Medical Provider (ARNP)

Medical Provider: ARNP

Camas Health Recovery Center 

Salary Range: $170,000 - $175,000. At Camas, our total compensation package includes medical, dental, vision, and life insurance; short‑term and long‑term disability; an Employee Assistance Program (EAP); vacation, sick, jury duty, and bereavement leave; paid holidays; a 401(k)-retirement plan; and eligibility for tribal‑discretion year‑end bonuses and COLA adjustments.

Hiring Preference: The Kalispel Tribe of Indians is an Equal opportunity employer. Consistent with federal law, the Kalispel Tribe of Indians applies Indian preference in employment. It is the policy of the Kalispel Tribe of Indians to give preference in hiring, promotions, and transfers into vacant positions to qualified applicants in the following order: 1) Kalispel Tribal Members; 2) Spouse of an enrolled Kalispel Tribal Member; 3) enrolled members of other Indian Tribes; 4) all other applicants. At-Will Employment: Employment with the Kalispel Tribe of Indians is at-will and can be terminated with or without cause, and with or without notice, at any time, either at the option of the employee or the Kalispel Tribe of Indians. Drug Testing: The Kalispel Tribe of Indians is a drug free work place. All applicants are subject to drug testing at the time of hire and at unannounced times during employment. Background Investigation: All candidates and employees may be subject to a background investigation. 

Summary of Functions 

The Medical Provider's primary responsibility is to evaluate opioid use disorder and to prescribe and adjust appropriate opioid use disorder treatment medications as indicated. These include methadone, buprenorphine/naloxone, and naltrexone. Medical Providers also evaluate and treat other co-occurring substance use disorders when indicated. The individual in this position shall be an Advanced Registered Nurse Practitioner with current licensure in the State of Washington.   

This Clinic believes that Medication Assisted Treatment is the most evidence-based and patient-centered model of care for treating opioid use disorder. The Medical Provider should adhere to and value the philosophical priorities of Harm Reduction and treat all patients with respect, compassion, and dignity. The Medical Provider will report directly to the Medical Director. 

Essential Duties and Responsibilities: 

The Medical Providers are responsible for preserving the integrity of the Camas Health Recovery Center properties by performing the following duties: 

• Ensure implementation of all clinic policies and procedures; recommend policy and procedure updates and changes as necessary. 
• Ensure timely and complete documentation of treatment records, medication security, and any other documentation required by federal, state, and local agencies. 
• Ensure that the clinic protects the rights and confidentiality of all patients. 
• Conduct intake medical assessment and diagnosis and determine initial medication choice and dose.  
• Conduct patient dose evaluations and change medications as indicated. 
• Conduct thorough physical examinations and make appropriate recommendations for follow-up.
• Document findings and decision-making about care in electronic health record
• Maintain timely and appropriate communication and attend meetings as requested.
• Facilitate appropriate communication and referrals with outside medical providers for needed care and follow-up.  
• Evaluate, as necessary, patients with urgent or emergent medical needs and determine if further medical assistance is necessary.
• Write medical orders for all take-home privileges, seeking regulatory exceptions as necessary.
• Comply with other ad hoc requests and projects as assigned.
• Maintain a strong policy knowledge of and compliance with all applicable federal, state, and local rules, laws and regulations regarding Opioid Treatment Programs
• Maintain knowledge of and compliance with CFR-related privacy principles and HIPAA policies and procedures
• Participate in federal and state substance use disorder training and continuing education as needed to safely and effectively perform in the position.
• Interact with all staff in a positive and motivational fashion supporting the clinic's mission and commitment to patient experience. 

Education & Licensure Requirements 

• Nurse Practitioners shall be certified and licensed as a nurse practitioner in the state of Washington.   
• All Medical Providers must have Schedule II - V prescriptive authority from the State of Washington.  

Experience 

• At least one year of experience treating substance use disorders is desired.  
• Experience in treating opioid use disorder is preferred.  
• Experience working within an Opioid Treatment Program will be given hiring preference.  
• DATA waiver for prescription of buprenorphine is desired but not required. 
• Applicants should have experience in, comfort with, and desire for working with patients with substance use disorders, behavioral health diagnoses, and socioeconomic challenges, as well as a basic knowledge of the properties and side effects of opioid use disorder treatment medications and other substances used by our population.   

Other Requirements 

• Obtain and maintain a Level 3 Kalispel Tribe of Indians Work Permit 
• Nights, weekends, and holidays may be required. 

Physical Demands   

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this job: 

• Will spend some time on feet while interacting with patients and staff.   
• Should have the ability to lift and carry up to 25 lbs. as may be responsible for carrying heavy files. 

Additional: 

• The nature of this position, as with most within substance use disorder treatment and outreach, may at times be fast-paced with high-stress situations and conditions. A successful applicant will be adaptive with respect to patient needs and scheduling, and will seek a position that offers a rewarding experience in offering recovery to those in crisis within a positive, patient-centered workplace. 
• Applicants should: 

• • Have basic knowledge of Microsoft Office Suite, electronic medical records systems, and a high level of initiative in keeping current with technological change. 
  • Be willing to establish and maintain effective working relationships with staff, clients, and outside contacts from a wide variety of ethnic, socioeconomic, and cultural backgrounds and possess strong conflict-resolution, interpersonal communication, and time management skills. 
  • Comply with all other testing, screening, and credentialing as required. 

Travel Requirements 

The position may require travel between proximate clinics under some circumstances. The exact schedule and time spent at each location may vary, depending on site needs. 

CONFLICT OF INTEREST: 

All employees shall refrain from any private business or activity, which might cause their personal interest to conflict with or affect the impartial discharge of their duties to the Camas Health Recovery Center. Each employee must demonstrate personal integrity and is charged with the responsibility to serve and represent the Camas Health Recovery Center in a professional manner. Employees must be free and appear free of any activity, agreement, business investment, or interest in situations, which may interfere with that.