Member Access Staff Provider - KY/WV

Overview:

As a Staff Provider, you will work with a small team of experienced providers, counselors, and support-staff to facilitate rapid-access intakes and enhanced medical support throughout the early weeks of treatment for Groups members. You will leverage telemedicine extensively in your work, so must be comfortable with technology and enthusiastic about the benefits of this exciting modality. You will work daily to overcome the barriers faced by members early in recovery and must adopt a “member-first” attitude that prioritizes keeping members safe and engaged in treatment at all costs. Flexibility, empathy, and commitment to member success are critical attributes for a successful Staff Provider. You will also provide longitudinal maintenance care to a panel of members (pending prescription cap capacity). Additionally, you will support your regular provider colleagues by providing coverage when medical questions or needs arise and these providers are unavailable. 

Your knowledge of the Groups Recovery System and the Groups culture will be critical for ensuring successful launches of Groups into new markets and new geographies within existing markets. Finally, you will be an integral partner of the medical leadership team in developing and deploying new medical service lines for our members.

• Adhere to all clinical policies and procedures as outlined in the GRS Manual

• Intake medical duties 

• Determine each patient’s medical necessity and appropriateness for treatment pursuant to applicable clinical models, policies and procedures, and manuals (e.g., Recovery System Manual) as required by Recover Together.  For patients admitted to treatment, prescribe buprenorphine/naloxone and, where appropriate, other approved medications to treat withdrawal symptoms, in a manner consistent with Recover Together’s policies and procedures and Recovery System Manual.
• Maintain a regular schedule of “intake shifts”, and be available to provide rapid-access telemedicine intakes across multiple geographies, including new markets.
• Complete all intake documentation thoroughly, efficiently, and accurately. 
• Be accountable for successful initiation of MAT during the early weeks of treatment (weeks 1-4, approximately).
• As needed, coordinate with community providers to support the successful transition of new members into Groups.
• Collaborate with other provider colleagues to transition the care of new members into regular maintenance groups.
• Escalate controversial situations to appropriate medical and/or clinical leadership;

• Medical Records  
  • In compliance with HIPAA and other applicable federal or state laws, rules or regulations regarding medical records, maintain patient records in confidence and complete records in a timely fashion and in accordance with policies of the Company. 
    
    
• Miscellaneous medical duties
  
  • Provide as needed cross-coverage for colleagues and answers to medical questions when other providers are unavailable. 
  • Participate in rotating “on-call” schedule of urgent prescription coverage for unavailable providers.
  • Facilitate access to the State’s prescription drug monitoring database so Groups staff can regularly monitor the Provider’s patients’ access to controlled substances, per Recover Together’s clinical protocols.
• Administrative duties - approximately 15% per week
  • Completing high quality documentation, specifically all medical encounters accurately and thoroughly on the same business day as the encounter
  • Sign all prescriptions on the same business day that they are generated
  • Manage group and individual sessions in a timely manner so members and office staff stay on schedule
  • Work with the office staff to maintain a clinical schedule that is mutually beneficial to provider and the office;
  • Stay familiar with all Recover Together policies, procedures, reference materials, contracts, etc.
  • Follow up on interprofessional communication.
  • Assist with onboarding, training, and support of new providers.
  • Work with the medical leadership team to pilot new initiatives to improve outcomes during early treatment,
  • Assist with other duties as assigned.

• Nurse Practitioner or Physician Assistant with active Kentucky and/or West Virginia state licenses in good standing.
• Active Kentucky and/or West Virginia DEAs.
• Board Certification (PMHNP Preferred/Psych Specialty)
• Willing and able to become licensed in multiple other states where Groups operates or will operate soon (with support and reimbursement from Groups)
• Willingness and ability to become credentialed with all government and private health plans with whom Groups Recover Together is in network.
• At least 1 year of experience in Addiction Medicine.
• At least 1 year experience working in a team-based-care setting with behavioral health providers (therapists, social workers, case managers, etc)
• At least 2 years experience working with a similar member population, preferably within primary care of behavioral health setting.
• Adequate internet connectivity to support telemedicine (if working from home)
• Access to reliable internet and telephone services, specifically 10M download and 5M upload package or higher, as well as a strong WiFi signal from your remote work location.
• Ability to demonstrate recovery-sensitive behaviors, including choice of language, attitudes and interactions with members and staff. 
• Ability to maintain courteous and professional in all communications (verbal and written) with staff and members