Family Nurse Practitioner

The Family Nurse Practitioner (FNP) provides medical care, health assessments, and medication management for residents and clients of Fairview’s Lifestyle Recovery Programs, which deliver ASAM Level 2.1, 3.1, and 3.5 substance use disorder treatment across a three-county area of Southwest Virginia. The FNP collaborates with the treatment team at each location to support safe, effective, recovery-focused care and ensures that all clinical services comply with Virginia licensing requirements and ASAM standards.

• Complete medical history and physical assessments for new admissions, including review of co-occurring physical and behavioral health conditions, allergies, current medications, and substance use history.
• Assess and monitor withdrawal risk and symptoms using standardized tools and clinical judgment, and determine when a resident requires a higher or different level of medical care.
• Evaluate and treat acute and chronic health conditions within scope of practice, and order, interpret, and follow up on laboratory and diagnostic testing.
• Screen for infectious diseases and other health risks common in this population, and provide education, treatment, or referral as appropriate.
• Coordinate emergency transfers and referrals to hospitals, specialists, and community providers when needs exceed program capability.

• Prescribe, adjust, and monitor medications, including medications for opioid, alcohol, and other substance use disorders (MOUD/MAT) and psychotropic medications, in accordance with evidence-based practice and program policy.
• Review the Virginia Prescription Monitoring Program and follow state and federal requirements for controlled-substance prescribing.
• Conduct medication reconciliation at admission, transfer, and discharge; monitor for side effects, adherence, interactions, and diversion risk.
• Provide medication orders, guidance, and oversight to nursing and medication‑administration staff, and review medication errors or incidents as needed.
• Educate residents on medications, risks, benefits, and relapse‑prevention supports such as overdose prevention and naloxone.

• Participate in multidisciplinary treatment team meetings and contribute medical input to individualized service plans and ASAM level‑of‑care determinations.
• Communicate regularly with clinicians, nursing staff, residential staff, and program leadership at each location regarding resident medical status and needs.
• Support continuity of care by coordinating with primary care providers, behavioral health providers, pharmacies, and community resources, and by assisting with discharge and aftercare planning.
• Promote a trauma‑informed, person‑centered, recovery‑oriented approach in all resident interactions.

• Maintain timely, accurate, and complete clinical documentation in the electronic health record in accordance with DBHDS licensing regulations (12
  
  VAC
  35-105), DMAS requirements, and program policy.
• Protect resident confidentiality in compliance with HIPAA and 42 CFR Part 2.
• Ensure clinical practice meets applicable Virginia Board of Nursing and Board of Medicine requirements, ASAM criteria, and the standards of any applicable accrediting or payer bodies.
• Support infection control, medication storage, and health and safety standards; participate in quality assurance, chart audits, incident reviews, and licensing or payer audits.
• Contribute to the development and review of medical policies, protocols, and standing orders.

• Travel between program locations within the three‑county service area as scheduled.
• Participate in on-call coverage or rotation as assigned [if…