Nurse Practitioner​/Physician Assistant

Position: Nurse Practitioner / Physician Assistant - Full-Time
Location: Bradford

Valley Vista is seeking a qualified Nurse Practitioner (NP) or Physician Assistant (PA) to provide medical services primarily within its outpatient substance use disorder treatment program.

The provider will evaluate and treat patients presenting with medical complaints, complete medical evaluations associated with admission and ongoing treatment, and provide Medication-Assisted Treatment (MAT), including patient evaluation, prescribing, medication management, monitoring, and follow-up.

The provider will work collaboratively with nursing, counseling, case management, recovery support, admissions, and other members of the interdisciplinary treatment team to provide coordinated, patient-centered care for individuals with substance use disorders and co-occurring medical and behavioral health needs.

While this position is primarily assigned to Outpatient Services, the provider will also support Valley Vista's inpatient and residential programs as operational and patient-care needs arise. This may include medical evaluations, treatment of medical concerns, admission-related medical services, medication management, provider coverage, and consultation with nursing and clinical staff.

The provider will also participate in Valley Vista's medical on-call coverage as assigned and may provide clinical consultation and guidance for patient-care issues occurring outside regularly scheduled hours.

Essential Duties and Responsibilities Outpatient Medical Evaluation and Treatment Conduct comprehensive and focused medical evaluations.

Evaluate patients presenting with acute and chronic medical complaints within the provider's authorized scope of practice.

Obtain and review relevant medical histories, medications, allergies, laboratory findings, and other clinical information.

Perform appropriate physical examinations and clinical assessments.

Establish diagnoses and develop appropriate treatment plans.

Order and review laboratory testing and other diagnostic services as clinically indicated.

Prescribe and manage medications within the provider's authorized scope of practice.

Monitor medication effectiveness, adverse effects, contraindications, and potential drug interactions.

Provide patient education regarding medical conditions, medications, treatment recommendations, and follow-up care.

Determine when a patient's medical needs require referral to primary care, specialty care, urgent care, emergency services, or another appropriate level of care.

Admissions Complete medical evaluations for patients being considered for or entering Valley Vista programs when required.

Review medical history, medications, allergies, substance use history, laboratory findings, and other available clinical information.

Identify medical conditions that may affect a patient's ability to safely participate in the proposed level of care.

Collaborate with admissions, nursing, medical, and clinical staff regarding medical appropriateness and treatment needs.

Assist with coordination of care when patients require additional evaluation or services outside Valley Vista.

Valley Vista's current outpatient program identifies medical stability and the absence of a need for withdrawal management as considerations for outpatient placement.

Medication-Assisted Treatment (MAT)
Evaluate patients for medication treatment of substance use disorders.

Initiate, prescribe, manage, and monitor evidence-based MAT/MOUD within the provider's authorized scope of practice.

Prescribe and manage buprenorphine and other clinically appropriate medications used in the treatment of opioid and other substance use disorders.

Conduct initial and ongoing MAT appointments.

Adjust medications and treatment recommendations based on patient needs and clinical response.

Monitor medication adherence, effectiveness, side effects, safety, and potential diversion.

Review laboratory results, toxicology testing, medication history, and prescription-monitoring information when clinically indicated.

Coordinate MAT with counseling and other substance use disorder treatment services.

Provide overdose-prevention education and prescribe or facilitate access to naloxone when clinically appropriate.

Maintain compliance with applicable federal and Vermont requirements governing controlled substances and MOUD.The Vermont Department of Health maintains requirements and clinical resources related to MOUD and controlled-substance prescribing, including use of the Vermont Prescription Monitoring System. The former federal X-waiver requirement…