Job Description

COOK INLET TRIBAL COUNCIL, INC.JOB DESCRIPTIONJob Title: Psychiatric Mental Health Nurse PractitionerDepartment: Recovery and ReentryReports To: Director/Senior Director of Recovery and ReentrySupervises: NoneFLSA Status: ExemptJob Type: Full-time, Part-time or Contract-based workAKBCU: Yes ICPA: NoGeneral Functions:The Psychiatric Mental Health Nurse Practitioner (PMHNP) supports the provision of patient-centered, trauma-informed, culturally responsive, and recovery-oriented treatment at CITC. The PMHNP utilized a whole-person approach to care and understands the importance of family, support systems, and culture in recovery. The position provides psychiatric medication management and MOUD (Medications for Opioid Use Disorder) / MAT (Medication-Assisted Treatment) therapy services to patients. In addition to direct participant care, this position will support our service continuum by offering discipline-specific insight into internal processes, provide consultation with multidisciplinary members of participantsxe2x80x99 treatment teams, and support medication management in residential programs using delegated tasks.Specific Job Functions/Responsibilities:

• Provide psychiatric medication management and MOUD (Medications for Opioid Use Disorder) / MAT (Medication-Assisted Treatment) therapy services to patients.
• Serve as a member of multidisciplinary treatment teams.
• Work collaboratively with leadership to establish and promote advances toward mission, goals and values.
• Utilize expertise to enhance service delivery, program development, and ensure accreditation, best practice, and regulation requirements are met.
• Promote best care delivery practices.
• Establish and maintain positive relationships and collaboration with multidisciplinary staff across the department, other CITC partners and community partners.
• Support in the implementation of new policies and procedures by providing expertise in the field.
• When needed, evaluate, screen, and assess participants to determine whether an admission into the programs is appropriate; support treatment team to refer participants to lower or higher levels of care as needed.
• Tailor treatment plans to the participantxe2x80x99s unique needs, facilitating medication-assisted treatment, psychiatric evaluation, management, and other evidence-based treatment modalities to meet needs.
• Collaborate with the clinic's medical, clinical, and administrative support staff, offering case consultations and other resources as needed; participate in treatment planning meetings and peer review activities.
• Work effectively with multidisciplinary members of the treatment team to ensure optimal treatment delivery; plays role in coordinating participant care services extending across the continuum of care, as applicable.
• Document in the EHR the medical services rendered in an accurate, thorough, and timely manner in accordance with established organizational policies.
• Perform treatment quickly and efficiently while keeping the participant informed and being sensitive to the participantxe2x80x99s comfort during the treatment.
• Set the expectations with the participant by listening to their concerns, addressing those that can be addressed and informing the customer of the course of action to follow for other health concerns.
• Provide direct and/or collaborative supervision for medical students, residents, and other trainees when applicable.
• Support the management of medication in residential facilities through medication administration, delegated tasks, training of staff, and consultation.
• Adhere to the applicable licensure, accreditation, confidentiality, and treatment standards as outlined in the state and federal regulations; complies with program specific policies and procedures.
• Design and implement education and training programs for providers and staff on the approved clinical pathways and improvement initiatives; conducts workshops and trainings to share ideas and to educate staff on how to continue to improve the system and develop best practices.
• Other duties as needed and assigned.

Job Responsibilities Related to Patient Privacy:

• The incumbent is expected to protect the privacy of all patient information following CITC's privacy policies, procedures, and practices, as required by federal and state law, and following general principles of professionalism as a health care provider.
• The incumbent may access protected health information and other patient information only to the extent that it is necessary to complete all assigned job duties. The incumbent may only share such information in their possession with those who need to know specific patient information to meet their job responsibilities related to treatment, payment, or other CITC operations.
• The incumbent is expected to report, without the threat of retaliation, any concerns regarding CITC's policies and procedures on patient privacy and any observed practices in violation of the policy to the designated Privacy Officer.
• The incumbent is expected to participate in CITC privacy training actively and is required to communicate privacy policy information to coworkers, students, patients, and others following CITC policy.

Job Specifications:

• Advanced understanding of the ASAM Criteria that includes LOC placement tools, dimensional admission criteria, risk ratings, medical capabilities at each level of care.
• Advanced understanding of the core medical knowledge about addiction, SUD, and related conditions, including epidemiology and etiology of addiction; neurobiology and genetics of addiction; pharmacodynamics of commonly used substances; pathophysiology and neuropsychological effects of chronic conditions associated with SUDs and common comorbid medical and co-occurring psychiatric conditions associated with SUDs.
• Proficient in working collaboratively as a member of a multidisciplinary team comprised of medical, non-medical (clinical, operational, allied staff) team members.
• Demonstrated competency in assessment and diagnosis, including but not limited to: conducting an accurate participant history, perform appropriate physical examination and detect signs of chronic use; screen for and diagnose SUDs, intoxication, withdrawal, and common comorbidities/co-occurring issues; formulate reasonable differential diagnoses; explain diagnoses and rationale to treatment team, participant, and participantxe2x80x99s supports when applicable; order appropriate diagnostic tests (lab tests, drug tests, toxicology, etc.).
• Demonstrated competency in providing medical management for low to medium level complexity psychiatric conditions using appropriate assessment instruments to guide decision making.
• Strong knowledge of the Medicaid billing process.
• Demonstrated ability to provide leadership and guidance to all Recovery and Reentry Service Programs.
• Demonstrated advanced problem-solving skills.
• Strong, verbal and written communication skills.
• Excellent organizational skills, ability to manage multiple tasks and meticulous attention to detail.
• Computer literacy required (MS word, MS excel, MS PowerPoint and MS Project).
• Strong knowledge of HIPAA law and regulations including privacy rules and standards; Alaska public records law and processes.
• Demonstrated knowledge and understanding of the social, health, education, training and cultural needs of the Alaska Native and American Indian community.

Minimum Core Competencies: CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.Minimum Qualifications:

• Masterxe2x80x99s degree in nursing, with a specialty in Psychiatric Nursing.
• Board certification via ANCC or AANP.
• Licensed as a Psychiatric Mental Health Nurse Practitioner in the state of Alaska at time of employment.
• Active license as a Registered Nurse (RN) in the state of Alaska.
• Active DEA in the State of Alaska.
• Two (2) years providing clinical services to treat behavioral health and substance use challenges.
• Must have current CPR certification and proof of active CPR certification prior to employment, or within 30 days of employment.
• Obtain Qualified Addiction Professional (QAP) approval within three (3) years of the Provisional Provider Application approval date with the State of Alaska.

Preferred:

• Five (5) years of experience in psychiatric prescribing and the provision of mental health services.
• Two (2) years of documented experience providing specialty addiction treatment.
• Experience in both residential and outpatient behavioral health setting providing behavioral health and substance use related treatment

Physical Requirements:

• Primarily works in an office setting, with extended periods of time at a desk and on a computer.

DisclaimerThe information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.

Cook Inlet Tribal Council