N00188 - Nurse Practitioner (Ma)

"I love my job because I feel like I have a voice. The leadership team is always willing to give a helping hand or an ear to listen to my concerns." -- Jessica D., RCA LPN

"The atmosphere in RCA is different, it's like family. People care, people smile, people love what they do and I think that makes all the difference when you walk into work every day.

I have the opportunity to help people become whole again. I work with talented nursing, clinical and administrative staff who work around the clock to help the clients achieve that same goal," -Ashley B., RCA LPN

RCA's Passion

In 2013, Recovery Centers of America (RCA) announced a goal: Save one million lives from the disease of addiction. We're working fast and hard to fulfill that promise, with over 11 facilities that offer evidence-based inpatient, outpatient, and medication-assisted treatment 24 hours a day, 365 days a year.

We know one size doesn't fit all when it comes to addiction treatment; that's why we tailor our treatment for each patient and offer specialized programs for patients with trauma and multiple recurrences, as well as programs for older adults, first responders, and more.

We believe in the power of local treatment, because families are a huge part of the treatment and recovery process at RCA. Our family program rebuilds, restores, or strengthens family relationships.

Our curriculum, resources, and evidence-based care were created to help patients not just achieve recovery, but maintain it for life. All of our services and treatment are delivered by clinical expertise - that's where you come in.

As a Nurse Practitioner, you'll be a part of our exciting mission of helping millions of people jumpstart their recovery. Your medical expertise will aid in patient recovery, as you support and implement effective techniques which will make a difference in the lives of patients, their families, and communities.

If you're looking for a fulfilling, life-changing job, Recovery Centers of America is the right place for you. And you're the right candidate for us!

Position Overview: Working under the supervision of the Medical Director and his/her physician designees, the Nurse Practitioner provides care for patients with substance use disorders who are 18 years and older, including pregnant women.

This care includes the initial history and physical, assessment of acute medical and psychiatric concerns, interim management of chronic illnesses for the duration of the patient's treatment at the RCA facility, and after-hours on call coverage for admissions and other patient care concerns. NPs follow established nursing standards, procedures, and practices and may provide written and verbal orders to nursing staff for labs, medications and other treatments deemed necessary. The NP may work in an inpatient or outpatient situation and will perform independently and as part of an interdisciplinary treatment team.

Specific Responsibilities:

• Performs the following:

o Initial History and Physical Examination, intermittent medical assessments as warranted.

o Recommends and/or orders medical interventions such as appropriate laboratory work, diagnostic imaging studies (X-rays, CT Scan, MRI, etc.) medications and protocols for detoxification (as allowed by state and federal regulations).

o Documents appropriately in the medical record. May directly enter or utilize dictation to complete required documentation in a timely manner such as admission assessment, history and physical examinations, and intermittent assessments and recommendations.

o Assesses the physiological, behavioral, and psychosocial health status of patients as required for safe and appropriate care and communicates relevant information to the interdisciplinary treatment team in a timely manner.

• May assist in the development of treatment plans and provides care consistent with these plans.

• Reviews outpatient health history and information and makes appropriate clinical recommendations.

• Interacts with patients, counseling staff, clinical dietician, psychiatrist, medical director, other nurse practitioner(s), and other members of the interdisciplinary care team in such a manner that promotes a high standard of care.

• Participates in the delivery of individualized patient care following best practices and approved policies as available.

• Functions under the direct supervision of the Medical Director and his/her physician designees in accordance with Nursing Standards of Care, Standards of Practice for Registered Professional Nurse as directed by the State Board of Nursing, Nursing Service and RCA policies and procedures.

• Assesses mobility for fall prevention and conditions that increase risk for compromised skin integrity.

• Assesses and manages abnormal labs and diagnostic studies.

• Triages symptoms that may require psychiatric care and refers cases to psychiatric treatment team as needed.

• Collaborates with treatment team in order to determine appropriate treatment/discharge plan.

• Establishes effective working relationships that foster organizational success.

• Presents a positive, professional image to internal and external stakeholders in support of RCA's mission.

Education and Experience:

• Master's Degree in Nursing, current state license.

• State Registered Nurse Practitioner required

• 5-7 years nursing experience, five years' experience in substance use disorders preferred

• Knowledge of medical health care diagnoses and terminology, detoxification procedures, the diseases of addiction and substance use disorders, co-occurring disorders, DSM Criteria and terminology.

• Excellent written and oral communication skills

• Speaks clearly and persuasively in both positive and negative situations, has good listening skills, asks for clarification appropriately, responds well to questions, accepts direction and feedback and appropriately participates in meetings.

• Working knowledge of Microsoft Word, Excel, PowerPoint and Outlook.

Competencies:

Inspiring Others On The Team: Provides leadership to develop motivated and strong teams targeting the highest quality in patient care delivery.

Assist in moving the performance of the facility and possibly the entire organization to a higher level. This level of leadership demands a compelling vision, a commitment to the mission and vision of our organization, and a strong understanding and insight into motivating other members of the team.

Patient Relationships: Demonstrate the personal, collegial, and collaborative approach that enhances the nurse practitioner's effectiveness in patient care. This competency speaks to the critical importance of interpersonal transactions as they relate to therapeutic patient outcomes.

Communication and Interpersonal Skills: Demonstrates superior communication skills to both individuals and groups.

Conveys information clearly and concisely, orally and in writing, and develops a process to ensure the information delivered is understood. Listens and responds appropriately to others in a timely manner.

Planning: Develops realistic goals and plans to accomplish those goals that are aligned with the vision and mission of our company.

Manages resources needed for success. Develops contingency plans as warranted and effectively communicates all information with appropriate members of administration.

Professional and Technical Capability: Demonstrates and maintains proficiency as a professional with a method to stay current with new developments and continuing education. Displays the ability to use information technology and systems to accomplish goals and meet work needs.

Business Acumen: Displays the ability to work within budgetary constraints with a strong bottom-line mentality and understanding the levers that make the biggest impact.

Work Environment: This job operates in a professional office environment.

This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.

Physical Demands: While performing the duties of this position, the employee is regularly required to talk and hear.

The employee frequently is required to use hands to finger, handle or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.

Travel: Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected.