Nurse Practitioner / Physician Assistant
***Signing Bonus $1500
Sign-On Bonus for Bilingual Applicants : $1,500 (Distributed in 3 parts: $500 after 30 days, $500 after 6 months, and $500 after 12 months of employment)
JOB TITLE: Nurse Practitioner / Physician Assistant
LOCATION: Gateway Medical Sobering - Albuquerque, New Mexico
Employment Type: Full-time
Who are we?
Horizon Services, Inc. (HSI) is a nonprofit established in 1974 that offers addiction treatment with the goal of reducing substance use and mental health related challenges for people from all walks of life, including those from some of the most disenfranchised and marginalized communities. We practice our values of Integrity, Respect, Professionalism, and Compassion to provide youth prevention, youth and adult outpatient, sobering programs, withdrawal management, and co-occurring capable residential programs to support the well-being of women, men, youth, LGBTQIA+, and BIPOC clients to live healthy, fulfilling and constructive lives. HSI is an inclusive workplace and a learning community where our collective experiences
enrich each other’s growth.
At the Gateway Medical Sobering Center, the Nurse Practitioners (NPs) and/or Physician Assistants (PAs) play a vital role in managing risk around client biomedical conditions while exploring the appropriateness of Medication-Assisted Treatment (MAT) initiation. The NP/PA offers MAT as a clinical intervention to support individuals experiencing substance intoxication when elevated withdrawal symptoms and relapse-potential are present. Under the direction of the Medical Director, the NP/PA assesses clients for MAT eligibility, conducts health screenings and prescribes medications when clinically appropriate and within the appropriate scope of practice relative to the Medical Sobering program’s design. When a client presents with medical conditions beyond the facility’s capacity, the NP/PA initiates a timely referral to an appropriate healthcare provider or emergency services, ensuring continuity of care and prioritizing client safety.
How can you make a difference in people’s lives?
In this role, you’ll make a difference in the lives of people with substance abuse challenges, and often with co-occurring conditions. You’ll use and grow your skills in compassionate care, crisis intervention and de-escalation, in a supportive and inclusive work environment. You’ll have the opportunity provide our community with substance abuse treatment to help people who are just discovering possibilities in their journey, going from a place of hopelessness to a place where they are valued and have the potential for a better life.
PRIMARY ACCOUNTABILITIES & RESPONSIBILITIES
- Support the peak utilization shift (typically Friday through Tuesday swing shift).
- Ensure swift on-site prescribing that doesn't depend on MD linkage after hours.
- Help deliver upon the project's withdrawal management capacity.
- Set clients up with medications needed to continue a withdrawal management episode post-discharge.
- Assess withdrawal severity using validated scales (CIWA, COWS).
- Initiate prescribing of MATs and other medications.
- Delegate wound care functions to LVN or EMT on shift.
- Possess prescribing capacity for MATs and apply selected MAT based on patient's level of functioning and drug use profile.
- Conduct assessments to determine appropriateness for Buprenorphine or other MAT remotely.
- Interprets vitals as collected by Staff and/or other healthcare assistant staff working within their scope of
Practice.
- Reviews health assessment information, including communicable diseases, to inform quality
clinical care during one’s Sobering stabilization.
- Completes all documentation in an accurate and timely manner.
- Depending on patient acuity, periodically observes residents for signs of mental or physical decompensation
that may require a higher level of care, consulting with an MD as needed.
- Reviews withdrawal assessment scales (i.e., CIWA, COWS, etc.), leveraging results in order to safely stabilize
withdrawal symptoms through the prescribing of withdrawal management medications.
- Assists in collecting treatment appropriateness/fitness information for the Medical Director when needed
- Demonstrates an understanding of the pharmacological and physiological effects of alcohol and other
commonly abused substances
- Prescribes withdrawal management medications, including medication-assisted treatment (MAT) under a
doctor's supervision, and records information about the current conditions of the patient's
health.
- Reports medical incidents and unusual occurrences to the RN Program Manager, Compliance Manager, and
MD; supporting a continuous quality improvement process in order to mitigate risk in the future.
- Works closely with other HSI staff and referral resources to provide quality patient care, communicating
and coordinating as a member of a multi-disciplinary treatment team which include EMTs, LVNs, RN Manager, MD, Clinical Supervisor, Counselors & Peer Specialists.
- As an advanced-level healthcare practitioner, serves as a coach and mentor to LVN, EMT and other staff
- Records patient information the program’s electronic health record, and other record-keeping systems to case notes are complete and up to date according to agency policy
- Makes or receives calls related to client care as needed
- Provides support if a deviation from medication orders is requested
- Supports the program operation by offering guidance & mentorship to other staff
- Conducts and supports patient rounding, targeting client linkages depending on acuity
- Develops and maintains positive working relationships with all staff members, Agency, and County
Contracts.
- Maintains attendance and punctuality to perform duties as scheduled.
- Attends all staff meetings and required agency meetings unless excused.
- Maintains a clean environment, adhering to best practices
- Ensures to Review RN, and LVN documentation as well as builds LVN and RN understanding of MAT
services.
- Other duties as requested by Medical Director and senior leadership team
DISC Behavior/Communication Strengths:
innovation and driving change within an organization.
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SUCCESS COMPETENCIES FOR POSITION (competencies required to effectively perform the job) | FUNCTIONAL/TECHNICAL SKILLS & KNOWLEDGE: (knowledge and skills required to effectively perform the job) | |||
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What else is required?
- New Mexico Nurse Practitioner (NP) or Physician Assistant (PA) License.
- 1-2 years of substance use disorder, mental health, or equivalent experience.
- CPR/First Aid/ AED current certification in New Mexico.
- Fluency in at least one of New Mexico threshold languages (Vietnamese, Mandarin, Cantonese, Dari, Arabic, Swahili, Kinyarwanda, and Diné (Navajo).
Compensation and Benefits
We are proud to offer a comprehensive benefits package to all full-time and part-time employees over 20 hours per week.
- Generous contribution medical, dental, Life and LTD for the employee and 50% for any dependent medical and dental coverage.
- PTO and Holiday pay.
- Retirement benefits after 6 months of service.
- Training and CEU opportunities.
And of course, the opportunity to meaningfully contribute to a team of mindful, caring and passionate people at work every day!
Salary: $112,500 - $120,000 based on experience and qualifications. Available for a full-time position.
Horizon Services, Inc. is an Equal Opportunity Employer.