Registered Nurse, Medication Assisted Treatment (MAT)

Job Summary

Under the direction of the Nurse Manager and working as part of the MAT Team, the MAT Registered Nurse is responsible for providing services to patients with opioid dependency. Exercises sound, clinical judgment in decision making while providing quality patient care.

Responsibilities include the ability to have sound, clinical judgment in decision making, conducting patient care assessments, advocacy, and integration of patient into treatment, recovery, and the identification of goals; performing ongoing assessment, evaluation, triage, education, induction, stabilization and monitoring of patients in the MAT program; assisting in the primary care of patients and collaborates with team members within the organization, outside referral sites, and patients’ significant support systems.

Essential Job Duties & Responsibilities

• Assesses, monitor, and provide ongoing management and support to patients through all phases of treatment including, the induction, stabilization, and maintenance phases of treatment.
• Provide registered nurse care appointments with patients on site and in collaboration with the MAT provider and support team.
• Meet with patients individually to provide comprehensive medication education.
• Involve family and/or significant others as needed and requested by the patient.
• Assesses patients’ physical status and mental status and assesses for psychiatric symptoms, medication adherence, side effects, and safety factors.
• When patients agree, develop strategies to maximize the taking of medications as prescribed (e.g., behavioral tailoring, development of individual cues and reminders).
• Assist patients in developing a system to assure medication adherence.
• Assists patients in obtaining medications through medication assistance programs as needed.
• Assesses medication for refill needs and takes action to ensure patient needs are met. Manages the medication system by administering and documenting medication treatment and acts as liaison to provider and pharmacies, Promote, educate, and utilize the harm-reduction approach with patients.
• Engage in health promotion, prevention, and education activities (i.e., conduct assessments for risky behaviors and attempts behavior change).
• Link clients to internal and external lab services, pharmacies, primary care, specialties, case manager, counselor, and community support.
• Obtain and monitors patient urine toxicology screens, routine labs as needed,
• Coordinate, implement, administer IM injections, and performs venipuncture

•   Collaborate in shared appointment with provider, especially if the patient is not doing well or needs a medication change or a dose change or having side effects.

• Consult with provider whenever necessary to advise patient of most appropriate action and reinforce plan of care.
• Utilize EMR systems including EPIC, REMS, OARRS, and CliniSync.
• Maintain complete and appropriate documentation with recordkeeping.
• Adheres to strict confidentiality and right to privacy.
• Provides triage line coverage when assigned.
• Participate in clinical team meetings and treatment planning to assure appropriateness and coordination of care.
• Maintain organization and safety regarding medications by storing and wasting them according to policy.
• Follow state and federal guidelines in providing care to patients with opioid dependency in collaboration with licensed, prescribing physicians and pharmacy.

Other Job Duties & Responsibilities

• Other related duties as assigned.

Supervisory

• This position does not supervise any position.

Core Competencies

• Nursing Process: Delivers holistic, patient-focused care through assessment, diagnosis, outcomes/planning, implementation, and evaluation.
• Communication: Expresses thoughts clearly, concisely, and effectively both verbally and in writing. Presents in a confident, clear, and enthusiastic manner when addressing people in a large or small group. Demonstrates a sound knowledge of the subject matter.
• Values Diversity: Collaborates with and involves others, demonstrating a respect for divergent viewpoints; interacts well with diverse people and groups, thereby contributing to an environment that is equitable, inclusive, and cooperative. An awareness of and sensitivity to the cultural diversity of the population served. 
• Interpersonal Relations: Relates well to all individuals, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact. Uses influence to build consensus for change. Charismatic and inspirational style to recruit, motivate, retain, and develop professionals to advance the organization’s mission. Culturally competent to lead and sustain diversity.

Job Qualifications

• An unencumbered registered nurse license through the state of Ohio
• One year of experience working with adults with opioid dependence
• CPR certification and non-violent crisis intervention training (within 60 days of hire)

Physical Demands/Work Environment

This job operates in an outpatient, ambulatory clinic environment. This role routinely uses standard office equipment. While performing the duties of this job, the employee is regularly required to speak and hear. The employee is frequently required to sit for extended periods of time, stand, walk, use hands and fingers, and reach with hands and arms. It requires the use of fine motor skills. May be required to stoop and bend. The incumbent in this position may be exposed to infectious blood and body fluids and airborne pathogens. To control the risks associated with such contact, persons in this role are required to use personal protective equipment as outlined in our safety programs. Travel and work outside of normal hours may be required for meetings, presentations, trainings, and other events.