilities:Directly supervises all Nurses, including Nurse ManagerWhat we offer:Compensation: $157,000 - $160,000Holiday Pay (12 days per year + 1 floating holiday)Paid Time Off (PTO) - 18 days year one, 20.5 days at year two, 23 days at year fiveSick Pay - 10 paid days per yearLong/Short-Term DisabilityPaid by Company Life InsuranceHealth Insurance (Medical, Dental, Vision)Health Reimbursement Arrangement (HRA)FSA/DCA (Flexible Spending Account & Dependent Care)ComPsych Guidance Resources - EAPEducational OpportunitiesTuition RemissionEmployee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)Career Advancement OpportunitiesIncreased Salary for Credentialsand more....Physical & Mental Requirements:While performing the duties of this job, the employee is regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.