Public Health Clinic Nurse Practitioner

Advanced Registered Nurse Practitioner

Are you interested in using your skills to contribute to public health in Pierce County? Are you looking for a position that will help you gain experience in treatment of opioid use disorder, testing for and treatment of sexually transmitted infections, providing pre-exposure prophylaxis for HIV, and treatment of Hepatitis C? If this sounds like you, we invite you to apply for our Advanced Registered Nurse Practitioner (ARNP) position within our public health clinic.

This is a Regular, Full-Time (1.0 FTE) position that offers the opportunity to participate in a collaborative environment with the interdisciplinary team at the Public Health Clinic comprising of substance use disorder treatment services, street medicine, and sexual health teams.

Starting salary for this position is: $ - $ annually

This is an advanced professional classification that works in collaboration with other health care team members to deliver patient-centered, trauma-informed care for patients seeking care at this facility. This position involves supervision of other nurses and clinical staff to ensure the delivery of quality health care and health education to those seeking services. In addition, the Advanced Registered Nurse Practitioner (ARNP) provides hands-on care, develops evidence-based treatment plans, performs a variety of diagnostic workups, and prescribes medications.

This role works independently, under the general supervision of a physician. Employees in this classification work with sensitive and confidential information requiring a high level of discretion.

Essential Functions

• Provide high-quality direct patient care for patients seeking substance use disorder treatment, primary care, sexual health services, or other care deemed appropriate by the Health Officer or Medical Director.
• Maintain appropriate clinical documentation and bill appropriately for clinical services in a time-sensitive manner.
• Consult with Medical Director as soon as possible in all scenarios listed in the operating procedures and when unable to independently arrive to a safe and effective care plan for a patient.
• Maintain compliance with all relevant laws, regulations, policies, and guidelines.

Examples of Key Duties

• Act as a licensed Opioid Treatment Program (OTP) practitioner for outpatient substance use disorder treatment clinic working under indirect supervision of Medical Director. Obtain health and medical history, both general and specific, including but not limited to substance use history, sexual health history, family history, psychosocial/developmental histories and cultural information using patient centered, trauma informed care. Identify actual and potential health needs based on medical, behavioral, financial, and social factors.
• Perform comprehensive physical exams and focused physical exams depending on patients' needs. The ARNP may perform procedures within their scope of practice to include, but not limited to naloxone challenge testing, administration of long-acting buprenorphine, naltrexone, incision and drainage of abscess, placement of long-acting reversible contraception, removal of foreign body, sample collection, etc.
• Assess and treat symptomatic patients presenting with skin and genitourinary complaints concerning for Sexually transmitted infections(STI).
• Diagnose and manage substance use disorders, medical and psychiatric conditions with appropriate referrals.
• Develop and implement patient treatment plan; oversee the treatment plan throughout treatment. Longitudinal follow-up of patients. Obtain a collateral history. Consult with the Medical Director on complex cases and situations as noted in the operational procedures. Refer cases to physicians and allied health professionals for conditions outside the scope of practice to diagnose or treat. Confer directly with one or more physicians regarding diagnosis and care management problems as needed.
  
  Refers to community partners, collaborates with care teams, other health care providers and community resources, health promotion and education.
• Participate in weekly medical staffing meetings and weekly 1:1 meeting with the medical director.
• Perform and/or interpret appropriate ancillary testing including but not limited to basic blood work (CBC, CMP, etc.), sexually transmitted infection testing and monitoring, toxicology screening and confirmation testing, methadone trough level, electrocardiograms or other indicated testing.
• Prescribe medications based on current evidence. Educate patients on risks, benefits, interactions, and contraindications of use of medications in terms appropriate to the patients' level of health literacy.
• Conduct assessment for MOUD in pregnant women, educate patients on their medication options, provide referrals, and educate them on neonatal abstinence syndrome.
• Document in Electronic Health Record to collect, record, and analyze data. Report IT issues in a time-sensitive manner.
• Participate in daily clinic operations. Actively…