JOB SUMMARY:

In accordance with agency Mission, Vision, Values, and Goals, this position serves as nursing support staff within the residential programs which serve individuals who are in need of substance use treatment. Responsibilities include admission assessments, education regarding general health, monitoring and/or administration of medication and physical/medical assessment and testing, under the direction of a Physician, medicated assisted treatment and telehealth services. Responsibilities also include maintaining infection control records.

PRIMARY FUNCTIONS:

Conducts health assessments/screening for clients in assigned programs as outlined by program regulations. Integrates nursing care into the treatment plan, addressing information obtained during the health assessment. Coordinates with intake to ensure these are completed within 48 business hours of admission.

Provides case management including monitoring and making phone calls for clients in order to schedule medical care appointments and reviewing the EMR to anticipate upcoming laboratory and procedure needs.

Manages medications as delegated by insurance requirements and provider requests, including preparing and administering injections, preparing sample medications and prescription assistance medication, and obtaining prior authorizations. Verifies and monitors medication orders and ensures the medication logs are accurately maintained.

Conducts medication counts of any controlled substances allowed into the program and conducts audits for discrepancies between medication log and actual medication counts.

Disposes of medications left by clients after discharge, ensuring that the disposal is appropriately handled by most current recommendations/guidelines.

Provides patient education and support regarding health issues and concerns as needed and facilitates health related groups. Provides education around prescribed medications as needed.

Prepares client for physician visits, obtaining vital signs, weight, height, and BMI, metabolic screenings and other interventions delegated.

Practices the medication first model, works with the physician whether in person or via telehealth and is educated on all MAT medications.

Performs TB skin tests on all residential clients as well as HIV, STD and TB risk assessment on all other clients as appropriate.

Ensures appropriate documentation, according to agency standards, for all interactions and/or treatment activities provided.

Follows all agency policies and procedures including emergency and corporate compliance policies/procedures 100% of the time.

SECONDARY FUNCTIONS

Acts as primary contact for agency infection control: tracking monthly temperature logs, documenting clients and employees diagnosed with infectious disease, maintains agency first aid kits.

Monitors and records urinalysis for drug screens as needed

Assists with:

Inventory of supplies

Maintaining client files

Chart audits

Infection Control

Quality Assurance

LPR International is seeking an experienced Nurse Practitioner to work full time at the U.S. Army Fort Hunter Liggett Medical Aid Station in Jolon, CA. In this position, the successful candidate will provide medical care and treatment to patients, maintain records and will be responsible for pharmacy operations within the Medical Aid Station at Fort Hunter Liggett, CA to include oversight of the Pharmacy Technician.

Qualifications:

Must possess a master's degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position. Areas of specialties for NP positions include, but are not limited to, Acute Care, Community Health, Family, Geriatric, Home Health or other specialties identified for the position.

Education:

• Graduated from an accredited master's level or doctoral program with additional knowledge to practice in their clinical specialty.
• Contractor personnel shall be required to meet Continuing Medical Education (CME) requirements in Army Regulation 351-3 (AR 351-3) or as determined by the provider's State of licensure, whichever is more stringent. The Government will not reimburse for these costs.

Licensure/Certifications:

• Possess and maintain a current unrestricted license to practice as a NP in any of the 50 United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands and be able to obtain clinical privileges to practice medicine at the MTF where services are provided.
• Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing the contract services. Any change to the DEA requirements to obtain a valid DEA registration number is applicable when the incumbent's existing DEA registration expires.
• Have and maintain certification as a Nurse Practitioner by the American Nurses Credentialing Centre (ANCC) or the American Academy of Nurse Practitioners (AANP).
• Be certified by a nationally recognized certifying body appropriate to the specialty area of practice.
• Possess a Bureau of Narcotics and Dangerous Drugs (BNDD) number as required by state agencies where the provider is licensed.
• Have and maintain current Basic Life Support (BLS) certification. The American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. Advanced Cardiac Life Support (ACLS) Certification is desirable, but not required.

Experience:

• Have a minimum of one year of experience within the last three years working as a Nurse Practitioner.  

Specific Duties/Tasks:

• Provide medical care, to include sick call, and treatment of diseases and/or injuries. Review medical histories and progress of patients. Examine patients, make diagnosis of disease, or injury, and treat patient or prescribe a course of treatment. Abide by all facility rules, regulations, and policies.
• Seek advice of consultants, when appropriate.
• Oversee and monitor other medical personnel in the care and treatment of patients to include non­therapeutic services such as physical examinations
• Set up sterile field and prepares heparinized saline solutions. Maintains aseptic technique, manipulates wires and catheters, anticipates catheter tip location, operates fluoroscopic single-plane and bi-plane x-ray equipment and selects appropriate angulations and positions x-ray table and image intensifier for optimal display of angiographic anatomy while assisting physician in conducting various medical procedures.
• Prescribe medications, as appropriate, and in accordance with the privileges, hospital rules, and regulations.
• Prepare documentation of all treatment provided in accordance with hospital directives, ensuring that all documentation and reports are legible and complete. Utilize the appropriate electronic medical record system for patient encounters if available
• Refer all requests for patient/hospital information that cannot be handled by clinic personnel to the Patient Administration Division. After normal duty hours, requests should be referred to the Administrative Officer of the Day (AOD) or appropriate authorized personnel. Neither the contractor nor HCPs shall release medical information without prior coordination with the AOD.
• Adhere to the Center for Disease Control guidelines concerning universal precautions and the MTF Infection Control Program at all times while providing services under this contract.
• Perform all duties in such a manner that they meet all JC standards.
• Clearly communicate to other health personnel either orally or in writing the findings, diagnosis, and planned treatment regimen or referral.
• Clearly communicate to other health personnel either orally or in writing the findings, diagnosis, and planned treatment regimen or referral.
• Provide life, limb, and eyesight emergency care as able and immediately transfer patients in a medical or surgical emergency to a hospital under a physician care as necessary.
• Determine appropriate means of evacuation of emergency patients, prepare patients for evacuation, and arrange for evacuation support.
• Independently prescribe medications from approved formulary. Administer intra-muscular or intravenous medication as appropriate. Issues temporary profiles according to policy provided by the governing MTF.
• Communicate in writing and verbally to line commanders/supervisors to recommend appropriate limitations to performance of military duties for patients. The written guidance is provided using appropriate forms such as temporary profiles IA W Army regulations to include placing profiles into eProfile system.
• Provide clinical supervision of RNs & LPNs and other ancillary personnel who rotate through the Medical Aid Station ensuring patient safety and compliance with MEDCOM regulations on scope of practice for medics and nursing personnel.
• Be responsible for pharmacy operations within the Medical Aid Station to include oversight of the Pharmacy Technician and reviewing all prescriptions before they are dispensed.

All applicants requiring alternative methods of application or screening should contact LPR International directly. 

LPR International is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, gender, sex, sexual orientation, gender identity, pregnancy, national origin, citizenship status, age, disability, medical condition, genetic information, marital status, status as a covered veteran, military discharge status, criminal records that have been sealed or expunged, arrest records not resulting in conviction or any other characteristic protected by federal, state and/or local law.