Physician Assistant (PA)

JourneyPure at the River Position Title: Physician Assistant (PA) Department: Medical Services Location: JourneyPure at the River – Murfreesboro, Tennessee Reports To: Medical Director / Medical Leadership Position Type: Full-Time Clinical Setting: Medical Detoxification, Residential Substance Use Disorder Treatment, and Co-Occurring Behavioral Health Services Position Summary The Physician Assistant (PA) provides comprehensive medical care to patients receiving treatment at JourneyPure at the River. The PA works collaboratively with physicians, nurse practitioners, psychiatric providers, nursing staff, therapists, utilization review, admissions, and other members of the interdisciplinary treatment team. The PA is responsible for evaluating and managing the medical needs of patients receiving treatment for substance use disorders, withdrawal management, and co-occurring conditions. Responsibilities include admission histories and physical examinations, ongoing medical follow-up, withdrawal management, medication management, laboratory review, coordination of care, assessment of changes in medical condition, and determination of when a patient requires a higher level of medical care. The PA practices within the scope permitted by Tennessee law, applicable facility policies, credentialing requirements, and established clinical protocols. Essential Duties and Responsibilities Admission & Medical Assessment Complete comprehensive History and Physical (H&P) examinations on newly admitted patients within required facility and regulatory timeframes. Review pre-admission assessments, medical histories, substance use histories, current medications, allergies, recent hospitalizations, laboratory results, and other available medical records. Perform appropriate physical examinations and document pertinent findings. Identify medical conditions that may affect a patient's ability to safely participate in detoxification or residential treatment. Determine whether additional medical evaluation, laboratory testing, specialty consultation, or hospital-level evaluation is indicated. Collaborate with Admissions and medical leadership regarding patients with significant medical complexity or potential exclusionary conditions. Assist with determination of medical appropriateness for admission when requested. Withdrawal Management & Addiction Medicine Evaluate patients experiencing withdrawal from alcohol, opioids, benzodiazepines, stimulants, and other substances. Utilize established withdrawal assessment protocols and clinical findings to guide treatment. Initiate, continue, modify, and discontinue withdrawal-management medications within scope of practice and established facility protocols. Monitor response to detoxification protocols and modify treatment plans when clinically indicated. Evaluate patients for complications of withdrawal, including seizures, delirium, significant autonomic instability, dehydration, altered mental status, or other conditions requiring escalation of care. Provide evidence-based treatment for substance use disorders. Participate in medication-assisted treatment (MAT) when clinically appropriate, including management of buprenorphine and naltrexone products within the provider's scope, credentials, and facility protocols. Provide patient education regarding withdrawal, medications, MAT, overdose prevention, and recovery. Ongoing Medical Management Conduct follow-up visits for patients with acute and chronic medical conditions. Evaluate common medical #J-18808-Ljbffr JourneyPure At The River