Advanced Practice Practitioner; NP​/PA)

The Advanced Practice Practitioner (APP) provides evidence-based clinical care to patients with substance use disorders in our comprehensive care program (CCP). The APP is responsible for the delivery of person-centric, trauma-informed, efficient, standardized, evidence-based, high-quality care to our patients. The APP, in partnership with the Chief Medical Officer, contributes to our medical programs and initiatives to support Start Care’s mission, vision, and values.

The APP is part of a team-based model comprised of nursing, counseling and medical providers focused on care delivery, management and operations of our clinical programs.

The APP will practice excellent patient and clinical care, responsible for the identification and diagnosis of DSM-5 substance use disorders (including opioid, alcohol and cocaine use disorders), and co-occurring mental health disorders as well as the initiation and management of personalized treatment plans that incorporate current clinical standards of care and evidence-based practices and guidelines.

The APP will foster a culture of medical and clinical excellence and innovation, and is expected to understand federal, state and DEA rules and regulations to ensure the clinics are compliant with SAMSHA, DEA and OTP/CCP regulatory requirements.

The APP will be an integral member of the Department of Medicine’s clinical team, and will participate in patient care optimization, programmatic development, departmental and clinic strategic planning.

• Perform diagnostic assessments, including the identification of DSM-5 substance use and mental health disorders and associated medical complications to devise problem specific treatment plans that are trauma-informed, culturally responsive and reflect social determinants of health.
• Conduct clinical assessments, including the appropriate history taking, physical examination and supporting laboratory studies, to create problem-based treatment and care plans.
• Clinical management of highly prevalent chronic medication conditions.
• Clinical knowledge and expertise to manage and coordinate care of patients in our Hepatitis C and HIV programs.
• Proficient in basic medical procedures, including vitals assessment, laboratory/toxicology test interpretation, electrocardiography interpretation and phlebotomy.
• Provide urgent and emergency care to patients and staff, including naloxone administration.
• Member of the on-call coverage team.
• Understand and practice harm reduction as a clinical care philosophy.
• Participate in Quality/Process Improvement initiatives and projects.
• Attend Department of Medicine meetings.
• Performs other clinical duties as assigned.

• Master's degree in nursing and graduate of an accredited nursing program. Master’s degree in physician assistant studies and graduate of an accredited physician assistant program approved by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
• American Academy of Nurse Practitioners Certification Board, American Nurses Credentialing Center, National Commission on Certification of Physician Assistants (NCCPA) board certification is required.
• Minimum of 3 years clinical experience and/or 2 years post masters clinical experience preferred.
• Provide compassionate, patient-centered care.
• Assess patients and develop treatment plans.
• Diagnose and manage acute and chronic medical conditions.
• Utilize FDA-approved and off-label medications for substance use disorders, including opioids, alcohol, nicotine, and cocaine, as part of a comprehensive treatment plan.
• Order, perform, and interpret diagnostic tests.
• Experience using Electronic Medical Records (EMR) systems.
• Knowledge of medical billing and claims reimbursement…