Medication Assisted Treatment Nurse JOB SUMMARY

1 Medication Assisted Treatment Nurse JOB SUMMARY : The MAT Team Nurse provides skilled nursing services to opioid dependent patients and their significant support systems. Responsibilities include: Sound clinical judgment in decision making; patient care assessment, understand patient care goals as voiced by the patient, making the patient a major part of his Treatment and recovery; provide advocacy as needed to ensure patient knows and understands his rights; help patient become independent by meeting care goals and measuring those goals against patient healthcare outcomes; document and communicate nursing care to others on care team; provide education for patients and/or families; Meets documentation requirements in the patient medical record; act as liaison between patients and providers. The MAT Team Nurse performs ongoing assessment, intakes, evaluations, triage, teaching, inductions, stabilizations, and monitoring of patients in MAT Treatment program.

2 Assist in the primary care of patients within the MAT Treatment program, and facilitate support and services provided at other settings. Collaborates with team members within the organization, outside referral sites, and with providers/staff from addiction /healthcare settings throughout the RELATIONSHIPS: Responsible to the Clinical Nurse Manager RESPONSIBILITIES & AUTHORITIES: PRIMARY DUTIES: In collaboration with the Behavioral Health Clinician (BHC), performs initial assessment and intake obtaining social, medical, mental health, substance abuse and Medication history. Collaborates, communicates, and meets with MAT Treatment team and other practice care team staff as needed and required Provide education and assessment to patients looking to access MAT Treatment programs Assess and monitor patients in the induction, stabilization, and maintenance phases of Treatment Provide ongoing management, education, and support of patients in all phases of Treatment including; nursing visits scheduled and random, urine toxicology screens, routine labs and as needed, Medication teaching, monitoring, pill counts, observed dosing, and Medication refills.

3 Exhibits non-judgmental, empathetic and supportive approach when communicating with patients/families and staff Follow State and Federal guidelines in providing care to opioid dependent patients in collaboration with licensed, prescribing physicians and pharmacy. Complete appropriate documentation with record keeping Assist in the ongoing primary care of patients referred to the opioid Treatment program Consistently use clear, concise, and effective written and oral communication; and comply with departmental policies when sharing/documenting relevant patient care data. Works with the pharmacies and the MAT team in obtaining Medication orders, prescriptions, refills, prior authorizations and communication as needed. Assess patient's need for Treatment or advice via telephone call or personal encounter (walk-in). Consults with provider whenever necessary in order to advise patient of most appropriate action; reinforce provider plan of care.

4 Determine, based on patient need, if patient needs to be seen by a provider and how quickly. Promote continuity of care within limits of staffing availability. Schedule urgent appointments appropriately. Respond to patient calls within a timely manner. Document all calls/visits; maintain accurate notes on telephone message and attach to progress note in patient's chart. All documentation in a patient's medical record must be complete and easily understood by anyone who may need to access the record. Meet with MAT team and clinical staff on a regular basis and work jointly to establish expectations for how team issues will be managed, such as scheduling, forms and refill issues. In case of patient referral to the Emergency Department or another facility, coordinate care with appropriate staff at the other facility (Mental Health Center, Emergency Department, other Community-Based Substance Abuse and Mental Health Treatment facilities etc).

5 Promote strict patient confidentiality and right to privacy, cooperating with medical records staff to ensure effective retrieval system for client records Continually update personal, clinical and professional knowledge and skills through formal and informal educational experience. Comply with state continuing education laws. Assist with non-scheduled nursing needs during/throughout the shift. These requests vary from assistance with walk-ins, triage, stabilizing an acutely ill patient until the ambulance arrives, administering a nebulizer Treatment or other stabilizing interventions. Actively participate in policy/protocol development for the program. Attend and participates in MAT and other MCHC meetings as directed. If absent, responsible for reading minutes of meetings and signing the documentation. Assist with the processing of patient paperwork. The Nurse should prepare as many components as possible before handing off to the provider.

6 Samples of patient paperwork are disability forms, handicap sticker requests, authorizations for wheelchairs and other assistive devices, letters to return to work, PE and Immune report requests. This list is not all inclusive Become aware of and currently updated regarding community resources that would assist our patients. Attend mandatory safety-related, infection control in-services as designated by the Senior Management Team Maintain licensure for RN/LPN status by ongoing professional education; maintain professional development Sensitivity to cultural diversity of population being served. Maintain patient age-related competence. Other responsibilities as assigned by supervisor. Nurse must be able to tolerate latex exposure from vaccine vials as well as tolerate perfumed oils, and other perfumed products. Based on the mental requirements of the position, please check below the ADA statement that best fits the position.

7 Choose ONLY ONE from below: Requires the ability to understand and follow simple instructions and to use simple equipment involving few decisions. Requires the ability to perform repetitive or routine duties working from detailed instructions and understand procedures. Requires the making of minor decisions. Requires the ability to plan and perform diversified duties requiring an extensive knowledge of a particular field and the use of a wide range of procedures. Involves the exercise of judgment in the analysis of facts and conditions regarding individual problems or transactions to determine what actions should be taken within the limits of standard practice. X Requires the ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures. Requires considerable judgment to work independently toward general results, devising methods, modifying or adapting standard procedures to meet different conditions, making decisions based on precedent and policy.

8 Requires the ability to plan and perform difficult work where only general methods are available. Involves highly technical or involved projects, presenting new or constantly changing problems. Requires outstanding judgment and initiative in dealing with complex factors not easily evaluated, also making decisions for which there is little precedent. Requires the ability to plan and perform complex work that involves new or constantly changing problems where there is little accepted method or procedure. Involves participation in the formulation and carrying out of policies, objectives and programs for major divisions or functions. Considerable ingenuity and exceptional judgment required to deal with factors not easily evaluated, interpret results and make decisions carrying a great deal of responsibility. Direct and coordinate the work of subordinate supervision in order to attain objectives. QUALIFICATIONS: Education/Training: RN or LPN with 5 to 10 years experience.

9 Current NH RN or LPN license. Experience: Experience in substance abuse field with community health experience preferred. Knowledge/Skills: Ability to delegate tasks to other team members. Health assessment skills and coordination and delegation skills necessary. Knowledge of community, and health resources, particularly addiction related resources and supports Effective verbal, written, and interpersonal skills with ability to interact with providers and team members from various settings Sensitivity to ethnic, cultural, gender; beliefs, and behaviors Ability to work in a fast paced environment, with excellent critical thinking, and problem solving abilities SALARY RANGE: Non-exempt This is a CATEGORY 1 job (with regard to OSHA): Reasonably anticipated exposure to blood and body fluids in completing this job. Educated regarding Enforcement Policy and Procedures for Occupational Exposure to Tuberculosis, including use of NIOSH approved high efficiency particulate air (HEPA) respirators.

10 MCHC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE) Required experience: RN or LPN: 5 years Substance Abuse Field: 1 year Required license or certification: NH RN or LPN Job Type: Full-time Required education: Bachelor's Required experience: RN or LPN: 5 years Substance Abuse: 1 year Required license or certification: RN or LPN