NP or PA Advanced Practice Clinician - Addiction Medicine - Espanola - Part-Time

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Job Description:

At Presbyterian, it's not just what we do that matters. It's how we do it. How we do things here makes all the difference.

Presbyterian Medical Group seeks a Board Certified or Board Eligible Addiction Medicine Advanced Practice Clinician NP or PA to join our practice in Espanola, New Mexico. We're all about well-being, starting with yours. We offer a nationally competitive salary, CME allowance and fully paid malpractice insurance.

Discover Espanola, New Mexico

A City with Rich Cultural Heritage - Espanola, located in northern New Mexico, is a city with a rich cultural heritage and a vibrant community. Known for its blend of Native American, Hispanic, and Anglo cultures, Espanola offers a unique cultural experience. The city is home to historical landmarks such as the Bond House Museum and the Plaza de Espanola, reflecting its diverse history.

Discover Presbyterian Espanola Hospital

Small Town Hospital. Big City Services.

Presbyterian Espanola Hospital is an acute care hospital located in Espanola, New Mexico. As a not-for-profit hospital with 80 licensed beds, Presbyterian Espanola Hospital exists to improve the health of the patients, members, and communities we serve in northern New Mexico. The people of Presbyterian Espanola Hospital -- physicians, nurses, volunteers and support staff -- take great pride in a long tradition of delivering compassionate patient care, a wide range of general acute care and specialty services to residents and visitors of northern New Mexico.

Presbyterian Espanola Hospital's high quality and values are made possible through a unique partnership between the County of Rio Arriba, a local Board of Trustees, and Presbyterian Healthcare Services, which has owned and managed hospital operations since 1977. Our goal has been to provide the finest care and service possible since we first opened in 1948. Over the years, we have expanded to meet the growing needs of the Espanola Valley, Rio Arriba County, and northern New Mexico. We continue to add new services to provide state-of-the art treatment and technology for our patients.

Responsibilities:

* Provide care to patients in PEH Renewal Clinic, and while serving on the PEH AMCS, to patients on the inpatient units (including L&D) and the ED as assigned.

* Staff patients in all clinical areas with attending physician until approved to manage patients independently on that service.

As an APC in the PEH Renewal Clinic:
* Evaluate patients with substance use disorders (SUD's) in the PEH Renewal Clinic, in person and via video (payor permitting).
* Communicate and collaborate with the nursing staff, care coordination, and patients' primary care and other providers.
* Collaborate with peer support workers and behavioral health professionals (as available and as applicable).
* Order appropriate laboratory studies
* Prescribe applicable medications, and order outpatient injectable medications as applicable.
* Address co-occurring behavioral health conditions (e.g. insomnia, anxiety, depression, etc.) as able (depending upon experience and/or training)
* Provide care instructions related to SUD treatment and other conditions addressed.
* Write encounter notes in Epic and enter appropriate coding for encounters.
* Collaborate with the Renewal clinic team and leadership to treat vulnerable patient populations (e.g. housing insecure patients).
* Potentially provide treatment for pregnant women and adolescents (as per training and experience)

Additional outpatient services via telemedicine:
* Provide services as outlined above to non-Presbyterian clinics (only after such clinic is fully contracted and approved by Presbyterian administration), depending on scheduling and staffing of the Renewal Clinic.
* Emphasis on providing service to rural clinics in Rio Arriba County and other underserved areas of northern New Mexico.
* Provide services as outlined above via telemedicine to patients in other Presbyterian clinics (depending on scheduling and staffing of the Renewal Clinic).

As a member of the PEH Addiction Medicine Consultation Service (AMCS):
* Evaluate patients in-person at PEH with substance use disorders (SUD's) as needed in the hospital units, including the Intensive Care Unit, Progressive Care Unit (Medical/Surgical unit), Labor & Delivery, Emergency Department, etc.
* If able, assist with nursery care of newborns experiencing withdrawal in collaboration with pediatricians and L&D nursing staff (if have applicable training in pediatrics)
* Communicate and collaborate with the attending physician/provider, nursing staff, and care coordination.
* Collaborate with peer support workers and behavioral health professionals (as available and as applicable).
* Order appropriate laboratory studies
* Initiate medication for withdrawal management and initiation of long-term medication management of SUD's.
* Address co-occurring behavioral health conditions (e.g. insomnia, anxiety, depression, etc.) as able (depending upon experience and/or training)
* Prescribe applicable medications at discharge, and order outpatient injectable medications as applicable.
* Write discharge instructions related to SUD treatment.
* Write a consultation note in Epic (and follow up notes as indicated) and enter appropriate coding for the consultation.

Consultation via telemedicine:
* Provide services as outlined above via telemedicine to other Presbyterian hospitals as possible (depending on scheduling and staffing of the PEH AMCS, ensuring that consultations needs of PEH are met).
* Provide services at outlined above to non-Presbyterian hospitals/facilities (only after such facility is fully contracted and approved by Presbyterian administration), depending on scheduling and staffing of the AMCS (and meeting obligations to PEH and other Presbyterian facilities).

In general, APC's on the AMCS and Renewal Clinic will:
* Understand that extensive studies of much of the medication used in addiction medicine is limited.
* Strive to keep up with medical literature as well as successful practices employed in other institutions.
* Approach each patient's treatment options as a risk benefit balance (e.g. some medications used to treat alcohol use disorder may be hepatotoxic, but the risks of such medication may be outweighed by the risks of continued use of alcohol).
* Follow established practices to help reduce benzodiazepine use and not prescribe short half-life benzodiazepines (e.g. alprazolam).
* Not prescribe long-term opioids except for buprenorphine (or other similar medications as appropriate).
* Keep up to date with Presbyterian assigned learning through LMS modules

Additional Job Description:

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more! In addition, we offer all employees a robust, day one effective benefits plan consisting of medical, dental, vision and more. Exceptional retirement plans - 403b retirement savings program with both matching programs and employer contributions.

Learn more about our employee benefits

Presbyterian is not just a great place to practice medicine, its where you'll find a different way to make a difference. Our commitment to safe, high-quality care is at the heart of everything we do. Here's a glimpse of what sets us apart:

• Technology and digital platforms allow our clinicians to focus on meaningful work and reduce friction in your practice.
• Innovative care models improve access and free providers to focus on our patients. Clinicians spend more time connecting patients with affordable, innovative solutions that keep them healthy.
• All employees have a Strongline silent alarm badge to help you be - and feel -- safer at work.
• The RESET program is a multi-day immersive retreat designed for clinicians, fostering personal and professional growth. Through interactive sessions, self-reflection, and peer support, participants gain insights, tools, and practices to enhance well-being, resilience, and intentional living.

About Presbyterian Healthcare Services:

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with over 14,000 employees - including 1,200 providers and 4,000 nurses.

Our health plan serves more than 600,000 members statewide and offers Medicare Advantage, Medicaid and Commercial health plans.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

Living and Working in New Mexico

Beyond the professional advantages, living in New Mexico offers a unique blend of culture, outdoor adventures, and a diverse community.

• Cultural richness.Immerse yourself in the cultural richness of New Mexico, from historic adobe structures to vibrant festivals celebrating our diverse heritage.
• Outdoor paradise.With over 300 days of sunshine annually, indulge in outdoor activities ranging from hiking the Sandia Mountains to skiing in nearby Taos.
• Community spirit.Our communities are known for their warmth and hospitality, making your transition seamless and enjoyable.

Learn more about New Mexico

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses