Clinic Operations Mid-Level Provider / Nurse Practitioner - Denver

Eligibility This position is open only to Colorado state residents. Please note: This recruitment may be used to fill multiple vacancies. Most State of Colorado employees are eligible for a great benefit package! Please see the Supplemental Information section below for details! About the Division of Youth Services The Division of Youth Services (DYS) provides a continuum of residential and non‑residential services that encompass juvenile detention, commitment, and parole. DYS is the agency statutorily mandated to provide for the care and supervision of youth committed by the District Court to the custody of the Colorado Department of Human Services. The Division operates fifteen secure facilities that serve youth between the ages of 10 and 21, who are pre‑adjudicated, sentenced, or committed. The Division also contracts with numerous private residential and non‑residential service providers throughout the State. For pre‑adjudicated youth, the Division is also responsible for the management and oversight of Colorado Youth Detention Continuum, a State‑funded, locally administered program that provides services to youth at risk of further progressing into the juvenile justice system. In addition to residential programming, the Division administers juvenile parole services throughout the State. Purpose of this Position Deliver health care to detained, pre‑trial, and committed youth. Primary care is provided by licensed independent practitioners/Mid Level Providers with responsibility for a continuum of health care from initial assessment through development and maintenance of health care including physical, psychiatric, and dental maintenance. Primary Job Duties Clinical Management Provide clinical and operational leadership across multiple facilities within the Division. This role ensures consistent clinical practice standards and supports the effective implementation of medical and care protocols to promote safe, high‑quality patient care across all assigned programs. A core responsibility of the position is integrating clinical quality initiatives into daily operations. The Clinical Operations Lead translates clinical expectations into practical workflows, ensuring policies, procedures, and evidence‑based practices are consistently followed. This includes ensuring that health screenings, health appraisals, histories and physicals, and SOAP notes reflect accurate assessments, appropriate treatments, and timely referrals. Work in collaboration with the Medical Lead, to supervise the completion of health screenings, appraisals, and physical examinations for all youth admitted to the facility through direct observation and review of medical documentation completed by clinic staff. Ensure communicable diseases are identified promptly and that appropriate interventions are implemented to prevent transmission within the facility, including required reporting to the CDC and State Health Department in accordance with applicable regulations. Manage complex cases and consults, providing guidance on high‑acuity medical, dental, and specialty cases, serving as the first‑line clinical resource for staff evaluating case complexity. This includes determining the need for specialist referrals, collaborating with the DYS Medical Operations Coordinator and Director of Medical Operations on challenging cases, and ensuring that all youth receive timely, appropriate, and evidence‑based care. Serve as a key liaison between Medical Leads, the DYS Medical Operations Coordinator, and the Director of Medical Operations. Through clear communication and collaboration, the role supports alignment between clinical care delivery and operational oversight. Pertinent health information is communicated to facility staff, families, supervisors, and administration to ensure continuity of care, regulatory readiness, and optimal health outcomes for all youth. Oversight and Supervision of Staff This position provides ongoing supervision of medical clinic staff's assessment and diagnostic skills, in collaboration with the Medical Lead as needed. This includes regular observation of clinical practice and review of documentation in the electronic health record to ensure accuracy and compliance with established standards. This position supervises proper documentation practices, including histories, exams, diagnoses, and treatment plans, and reviews daily medical documents pertinent to the department. The role ensures safe and legally compliant medication administration by monitoring staff adherence to preparation and administration protocols. This position facilitates resolution of interpersonal conflicts, investigates complaints, and problem‑solves internal and external issues raised by staff, youth, families, or other stakeholders. Responsibilities also include supporting Medical Lead with scheduling clinic staff to meet the operational needs of the clinic and facility. The position oversees the orientation and training of new staff, including students and interns, and serves as the point of contact for local educational programs for Nurse Practitioner and Physician Assistant students. Regular staff meetings are facilitated to maintain communication, reinforce best practices, and support team cohesion. Data and Reporting Collects and reports monthly statistical data for Behavioral Health and Medical Services, and the critical incidents related to medical for the facility. Review policies and procedures on a regular basis and collaborates with facility administrators and supervisors in the writing and/or revising facility medical implementing procedures. Completes the medical logs pertinent to medical department. Medical Quality Assurance and Compliance This position directs and monitors quality assurance and clinical compliance initiatives across medical clinics to ensure adherence to DYS standards, regulatory requirements, and accreditation guidelines. Responsibilities include reviewing clinical documentation such as medication administration records, medication packaging, incident reports, pharmacy invoices, and Electronic Health Record (EHR) entries to ensure accuracy, completeness, and compliance with established protocols. The position responds to annual audits by identifying deficiencies and developing and implementing corrective action plans to maintain compliance. The role supervises clinical staff to ensure adherence to treatment protocols, monitors documentation quality through audits of health screenings, appraisals, medical histories, physical examinations and SOAP notes, and evaluates care plans for effectiveness, recommending adjustments to support continuous quality improvement across assigned facilities. The position collaborates regularly with the Medical Operations Coordinator and Medical Authority to plan, recommend, and implement operational and clinical improvements. Clinical Duties Performing physical exams, ordering appropriate laboratory tests and other diagnostic tests, interpreting results, formulating treatment plans using established protocol, and documenting thoroughly. Detects and prevents the spread of communicable infectious disease by interviewing youth through the completion of health assessments, sick calls and the obtaining of a complete history. Participate in obtaining data for health program planning. Consulting the DYS Medical Director for necessary referrals to other physicians and specialists for medical, dental and specialty problems beyond the scope of the agency clinic. Consult with the DYS Medical Director regarding variance from established protocols or when protocols are unavailable. Provide health education and training to both juveniles and staff, regarding the health care needs of high risk adolescents in a secure correctional facility. Documents history, exam, diagnosis, treatment in medical records. Provides written guidelines for staff including emergency care. Communicates information to staff, supervisors and administration. This includes Food Service for allergy or other medical purposes. Evaluate mental status, mental health conditions of youth through interview and observation. Use established protocol for prescribing medication and treatment for diagnosed illness. Prepare and administer medication without error. Diagnose medical problems including emergency medical situations by performing physical exams, obtaining lab tests, ordering diagnostic tests, interpreting results, formulating treatment plans, including education. Initiating and monitoring effectiveness of plans and adjusting them as indicated. Communicates information to the appropriate DYS personnel. Other Duties as Assigned You are required to work at your assigned work location during your scheduled work times. Please note: Work arrangements are subject to change at any time. Minimum Qualifications Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid licensure as a Physician Assistant from the Colorado Medical Board. Prescriptive authority – "RXN status" (Per DORA). Preferred Qualifications At least two years of experience in adolescent health care. Experience assessing, diagnosing, and treating acute and chronic illness. Experience documenting in an electronic medical record. Relevant years of State service experience. Highly Desired Competencies Knowledge to detect and prevent the spread of communicable infectious disease. Knowledge to diagnose medical problems including emergency medical situations by performing physical exams, obtaining lab tests, ordering diagnostic tests, interpreting results, and formulating treatment plans. Knowledge to use established protocols for prescribing medication and treating diagnosed illnesses. Knowledge to evaluate the mental status and mental health conditions of youth through interview and observation. Oral and written communication skills. Ability to resolve conflict. Interpersonal skills. Experience clinically supervising medical staff. Conditions of Employment Be a minimum of 21 years of age, with no felony convictions or history of domestic violence. Full background check (CDHS employees: CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, reference checks, professional license verification, drug screen, PREA, Trails check, CAPS). State of Colorado residency required at time of application and throughout employment. Motor Vehicle Check (MVR) required; may involve driving a state‑owned vehicle. Must possess a valid, non‑restricted Colorado Driver’s License. Shift work: 24/7 facility, may require evenings and weekend coverage. Travel: may require floating to other DYS facilities for coverage, meetings, and training. Continued employment contingent on successful completion of DYS Pre‑service Training Academy, Field Training Program and mandatory annual training. Results of the Diana Screen® will be used as part of the selection process. Former state employees who were disciplinarily terminated or resigned in lieu of termination must disclose and explain why prior termination should not disqualify them; failure to provide information will disqualify the applicant. Benefits Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans. Medical and dental health plans. Employer‑supplemented Health Savings Account. Paid life insurance. Short‑ and long‑term disability coverage. 11 paid holidays per year plus vacation and sick leave. State of Colorado Employee BenefitHub Resource Center. Employee Wellness program. Excellent work‑life programs, such as flexible schedules, training and more. Remote work arrangements for eligible positions. Some positions may qualify for the Public Service Loan Forgiveness Program. EEO Statement The State of Colorado is an equal opportunity employer. We are committed to increasing a “Colorado for ALL” of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law. #J-18808-Ljbffr