APP Nurse Practitioner / Physician Assistant - Inpatient Addiction Medicine - Full Time

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Day - 08 Hour (United States of America)

The Advanced Practice Provider (APP) on the Inpatient Addiction Medicine Consult Team plays a critical role in delivering high-quality, evidence-based care to hospitalized patients with substance use disorders. This position requires advanced clinical expertise in addiction medicine, strong skills in assessment and management of withdrawal and co-occurring conditions, and the ability to collaborate effectively within a multidisciplinary hospital team.

Responsibilities:
1. Inpatient Addiction Medicine Evaluation:
Conduct comprehensive assessments of hospitalized patients with suspected or confirmed substance use disorders, including evaluation of withdrawal risk, substance use history, psychiatric and medical comorbidities, and readiness for treatment.

2. Treatment Planning and Implementation:
Develop and implement individualized, evidence-based treatment plans for substance use disorders, including initiation and management of medications for addiction treatment (e.g., buprenorphine, methadone, naltrexone) and withdrawal management protocols.

3. Withdrawal Management and Stabilization:
Assess and manage acute withdrawal syndromes (e.g., opioid, alcohol, benzodiazepine) using standardized protocols. Provide close monitoring and adjust treatment plans to ensure patient safety and comfort during hospitalization.

4. Medication Management:
Initiate, titrate, and monitor medications for substance use disorders and co-occurring psychiatric conditions. Provide patient education on medication purpose, side effects, and adherence.

5. Consultation and Care Coordination:
Collaborate closely with hospitalists, surgeons, psychiatrists, social workers, case managers, and nursing staff to provide integrated care. Serve as a consultant to primary teams for management of substance use disorders and related complications.

6. Discharge Planning and Continuity of Care:
Facilitate transitions of care by coordinating referrals to outpatient addiction treatment programs, harm reduction services, and community resources. Ensure safe discharge planning, including access to medications and follow-up care.

7. Patient Education and Harm Reduction:
Provide education on substance use disorders, overdose prevention, and harm reduction strategies (e.g., naloxone distribution). Engage patients in shared decision-making and support motivation for recovery.

8. Documentation and Compliance:
Maintain accurate and timely documentation of consults, treatment plans, and care coordination. Ensure compliance with regulatory, legal, and institutional standards.

This is a Stanford Health Care job.

A Brief Overview
The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels: Job Attributes: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III

Locations
Stanford Health Care

What you will do

• A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP.
• B. An NP shall consult with a physician regarding any task, procedure or diagnostic prob