Outpatient Nurse RNLPN

Job Summary

The role of the Outpatient Nurse is to manage the clinical and operations of the outpatient medical services provided s role requires a combination of clinical expertise, organizational skills, and the ability to effectively communicate with both patients and staff members.

• Communicates client concerns to the provider, which includes but is not limited to, acute withdrawal symptoms, medication effectiveness, medication side effects, and/or abnormal vital signs.
• Provides follow up information to primary care providers (PCP’s) for patients, if needed.
• Takes patient vitals as part of their outpatient office visit or admission for inpatient treatment.
• Maintains the prior authorization process for medication administration (initiates, follows up, renews, etc.)
• Checks voicemail and returns phone calls on a timely basis.
• Transmits prescriptions for patients either electronically or by calling them into the appropriate pharmacy for outpatient and supportive living patients.
• Provides support to supportive living patients by responding timely to Teams threads, administering medications as needed, and inventorying patient medications on a regular basis.
• Works closely with interdisciplinary treatment team to ensure client safety and comfort. This includes clinicians, safety officers, recovery technicians, resident support specialists, and administration.
• Performs assessments on patients being treated in the outpatient setting for their substance use disorder, mental health illness, eating disorder, or other medical concerns that may arise.
• Identifies medical parameters that require additional intervention with the provider including laboratory values, vital signs, and one-on-one conversation or observation of behaviour.
• Safely administers medications, including narcotics through identifying mechanism of action, contraindications, and interactions of medications used to treat alcohol and drug withdrawal.
• Educates clients on medications, as needed.
• De-escalates clients and therapeutically responds to clinical signs/symptoms of withdrawal including increased anxiety, irritability, agitation, and aggression while maintaining professional boundaries and fostering a trusting nurse to client relationship.
• Utilizes an electronic medical record (EMR) system for all documentation. Obtains appropriate orders from the provider and submits e-prescriptions as needed for all clients.
• Completes documentation and medication ordering in a timely manner.
• Protects patients’ rights by maintaining confidentiality of medical, personal, and financial information.
• Meets regularly with the interdisciplinary team to discuss client treatment.
• Ensures all orders from providers are carried out and any information about clients and their wellbeing is promptly and clearly communicated to providers as well as during treatment team meetings.
• Performs blood draws, as ordered by the provider.
• Collects samples for urinalysis and urine drug screens.
• Attends and stays up to date on trainings and policies, like Handle With Care, Basic Life Support (BLS), and HIPAA.
• Adheres to the established Code of Ethics, Standards of Practice, and employee handbook.
• Keeps professional license current and in good standing with the state of Michigan.
• Attends mandatory monthly nursing meetings for continuity of care, education and implementing new processes.
• Assists with the care of patients for the Spravato clinic.
• Assists with prior authorization requests for the Spravato patients.
• Orders medications for the Spravato clinic, when necessary.
• Performs other duties as assigned.

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) with current licensure in Michigan, required.
• Prior experience with substance uses disorder or eating disorders, preferred.
• Current CPR/BLS Certification, required.

• Ability to maintain strict confidentiality on all client records and business-related records, as required under HIPAA guidelines.
• Knowledge of substance use disorders, eating disorders, mental health illnesses and associated treatments.
• Ability to access substance abuse withdrawal.
• Ability to…