Nurse Practitioner/Physician Assistant - Medication Assisted Therapy Program

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Location: Gloucester, MA
Job ID: 151597-1A
Date Posted: Feb 4, 2019

Job Description

Welcome To

Addison Gilbert Hospital is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Funded under a grant from the Health Policy Commission, the Medication Assisted Therapy (MAT) Team was created to reduce 30 day ED revisits for patients who have opioid use disorder.

As a member of a team of ED physicians, ED mid-level providers, and Recovery Coaches, the NP/PA will work directly with patients, families, caregivers and providers. The NP/PA will provide leadership and guidance in protocol development and implementation for medication assisted therapy in the Emergency Department.  The nurse practitioner will assess patients to identify signs of opioid use disorder and will work collaboratively with emergency department staff in implementation of MAT protocols.   The NP/PA will educate patients about Medication Assisted Therapy options and if needed will administer the COWS scale and the first dose of medication if indicated.  The NP/PA will develop protocols for the ED staff and will train the ED staff on these protocols.  The NP/PA will support the ED providers for the period of the grant funding. The NP/PA will also provide support to the Recovery Coaches in the ED.  The NP/PA will work collaboratively with the LEAP clinic providers to ensure that patients initiated on the MAT protocols are followed up with in the LEAP clinic. The NP/PA will assist the LEAP clinic to ensure coverage for 7 days per week including weekends.  The NP will report to the Clinical Administrator of the SHIFT Grant and will collect data and develop reports as required by the grant. The NP will be required to obtain DEA X waiver certification to be able to prescribe MAT under the guidance of supervising MD.


  • Collaborate with all other team members to develop protocols for administering the COWS scale as well as protocols for administering medication assisted therapy for opioid use disorder
  • Support and train ED physicians on Medication Assisted Therapy protocols
  • Collaborate with LEAP clinic staff on referred patients as needed
  • Identify barriers to patients with opioid use disorder receiving medication assisted therapy
  • Collaborate with other healthcare facilities in the area that also have a medication assisted therapy program in the ED
  • As requested, assist with referrals to the LEAP clinic, detox or behavioral health services
  • Review program data, look for population trends
  • Support case management, PCPs and providers
  • Complete documentation according to program policies and procedures
  • Meet with the Supervising Physician on a regular basis as warranted.


  • Board Certified NP or PA

  • Master’s Degree required, or commensurate experience
  • Prior experience in addictions preferred
  • Current state licensure is required
  • Ability to be credentialed by Beverly/AGH medical staff for privileges to assess and treat patients
  • Experience working in hospital and emergency department setting preferred
  • Experience working with substance abuse clients required.
  • Excellent communication skills, both written and oral

Knowledge skills and abilities:

  • Willingness and ability to obtain DEA x waiver for prescribing MAT
  • Demonstrated knowledge of substance abuse disorders and current treatment modalities; demonstrated knowledge of  medication assisted therapy options for treatment of opioid use disorder
  • Self-starter with the ability to implement new programs
  • Flexibility to be able to effectively manage changes to process
  • Highly organized and detailed
  • Comfortable in a variety of settings
  • Ability to work collaboratively as a team with tact and diplomacy
  • Accepts responsibility and follow through on projects and activities
  • Ability to analyze and present data effectively
  • Consistently demonstrate relationship building and ability to motivate a team to meet goals and objectives.
  • Superior writing and communication skills
  • Must be able to work in a fast paced, ever changing environment

·Familiarity with PC’s and MS Office software applications


WORK Schedule

  • Willingness to work on both AGH and Beverly campuses
  • Willingness to  work flexible hours to meet needs of patient volume to be determined based on Emergency Department needs
  • Willingness to cover LEAP clinic hours as needed to maintain operations and client access 7 days per week.