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Advanced Registered Nurse Practitioner, Tacoma, WA


Organization: Tacoma-Pierce County Health Department
Category: Nurse Practitioner
Location: Tacoma, WA
Date Job Posted: December 21, 2022
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Advanced Registered Nurse Practitioner - Temporary

Salary $100,713.60 - $129,688.00 Annually
Location Tacoma-Pierce County Health Department, WA
Job Type Temporary
Division Strengthening Families
Job Number 23-00011
Closing 1/1/2023 11:59 PM Pacific

Job Summary

Are you interested in using your skills to address the opioid crisis? Are you looking for a position that will give you experience prescribing/ordering medications for the treatment of opioid use disorder? If this sounds like you, we invite you to apply for our new Advanced Registered Nurse Practitioner (ARNP) position with Treatment Services and our low-barrier buprenorphine clinic – Meds First. This is a Temporary, Full-Time (1.0 FTE) position that offers the opportunity to participate in a learning collaborative with the University of Washington and be mentored by behavioral health subject matter experts.

This advanced professional classification has the primary role of diagnostician and treatment provider. The ARNP will assess a broad spectrum of human illnesses, abnormalities, and health maintenance problems to provide:

  • Education appropriate to the patients’ level of health literacy,
  • Referrals to other health professionals as indicated.

The ARNP must be patient-centered and use principles of trauma informed care in the delivery of health care. They will deliver care and education in collaboration with other health care team members, while following evidenced-base practice. The ARNP may contribute to the daily management and clinic operation. The ARNP will assure the delivery of quality health care and education to those seeking services. Instructs other nurses and paraprofessionals in the clinic area in diagnostic, counseling and referral techniques to ensure the quality of nursing care.

Distinguishing Characteristics:

The ARNP works independently with the support of clinic physicians and the Medical Director. The ARNP is responsible to perform physical assessments, diagnosis, and treatment functions. The ARNP may provide primary health care to clients on an independent basis. Nursing knowledge and ability to use independent judgment is at higher clinical levels, allowing them to function as an independent medical practitioner.

Essential Functions:

  • Act as a primary health care professional for outpatient clinic. Obtain extensive health and medical history, both general and specific, including family history, psychosocial/developmental histories and cultural information using patient centered, trauma informed care, etc. Identify actual and potential health needs based on medical, behavioral, financial, and social factors.
  • Perform thorough physical examinations to include a complete head-to-toe physical exam. This includes evaluation of neurologic and psychiatric status, cranial nerve exam, evaluation of eyes, ears, nose and oropharynx; lymph nodes, thyroid, breast, skin, auscultation of circulatory and respiratory systems, palpation of abdomen, extremities, and male and female genitourinary exams. The ARNP may perform procedures within their scope of practice to include to incision and drainage of abscess, placement of long acting reversible contraception, removal of foreign body, sample collection, etc.
  • Diagnosis and management of substance use disorders, diagnosis of general medical and psychiatric conditions with appropriate referrals.
  • Develop and implement a treatment plan. Oversee the treatment plan throughout treatment. Manage cases from inception to termination. Refer cases to physicians and health paraprofessionals for conditions outside the scope of authority to diagnose or treat. Consult directly with one or more physicians regarding diagnosis and care-management problems as needed. Refer to community partners, collaborate with care team, other healthcare providers and community resources, health promotion and education.
  • Perform and/or interpret appropriate ancillary testing including basic blood work (CBC, CMP, etc.), sexually transmitted infection testing and monitoring, toxicology screening and confirmation testing, methadone trough level, electrocardiograms, other indicated testing, etc.
  • Prescription of medications based on current evidence. Education of purpose and intended outcome of the use of medications in terms appropriate to the patients’ level of health literacy.
  • Document in Electronic Health Record to collect, record, and analyze data.
  • Participate in daily clinic operations. Actively participate in the planning, implementation, and evaluation of responsibility area.
  • Provide leadership, guidance, and feedback to clinic staff to support a high-performance clinic that focuses on quality and safe patient care. Instruct other nurses and paraprofessionals in the program/clinic area in diagnostic, counseling and referral techniques to ensure the quality of nursing care.
  • Analyze and review federal, state, and local laws, regulations, policies, and procedures in order to ensure compliance. Conduct analysis on best practices and trends and formulate recommendations.
  • Ensure quality of professional practice by practicing within professional, legal and ethical standards and by participating in and providing continuing education, peer review, chart review, development of practice guidelines and community work.
  • Collaborate with Program Manager and Medical Director to:
    1. Annually review and revise standards of care based on the current evidence.
    2. Participate in peer reviews to assure a high level of skills among other nurse practitioners.
    3. Participate in educational meetings as available and appropriate.
    4. Audit records to ensure appropriate data collection and documentation and evaluate the care provided by other staff members.
    5. Ensure staff meet quality assurance standards through educating, monitoring and providing consultation to staff as appropriate.

Click here for a detailed Classification Specification.

What you bring to the table

Key Competencies:

  • Communicates effectively, clearly, and concisely, both orally and in writing. Convey information, ideas, and facts to supervisors, colleagues, and individuals, inside and outside the Department, using language and a format the audience will best understand. Asks questions to deepen understanding.
  • Demonstrates knowledge of the role that culture plays in communication and can interact sensitively, effectively, and professionally with persons from diverse cultural, socioeconomic, educational, and professional backgrounds and all categories included in the agency’s EEO policy.
  • Makes educated, effective, and timely decisions, even when limited information is available. Perceives the impact and implications of those decisions.
  • Identifies and analyzes problems, weighing the relevance and accuracy of information. Generates and evaluates alternative solutions before making a recommendation.
  • Establishes and sustains the highest standards of quality. Inspires and motivates others to meet those standards. Consistently reassesses processes to assure the Department meets quality standards.
  • Helps others fulfill their potential by providing advice, encouragement, and the necessary resources based on their own knowledge and experience.
  • Demonstrates ability to educate and raise the awareness of others about ethical considerations, standards and approaches to program management.
  • Applies ethics to the full range of public health work, including scientific studies, nationwide campaigns or programs, and community-based interventions.

Job Specific Skills:

  • Ability to perform a complete history and full physical examination.
  • Ability to make assessments based on findings consistent with current diagnostic criteria and formulate treatment plans.
  • Ability to administer and/or supervise medications for medical diseases.
  • Ability to manage patient care from initial evaluation through termination of treatment.
  • Knowledge of normal human growth and development, human anatomy and physiology, human behavior, pathology, diagnostic techniques, current treatment methods for common human diseases and disorders, medicine commonly used for such diseases, disorders, and contraindications.
  • Ability to work harmoniously with patients and other health professionals and paraprofessionals. Exercise mature judgment to determine when to consult other resources for diagnosis and case management. Make clear explanations of technical conditions to professionals and laymen.
  • Advanced knowledge of human systems, including wellness/illness, growth and development, basic nutrition, behavioral, psycho-social and family systems.
  • Knowledge of diagnostic testing and interpretation of results.
  • Knowledge of diagnostic reasoning and clinical decision-making.
  • Knowledge of alternative treatment modalities.
  • Knowledge of health promotion, risk assessment and education techniques and principles.
  • Knowledge of community, professional and educational resources.
  • Crisis intervention skills.

Thorough knowledge of nursing principles, methods and procedures, and medical terminology.

Who should apply

Bachelor's degree in nursing science from an accredited School of Nursing AND Masters prepared Advanced Registered Nurse Practitioner from a program that is accredited by the Commission on Collegiate Nursing Education or the Accreditation Commission for Education in Nursing.

License/Certification Requirements

A valid Washington State license as an Advanced Registered Nurse Practitioner (A.R.N.P.) and an active Registered Nurses License to practice in Washington State. Must have or be eligible for prescriptive authority.

  • Must have or be willing to obtain DEA X-Waiver to prescribe buprenorphine.
  • Must meet criteria for Substance Abuse Mental Health Services Administration (SAMHSA) mid-level exemption.
  • Washington State Driver's License and an acceptable drivers’ abstract.
  • Ability to successfully pass a background investigation.

Working Conditions & Physical Requirements

Work Setting:

  • Your office will provide personal safety, including physical distancing, screening, sanitation, disinfection and masks.
  • Work is performed almost exclusively indoors in an office environment. Exposure to hazards is limited to those commonly found in government office environments.

Tools and Equipment:

  • Duties require the use of standard medical office equipment, (stethoscope, otoscope, blood pressure cuff, scale, speculum, scalpel, suture, etc.) and office furniture and equipment (e.g. desk, filing cabinet, computer, printer, telephone, fax machine, copy machine, etc.)

Physical Demands:

  • Work involves dexterity enough to perform physical exam, produce typed correspondence, file and operate standard office equipment.

Travel:

  • Some travel is required, and is typically local or regional, to conduct business, or attend or provide training.

Emergencies:

When public health responds to an emergency you may be assigned duties that are outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department.

Agency Tacoma-Pierce County Health Department
Address 3629 South D St. Tacoma, Washington, 98418
Phone 253-649-1551
Website https://www.tpchd.org/i-want-to-/jobs/employment/employment-opportunities

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