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

• An APC with a primary background in family medicine may be assigned primarily to the Renewal Clinic, seeing adult patients, but may be tasked with assisting the inpatient consultation service.
• An APC with a primary background in emergency medicine or other hospital-based patient care may be tasked more often than other APC's with assisting on the AMCS.

• 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.

• 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)

• 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).

• 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.

• 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).

• 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 Qualifications:

• Technology and digital platforms allow our clinicians to focus on meaningful work and reduce friction in your practice.
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• 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.

• 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.

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