Licensed Medical Provider for AMC

Description

 The Licensed Medical Provider in this role delivers addiction medicine treatment and management of associated health conditions in an outpatient setting. This position is an integral part of an interdisciplinary team that includes experienced physicians, advanced practice providers, RNs, LPNs, and substance use counselors. The provider is responsible for initiating treatment and providing ongoing management of substance use disorders as chronic medical conditions. Responsibilities include prescribing and managing oral and long-acting injectable medications, including medications subject to REMS and DEA requirements; completing histories and physical examinations; and developing individualized, patient-centered treatment plans. A strong foundation in primary care is important to effectively address the complex medical needs of this patient population. The position averages approximately 25 hours per week across a 3- to 4-day workweek, with clinical days generally consisting of direct patient care and associated care coordination. The provider will also participate in a shared call rotation, generally one weekend per month. Currently, call coverage supports Residential Services and may include admission orders, medication management, and response to urgent medical issues within the scope of the program. As organizational needs and service models evolve, call responsibilities may transition to supporting Withdrawal Management services. The anticipated long-term structure is approximately one weekend of call per month, without routine weekday call. Call assignments and specific responsibilities may vary based on program needs and will be communicated as part of the provider’s coverage schedule. 

QUALIFICATIONS:

EDUCATION AND/OR EXPERIENCE REQUIREMENTS:

· Medical Degree (APP, MD, DO, PA, NP) from accredited university is required;

· Experience in addiction medicine, behavioral health, primary care and dual-diagnosis care is preferred.

· APP’s must have either 1 year of experience as an APP or completion of a post-graduate residency

· 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 BLS Certification is 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 serving diverse, multi-cultural communities 

· Experience with medication-assisted treatment highly desired

· Bilingual in English/Spanish is a plus

ESSENTIAL FUNCTIONS

· Conducts thorough histories and physicals on patients to establish care, documenting assessments and plans in the electronic medical record (EHR);

· Manages long-term prescriptions, including the administration of evidence-based injectable medications for treating substance use disorders;

· Delivers medications for substance use disorder treatment via subcutaneous/intramuscular injections, adhering to clinical best practices;

· Orders necessary laboratory tests and reviews results with patients, interpreting findings within the context of both addiction medicine and general health;

· Orders and interprets urine toxicology screens, utilizing the Oregon Prescription Drug Monitoring Database when necessary;

· Provides counseling and education regarding medication options for the treatment of substance use disorders and general health improvement strategies;

· Educates patients on recovery options and medical concepts related to addiction, fostering informed decision-making;

· Collaborates with patients to create treatment plans that include informed consent and active participation, adjusting medications as necessary based on individual patient needs;

· Employs motivational interviewing and active listening techniques to support patients recovering from substance dependence;

· Addresses general health concerns such as contraceptive counseling, STI treatment, Hep C treatment and routine psychiatric care, and management of chronic health conditions, documenting all assessments and care in EHR or coordinating referrals to primary care and specialty services as required;

· Completes and signs medical orders (medications, labs, etc.) in a timely manner;

· Reviews external health records to enhance patient care coordination;

· Accurately documents diagnoses, levels of service, and procedure codes using the EMR;

· Provides after-hours support to nursing, counseling, and respite staff for general medical inquiries and concerns when on-call;

· Coordinates care intra- and inter-organizationally, engaging with outpatient and residential treatment teams, as well as community PCPs, ER staff, and external addiction medicine clinics as necessary;

· Ensures the delivery of high-quality care by adhering to therapeutic standards, measuring health outcomes against care goals, and making necessary adjustments. This is accomplished while following established protocols, evidence-based practices, and the regulations set forth by the Oregon Medical Board;

· Performs other duties as assigned by the Chief Medical Officer and BestCare Administration;