JOB LOCATION: GALT, CA

• Conduct comprehensive histories, physical assessments, and diagnostic evaluations for all new clients.
• Diagnose substance use disorders and co-occurring mental health conditions within scope of practice using current clinical standards.
• Assess medical, psychiatric, and psychosocial factors affecting admission, treatment planning, and ongoing care.
• Evaluate suicide risk, self-harm, disruptive behavior, and withdrawal complications.

Withdrawal Management & Medical Oversight

• Assess clients for withdrawal risk on admission and throughout treatment.
• Provide clinical oversight for withdrawal symptoms and collaborate with nursing staff on symptom monitoring and escalation.
• Develop and adjust withdrawal-management protocols consistent with evidence-based practices and program policy.

Medication Management

• Evaluate, prescribe, and manage medications, including medication-assisted treatment (MAT), in accordance with licensure, furnishing authority, and program policy.
• Monitor medication efficacy, side effects, and interactions with substances or other prescribed medications.
• Adjust clinical plans based on treatment response, emerging symptoms, and client safety needs.
• Coordinate referral to psychiatry or other specialists when higher-acuity medication management is indicated.

Ongoing Client Care

• Conduct follow-up visits as clinically indicated to evaluate response to treatment and medical stability.
• Modify treatment interventions based on clinical progress, relapse risk, and withdrawal status.
• Provide crisis intervention and clinical stabilization support when needed.
• Participate in interdisciplinary treatment team meetings and level-of-care discussions.
• Collaborate with counseling staff regarding assessment results, treatment needs, and discharge planning.

Documentation & Compliance

• Complete all clinical documentation timely, accurate, and compliant with regulatory standards.
• Document all assessments, diagnoses, medication changes, clinical decisions, and client progress.
• Ensure compliance with state licensing, accreditation standards (CARF), and ASAM guidelines.
• Maintain records suitable for audits, reimbursements, and quality assurance reviews.
• Complete all disability forms within the required time frame.
• Work in conjunction with the nursing staff to ensure that documentation is complete and meets all regulatory standards and that all medication orders are correct

Collaboration & Communication

• Collaborate closely with counselors, case managers, nursing staff, program leadership, and the medical director.
• Provide consultation to staff regarding client care needs, clinical risks, and treatment recommendations.
• Communicate with family members and external providers when appropriate and authorized.
• Refer clients to primary care, psychiatry, or specialty services as needed.
• Coordinate chronic-medication issues and care transitions with outside prescribers.

Program Support & Quality Improvement

• Participate in program meetings, conferences, and program development activities.
• Attend all training sessions.
• Assist in creating or updating medical policies and procedures as needed.
• Support quality improvement efforts, including chart audits and performance reviews.
• Adhere to all licensing and county regulations/standards.
• Adhere to all auditing requirements following county and licensing audits

• Current California Nurse Practitioner license in good standing.
• Graduate of an accredited Nurse Practitioner program with national certification appropriate to specialty.
• Meets applicable California requirements for Nurse Practitioner practice, including furnishing authority and registration requirements as applicable to the position.
• Minimum two (2) years of clinical experience preferred in addiction medicine, behavioral health, psychiatry, family medicine, emergency medicine, or residential substance use disorder treatment.
• Knowledge of substance use disorders, co-occurring conditions, withdrawal management, detox support, and medication-assisted treatment (MAT).
• Knowledge of Department of Health Care Services residential treatment requirements and Incidental Medical Services standards when applicable.
• Ability to perform comprehensive clinical evaluations, prescribe and manage medications within scope, and provide follow-up care.
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