Licensed Medical Provider (Inpatient)

Job Description

Job Description

The Licensed Medical Provider in this role works in an acute withdrawal management (or detox) setting as well as in a residential treatment environment, caring for patients suffering from substance use disorders.  The provider in this role works as a part of a larger addiction medicine team, including experienced physicians, advance practice providers, PMHNPs, as well as RN’s, LPN’s, and substance use counselors.  The provider performs admission physicals, formulating and documenting a patient-centered plan of care for both management of withdrawal and initiation of maintenance medications to manage substance use disorders.   The provider also addresses other medical issues that arise in detox and residential clients as needed; participates in coordination of care with other team members internally, as well as with external providers including primary care providers, specialists, and the Emergency Department, when indicated.  This role will spend an average of approximately 30-40 hours per week, in a 3-4 day work week. An average day consists of 4-8 hours of direct patient care and coordination, with 24-hour on-call access to provide admission orders for evening intakes and to triage occasional issues as they arise.

QUALIFICATIONS:  

EDUCATION AND/OR EXPERIENCE REQUIREMENTS:  

• Medical Degree (PA, NP) from accredited university required;  

• Experience in addiction, behavioral health and dual-diagnosis care and treatment required;  

• For individuals in recovery from substance-use disorder, must have maintained continuous recovery for the previous two years at the time of hire  

LICENSES AND CERTIFICATIONS:  

• Valid license to practice medicine in Oregon   

• Current ALS/CPR Certification required  

• Must maintain a valid Oregon Driver License or ability to obtain one upon hire and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) and must have a reliable vehicle with adequate insurance to travel as needed.   

PREFERRED:  

• Experience working with diverse, multi-cultural communities preferred  

• Bilingual in English/Spanish is a plus  

ESSENTIAL FUNCTIONS

1. Screens referrals for potential admission to addiction medicine services;

2. Conducts histories and physicals on patients within 24 hours of inpatient admission and documents assessment and plan in electronic medical record (EHR);

3. Reviews nursing assessment done at inpatient admission and issues standing orders;

4. Issues any additional procedure orders for continuation of medications or initiation of medications needed to address ongoing medical conditions as well as lab orders;

5. Orders necessary labs and reviews results with patients;

6. Orders and interprets urine toxicology screens, and accesses the Oregon Prescription Drug Monitoring Database when necessary;

7. Provides counseling and education on medication options for the treatment of various substance use disorders;

8. Provides education regarding options for and rationale behind healthy SUD recovery and medical concepts related to addiction;

9. Formulates and initiates treatment plan with patient’s informed consent and participation; Titrates or adjusts medications as needed;

10. In the inpatient environment, reviews CIWA/COWS/Vitals results (conducted by Nursing staff) to determine if patient’s withdrawal symptoms have stabilized sufficiently for discharge on a day-to-day basis;

11. Administers medications for SUD treatment via subcutaneous/intramuscular injections, using standard practices including clean technique (training provided);

12. Uses motivational interviewing and active listening to support clients recovering from drug/alcohol dependence;

13. Addresses other general health concerns as they arise (to include contraceptive counseling, STI counseling and treatment, routine psychiatric care, emergent/temporary management of issues such as hypertension and diabetes, and treatment of chronic viral infections) and documents assessments and medical care in EHR, or refers to primary care, specialty care, or the emergency room as needed.

14. Completes and signs medical orders (meds, labs, etc.) in a timely fashion;

15. Reviews outside health records when necessary;

16. Documents diagnosis, level of service, and procedure codes using EMR;

17. Provides after hours support to nursing, counseling, and respite staff (when on-call) to address general medical concerns and questions;

18. Coordinates care both internally (with outpatient counseling, Addiction Medicine clinic, and residential treatment team members) as well as externally (with community PCPs, ER staff, and external AMC clinics) as needed;

20. Assures quality of care by adhering to therapeutic standards; measures health outcomes against patient care goals and standards, making or recommending necessary adjustments; follows detox and Medical Board philosophies and standards of care set by the state Medical Board, and OAR’s for detox programs;

21. Performs other related duties as assigned and approved by the CMO and BestCare Administration.