Job Description

WebMed is seeking a Family Nurse Practitioner (FNP) to join our outpatient mental health and substance use clinic. This position will work a split schedule between our Duluth and Cloquet locations and assist in overseeing our Treatment Resistant Depression Programming. Tasks will include providing consultation, education, treatment and follow up for TMS and esktamine services. Experience working with TMS and Spravato is not required and on-sight training can be provided to the right candidate.

Essential Duties and Responsibilities including but not limited to:

General

Provides mental health related services to a diverse client population at the clinic system's main office The provision of clinical services including conducting treatment resistant depression programming evaluations, treatment planning, medication management, medical cannabis programming, suboxone management, and discharge planning for patients of the clinic Providing intermittent didactics within clinic's training program if desired Compliance with clinic documentation standards Compliance with licensing board rules, applicable codes of ethics, and DHS regulations Maintain professionalism in all interactions with staff, patients, and business associates of clinic Carrying assigned treatment caseload Ability to provide medical services under independent licensure Compliance with clinic and training program policies and procedures, if applicable Follow facility policy and protocol Coordination with a multidisciplinary team. Provide a safe, friendly, approachable environment for clients to enter and build rapport. Be an active member of the WebMed team to promote a comfortable climate, culture and environment while seeking the best outcomes for the clients we serve. Coordination with providers/team members from other facilities for client care. Act as a preceptor for potential students that are seeking clinical experience. Other duties as assigned

Treatment Resistant Depression (TRD) Program Champion

Develop a deep understanding of the TRD programming offered at WebMed: esketamine & TMS Able to answer programming questions to staff, clients and the public regarding programming Work with esketamine (Spravato) representatives for prior authorization and client billing questions Understand and able to decipher the different prior authorizations needed from different insurances for clients seeking esketamine or TMS treatment. Provide consultation for clients seeking Treatment Resistant Depression Programming at WebMed under the supervision of a licensed provider Assist with ordering esketamine for buy & bill clients Coordinating with pharmacies to ensure esketamine is delivered on time Creating, updating and maintaining Prior Authorizations for esketamine & TMS within the clients EHR. Reviewing insurance to ensure the WebMed has the proper Coordination of Benefits prior to starting the Prior Authorization process. At the beginning of each month for each client that is currently active in the TRD programming, a review of the client's insurance is to be completed to ensure accurate insurance on file for the client Able to verbalize both program schedules, basic rule in/out needs, insurance coverage and enrollment to the public at different events. Champion Treatment Resistant Depression Programming and act as a resource for clinicians, staff, clients, client family, outside providers and community Other duties as assigned

Transcranial Magnetic Stimulation (TMS)

Provide supervision, documentation and /or procedure for transcranial magnetic stimulation (TMS) after completion of TMS training. Discuss and explain the programming, criteria, expected prognosis, process and evaluation Rule in/out TMS evaluation Refer to physician for further evaluation if needed TMS initial mapping and redetermination Following progress of TMS clients Referring for further medication management with psychiatry

Esketamine (Spravato)

Discuss and explain programming, criteria, expected prognosis, process and evaluation Refer clients to outpatient SUD if appropriate Review insurance requirements Spravato REMS registration Ordering of Spravato for specific clients Monitoring daily count of Spravato Wasting unused/expired Spravato with REMS Providing education for administration of Spravato Assessing clients mental status and blood pressure prior to client self administration of Spravato Assessing blood pressure 40minutes after Spravato administered Assessing blood pressure 2 hours after Spravato administered and approving discharge from facility Follow up appointment after first month of Spravato treatment and develop follow up plan with client

Suboxone

Providing follow up appointments face to face or telehealth for clients receiving suboxone. Review with SUD team for clients participation in outpatient treatment Coordinate with multidisciplinary team and any additional outside resources as appropriate for ongoing MAT management Provide care for clients seeking suboxone induction, discussing plans with patient and team.

Follow Up Care

Provide follow up medication management appointments as directed by the Medical Director that fall within the scope of practice of the Family Nurse Practitioner

Qualifications:

Graduate of a school or nursing and accredited Family Nurse Practitioner training program. BC/BE through the AANP or ANCC Licensed or ability to obtain APRN license with the Minnesota Board of Nursing Ability to obtain and maintain DEA certification for the State of Minnesota Obtain and maintain BLS/CPR certification Meet threshold criteria/qualifications for Credentialing and Privileges (if required) Ability to successfully complete the required background check process Evidence of a high level of professionalism within the field Strong clinical acumen and judgment Ability to base clinical assessment and intervention methods on science and professional best practice Ability to work both independently and as part of a multidisciplinary treatment team Excellent interpersonal and written/verbal communication skills Ability to respect diversity and integrate issues of culture into case conceptualizations Ability to engage with patients who may be ambivalent about treatment Ability to adapt interventions to patients' strengths, skills, and developmental levels Commitment to empowering patients to solve their own problems when necessary Ability to intervene decisively, when necessary, to protect patient safety Ability to set appropriate boundaries and limits for best practice Ability to comply with clinic documentation standards

Preferred Qualifications:

At least 2 years of APRN practice experience in psychiatric clinical practice is preferred. Licensed and experienced in treating pediatric patients is also preferred, but not required. Documented 2 years freedom from chemical use problems. Exhibit strong commitment to the client's needs and the mission statement of WebMed. Excellent written and verbal skills. Very well organized. Ability to manage multiple tasks with competing deadlines. Ability to remain on task and follow through projects to their completion. Excellent word processing skills. Maintain professional standards of conduct and appearance with co-workers and the public. Exceptional ability to successfully manage multiple concurrent projects with competing deadlines and frequent interruptions. Strong ability to relate to and coach people with life-controlling problems. Strong leadership skills (one on one and group situations). Assertive individual with pleasant, cordial attitude when working with people. Excellent computer skills including typing, word processing, spreadsheets and general familiarity with database programs. Ability to learn various software programs to meet the needs of the organization.
Job Type: Full-time

Pay: $110,000.00 - $125,000.00 per year

Benefits:

401(k) Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance
Application Question(s):

Are you willing and able to work from either our Duluth or Cloquet clinic as needed or scheduled?
Work Location: In person