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Spokane Regional Health District

This is a Full-time position in Spokane, WA posted March 30, 2021.

The ARNP’s primary responsibility is to evaluate patient’s Opioid addiction, and prescribe, adjust appropriate Medication Assisted medications as indicated. S/he will conduct thorough history and physical examinations on new patients; annual medical evaluation, possibly perform PPD (TB skin tests) or QuantiFeron Gold testing and make appropriate recommendations for follow-up. Perform medication reviews for both new and existing patients.Provides information when needed to Medical Director, ARNP’s, counselor, physicians, Division Director, and program manager(s) regarding patient/ client medical, emotional, and behavioral conditions as observed.The ARNP works directly with all team members, including but not limited to nurses, counselors, Administrative Assistants, and related staff; interdisciplinary functioning, consulting, informing etc. The ARNP works under the supervision of the Division Director.Evaluates patient’s Opioid addiction by performing initial HPI- History of Present Illness, and physical exam.Performs intake including, history, vital signs, assessment, writing order for medication (Methadone, Buprenorphine/Naloxone, Buprenorphine, Naltrexone) and communicating the above listed and other pertinent information to medical staff and counseling staff as needed.Evaluates and assesses patients using various clinical tools such as vital signs, physical exam, and Subjective Opioid Withdrawal Scale to justify dose increase, includes medication review and counseling patient and communicating with appropriate medical entities.Performs annual health assessment with patient.Meets with patients when a need for a medical condition is warranted by medical or clinical staff.Goes to the Spokane County Detention Services for evaluation and intake of inmates.Assesses all recently discharged hospital patients to ensure that they meet medical criteria to continue with methadone treatment program and continue with methadone dosing; includes – *Medication review, Vital signs, Health Assessment, and review of patient’s medical history.Assesses patient’s conditions for continued Medication Assisted Treatment as requested by dispensary nurses, counselors, Medical Director, physician, and Division Director.Communicates with SUDP counseling staff regarding possible Mental Health care with SRHD Treatment Services Mental Health program.Evaluates and assesses patients using Clinical tools including physical exams, performing Subjective Opioid Withdrawal Scale, Clinical Opioid Withdrawal Scale, MMSE; consult/review medications to assess patient condition, safety, discuss current medical problems and medical issues for continued dispensing in Opioid Treatment Program.Meets with each patient in person that has missed three (3) or more consecutive days of dispensing, in order to assess appropriate dosage for re-engagement on the program.Acts as medical liaison with the community physicians, hospitals, health care providers, and social services regarding the needs of methadone patients.Interfaces with other Spokane Regional Health District programs and staff.Assists the Medical Director and Division Director in developing referral resources from the health care community.Participates in Quality Improvement and Logic Models for program evaluation.Educates patients on the medications they are taking by prescribing physician.Coordinates with patient’s primary physician on patient’s medications and methadone, buprenorphine/naloxone, buprenorphine and naltrexone.Performs medication reviews for new as well as existing patients on the program.Reviews Medication Report Forms and signs.Provides information to counselors, physicians, medical team, and Division Director regarding patient’s medical, emotional, and behavioral conditions as observed.Complies with all record keeping and documentation regulations.Participates in weekly case staffing with nurses, counselors, and medical director.Maintains HIPPA and 42 C.F.R. Part 2 ConfidentialityRequired Minimum Qualifications:Bachelor of Science degree in Nursing from Accredited School of Nursing plus graduation from an accredited Nurse Practitioner ProgramOne-year experience as a Nurse Practitioner in the area of specialty required in a community health agency, hospital, or physician’s office.Note: No previous experience with drug abuse treatment or knowledge of the principles and techniques of treatment of co-occurring disorders required, or treatment of Mental Health, although it is preferred, with a master’s degree from an accredited school of nursing.Required Licensure/Certifications:Active valid unrestricted license to practice as Advanced Registered Nurse Practitioner (A.R.N.P.) in the state of Washington.Current Drug Enforcement Agency (DEA) registration number, or ability to obtain within the first six (6) months of probation.DATA 2000 X waiver to prescribe Buprenorphine/ Naloxone.Unencumbered Washington State R.N. License.To be considered for this great opportunity an online application submitted through our website at is required.This position is eligible for representation by WSNA

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