Certified Registered Nurse Practitioner- Medication Assistance Treatment

Certified Registered Nurse Practitioner (CRNP) – MAT & Addiction Medicine

Position Type: Contracted, Part-Time Schedule: 16–24 hours per week Reports To: Medical Director & Facility Director Setting: Licensed outpatient drug & alcohol treatment program Locations: Peace and Harmony House outpatient sites & approved telehealth settings

1. Position Summary

The Certified Registered Nurse Practitioner (CRNP) provides medical evaluation, diagnosis, treatment, and medication management for individuals receiving services through Peace and Harmony House’s outpatient substance use disorder treatment program.

The CRNP delivers evidence-based care for opioid use disorder (OUD), alcohol use disorder (AUD), and other substance-related conditions within the provider’s Pennsylvania-recognized specialty, national certification, prescriptive authority, collaborative practice agreement, and organizational privileges.

Core responsibilities include comprehensive medical assessments, substance use evaluations, medication-assisted treatment (MAT), withdrawal-risk assessment, medication monitoring, patient education, behavioral-health screening, and coordination with interdisciplinary team members.

MAT services may include buprenorphine, naltrexone, acamprosate, and other FDA-approved medications when clinically appropriate and legally authorized.

The CRNP collaborates with the Medical Director, counselors, case managers, Certified Recovery Specialists, nursing staff, administrative personnel, pharmacies, laboratories, and external healthcare providers to ensure safe, coordinated, trauma-informed, culturally responsive, and recovery-oriented care.

All services must comply with DDAP regulations, State Board of Nursing requirements, DEA standards, confidentiality laws, payer rules, and Peace and Harmony House policies.

2. Essential Duties & ResponsibilitiesA. Clinical Assessment, Diagnosis & Treatment

The CRNP shall:

• Conduct comprehensive medical assessments, including medical history, medication reconciliation, substance use history, allergies, prior treatment, physical assessments, and current clinical concerns.
• Evaluate treatment readiness, withdrawal risk, overdose risk, relapse risk, and medication adherence.
• Diagnose OUD, AUD, and other substance use disorders using appropriate criteria within scope.
• Screen for co-occurring medical and behavioral-health concerns (depression, anxiety, trauma symptoms, suicide risk, etc.).
• Develop individualized medical treatment and monitoring plans in collaboration with the patient and interdisciplinary team.
• Determine clinical appropriateness for MAT based on patient preferences, treatment history, contraindications, and evidence-based guidelines.
• Initiate, prescribe, adjust, administer when authorized, and monitor medications within legal authority and organizational privileges.
• Conduct induction, stabilization, maintenance, follow-up, and clinically appropriate tapering or transition visits.
• Order, review, and interpret laboratory tests (UDS, LFTs, pregnancy tests, infectious disease screening).
• Assess medication effectiveness, tolerability, adherence, side effects, contraindications, and drug interactions.
• Use validated withdrawal tools (COWS, CIWA-Ar) when clinically indicated.
• Recognize medical instability, severe withdrawal, overdose, acute psychiatric concerns, and other emergencies requiring intervention or referral.
• Document all assessments, diagnoses, treatment decisions, and follow-up plans in the EHR.

B. Medication-Assisted Treatment & Prescribing

The CRNP shall:

• Provide evidence-based MAT consistent with clinical guidelines, patient needs, and applicable law.
• Prescribe and monitor buprenorphine (sublingual and injectable), naltrexone (oral and injectable), acamprosate, and other approved medications within scope.
• Discuss medication options, benefits, risks, alternatives, and expectations using shared decision-making.
• Establish safe procedures for medication initiation, stabilization, maintenance, refills, and follow-up.
• Monitor for adverse effects, contraindications, unsafe combinations, interactions, misuse, or diversion.
• Review laboratory results, toxicology findings, pharmacy communications, and medication history.
• Review the Pennsylvania PDMP as required and document findings.
• Coordinate prior authorizations, insurance requirements, and pharmacy concerns.
• Educate patients on adherence, safe storage, interactions, and follow-up importance.
• Discuss methadone as an evidence-based option and coordinate referrals to certified OTPs when appropriate.
• Develop tapering or discontinuation plans only when clinically justified and patient-centered.
• Provide naloxone and overdose-prevention education when appropriate.
• Report medication safety concerns, adverse reactions, errors, or suspected diversion.
• Ensure all prescribing complies with Pennsylvania prescriptive authority rules, collaborative agreements, DEA requirements, and organizational policy.

C.

Patient Education, Harm Reduction & Recovery

Support

The CRNP shall:

• Educate patients on substance use disorders, treatment options, expected outcomes, medication risks/benefits, and monitoring requirements.
• Provide overdose-prevention education, including naloxone use and emergency response.
• Explain overdose risk associated with reduced tolerance, treatment interruption, relapse, or medication discontinuation.
• Provide nonjudgmental harm-reduction education and relapse-prevention strategies.
• Encourage participation in counseling, recovery support services, primary care, and community resources.
• Support patient dignity, autonomy, informed choice, and culturally responsive care.
• Provide referrals to primary care, infectious disease services, prenatal care, psychiatry, emergency services, residential or inpatient treatment, and other specialty services as needed.

D. Behavioral-Health Screening & Referral

The CRNP shall:

• Screen for co-occurring medical and behavioral-health conditions relevant to SUD treatment.
• Recognize symptoms requiring psychiatric or behavioral-health evaluation.
• Provide treatment only within the CRNP’s specialty, training, competence, and privileges.
• Refer patients to qualified psychiatric or behavioral-health professionals when needs exceed scope.
• Communicate significant safety concerns and recommended interventions to the treatment team.
• Follow emergency procedures for imminent safety concerns, suicidal intent, severe withdrawal, overdose, or acute psychiatric emergencies.

E. Care Coordination & Interdisciplinary Collaboration

The CRNP shall:

• Collaborate with the Medical Director, counselors, case managers, CRS staff, nursing personnel, and administrative staff.
• Participate in treatment planning, case conferences, consultations, utilization review, quality improvement, and chart audits.
• Coordinate care with primary care providers, hospitals, pharmacies, laboratories, behavioral-health providers, and community services.
• Support continuity of care during transitions between outpatient services, emergency departments, inpatient treatment, residential programs, and OTPs.
• Communicate clinically significant changes, abnormal results, medication complications, and treatment recommendations.
• Assist in developing medication protocols, patient agreements, workflows, monitoring standards, and staff education.
• Support readiness for payer reviews, credentialing, licensing inspections, audits, and quality assurance activities.
• Maintain professional relationships with collaborating physicians, pharmacies, laboratories, insurers, and referral sources.

F. Documentation, Confidentiality & Compliance

The CRNP shall:

• Maintain accurate, complete, timely documentation for all services.
• Document assessments, diagnoses, treatment plans, prescriptions, PDMP review, lab results, education, referrals, and follow-up.
• Complete clinical notes and orders within organizational and payer timeframes.
• Comply with DDAP requirements, State Board of Nursing regulations, DEA rules, and federal training requirements.
• Protect patient information under HIPAA, 42 CFR Part 2, Pennsylvania confidentiality laws, and organizational policy.
• Obtain required patient authorizations before sharing protected SUD information.
• Follow payer, credentialing, accreditation, and program requirements (CARF, Joint Commission when applicable).
• Participate in chart audits, utilization review, quality assurance, corrective action, and performance improvement.
• Maintain required licenses, certifications, registrations, continuing education, liability coverage, and credentialing documents.
• Cooperate with lawful inspections, audits, and record requests.

G. Telehealth Services

The CRNP shall:

• Provide telehealth services only when authorized and clinically appropriate.
• Verify patient identity and location as required.
• Obtain informed consent for telehealth when required.
• Comply with federal and Pennsylvania telehealth standards, including controlled-substance rules.
• Maintain privacy, confidentiality, secure communication, and proper EHR documentation.
• Determine whether telehealth is clinically sufficient or requires in-person evaluation.
• Arrange in-person care or emergency intervention when needed.

H. Program Operations & Professional Responsibilities

The CRNP shall:

• Support safe, effective operation of the MAT program.
• Maintain dependable availability during scheduled clinic hours.
• Provide advance notice of absences.
• Respond to clinical messages, refill requests, and urgent concerns within required timeframes.
• Participate in coverage plans for vacations, illness, and emergencies.
• Attend required meetings, consultations, training, audits, and quality improvement activities.
• Cooperate with leadership in reviewing clinical quality, patient access, documentation, and program needs.
• Exercise professional judgment, maintain boundaries, and uphold ethical standards.

3. Required Qualifications

• Current, unrestricted Pennsylvania CRNP certification.
• Current Pennsylvania RN license.
• National certification aligned with population focus and assigned responsibilities.
• Education, training, and demonstrated competence appropriate to patient population.
• Written collaborative practice agreement with a qualified Pennsylvania physician.
• Pennsylvania prescriptive authority approval and collaborative agreement (if prescribing).
• DEA registration and controlled-substance authority (if required).
• Compliance with DEA training and renewal requirements (including MATE Act).
• National Provider Identifier (NPI).
• Pennsylvania PDMP registration and competency.
• Current BLS/CPR certification.
• Professional liability insurance meeting legal and organizational standards.
• Eligibility for Medicare, Medicaid, and commercial insurance credentialing.
• Ability to meet background clearance and screening requirements.
• Ability to comply with organizational policies, protocols, and confidentiality standards.

4. Preferred Qualifications

• 1–3 years of experience in addiction medicine, SUD treatment, family medicine, internal medicine, psychiatry, emergency medicine, or related fields.
• Experience providing MAT for OUD or AUD.
• Experience in outpatient drug & alcohol treatment settings.
• Experience prescribing or managing buprenorphine and naltrexone (including injectables).
• Experience with PDMP review, controlled-substance monitoring, toxicology testing, and medication safety.
• Familiarity with ASAM Criteria and evidence-based addiction treatment.
• Knowledge of trauma-informed care, motivational interviewing, harm reduction, relapse prevention, and co-occurring disorders.
• Experience with EHR systems, telehealth, Medicaid managed care, prior authorizations, and audits.
• Ability to work effectively with diverse cultural, socioeconomic, and recovery backgrounds.

5. Schedule & Availability

• 16–24 hours per week on mutually established clinic days.
• Reliable availability during scheduled hours.
• Advance notice of absences.
• Timely response to clinical communications.
• Participation in coverage plans for absences and emergencies.
• Attendance at required meetings, consultations, training, audits, and quality improvement activities.
• Participation in 90-day review of access, caseload, quality, documentation, and program needs.
• Hours may be adjusted by mutual written agreement.

6. Performance Expectations

• Patient Access: Maintains clinic coverage and supports timely appointments.
• Clinical Quality: Provides evidence-based, individualized treatment; recognizes when higher care is needed.
• Medication Safety: Completes monitoring, PDMP review, labs, education, and risk assessment.
• Documentation: Completes notes and orders accurately and on time.
• Communication: Coordinates care and responds within required timeframes.
• Compliance: Maintains credentials and follows laws, regulations, payer rules, and policies.
• Continuity of Care: Supports referrals, transitions, and follow-up.
• Quality Improvement: Participates in audits, corrective action, and performance improvement.

7. Contractual Status

This position is structured through a professional services agreement addressing:

• Compensation, invoicing, and payment
• Contracted hours and scope of services
• Documentation standards
• Credentialing and insurance requirements
• Coverage arrangements
• Confidentiality and security obligations
• Record ownership and retention
• Quality assurance and compliance
• Termination and transition of care

Worker classification must align with federal and Pennsylvania law based on actual duties performed.

8. Physical Requirements

• Ability to perform routine clinical assessments.
• Ability to communicate effectively with patients and healthcare professionals.
• Ability to operate computers, EHR systems, and telehealth platforms.
• Ability to sit, stand, walk, and respond to urgent clinical situations.
• Reasonable accommodations will be provided as required by law.

9. Working Conditions

• Work performed in licensed outpatient SUD treatment settings and approved telehealth environments.
• Interaction with individuals experiencing SUD, co-occurring medical conditions, and behavioral-health concerns.
• Occasional evening or weekend hours based on program needs.
• Compliance with infection prevention, workplace safety, emergency response, and organizational policies.

10. Professional Accountability

The CRNP must:

• Maintain licensure, certification, prescriptive authority, and DEA registration.
• Practice within legal scope, collaborative agreements, and organizational privileges.
• Exercise sound clinical judgment and maintain professional boundaries.
• Comply with organizational policies and regulatory requirements.
• Communicate significant clinical concerns promptly.
• Avoid providing services beyond legal scope or competence.

Pay: $75.00 - $80.00 per hour

Expected hours: 16.0 – 24.0 per week

Benefits:

• 401(k)
• Flexible schedule
• Paid time off
• Retirement plan

Work Location: In person