- Complete comprehensive medical evaluations for all new residents within seven (7) days of admission via telehealth.
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Determine whether residents are medically appropriate for their assigned level of care.
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Conduct follow-up medical appointments based on clinical need or within 30 days when medications are prescribed.
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Perform required medical evaluations at program milestones, including:
- Prior to advancement from Base Camp to Embark
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Prior to advancement from Embark to Ascent
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Prior to discharge from the Ascent program
- Evaluate residents for medical stability and identify conditions requiring a higher level of care.
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Refer residents to primary care providers, specialists, or emergency services when appropriate.
- Prescribe, adjust, discontinue, and refill non-controlled medications within scope of practice.
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Coordinate medication refills for non-controlled medications when clinically appropriate.
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Authorize emergency refill requests when necessary until residents can re-establish care with their primary care provider.
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Ensure all prescriptions and refills are supported by a documented medical appointment.
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Reconcile medications during initial evaluations and maintain accurate medication records.
- Review urine drug screen (UDS) results for residents receiving medical services.
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Evaluate results for:
- Consistency with prescribed medications
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Unexpected substances
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Potential relapse or diversion concerns
- Document findings in the electronic medical record.
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Notify appropriate clinical, compliance, and case management staff when concerning results require follow-up.
- Collaborate with behavioral health providers, case managers, housing staff, and compliance personnel to support resident care.
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Assist residents in establishing or maintaining care with primary care providers.
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Coordinate referrals for specialty medical services when indicated.
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Participate in interdisciplinary communication regarding resident medical concerns.
- Complete all documentation within the electronic health record in a timely manner.
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Maintain accurate medical records, including:
- History and Physical assessments
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Follow-up notes
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Medication reconciliation
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Clinical recommendations
- Ensure documentation complies with organizational, state, and payer requirements.
The Medical Provider evaluates each resident's medical appropriateness for treatment and identifies individuals who may require a higher level of medical care due to factors including:
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Medical instability
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Need for continuous nursing or medical oversight
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Complex medication management
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Inability to independently perform activities of daily living
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Conditions requiring assisted living, skilled nursing, or inpatient rehabilitation
When residents are determined to be medically inappropriate for their current level of care, the provider documents findings, communicates recommendations to the interdisciplinary team, and assists with appropriate referrals.
The Medical Provider may:
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Perform medical evaluations and follow-up assessments
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Prescribe and manage non-controlled medications
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Coordinate medical care and referrals
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Review laboratory and urine drug screen results
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Provide medical guidance within professional licensure
The Medical Provider does not:
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Replace a resident's primary care provider
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Independently admit or discharge residents from treatment programs
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Prescribe controlled substances or Medication-Assisted Treatment (MAT) medications except when specifically authorized by organizational policy and leadership
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Provide ongoing primary care services
- Average productivity of one resident per hour, with the ability to see two to three residents per hour depending on appointment type.
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Typical appointment lengths:
- Initial Evaluation: Approximately 30 minutes
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Follow-Up: 15–20 minutes
- Current, unrestricted Colorado Physician Assistant (PA) or Nurse Practitioner (NP) license
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Active National Provider Identifier (NPI)
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Valid Medicaid provider enrollment
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Current professional liability (malpractice) insurance
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DEA registration (if applicable to position requirements)
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Experience in primary care, addiction medicine, behavioral health, or recovery services
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Knowledge of Colorado Behavioral Health Administration (BHA) standards and CARF accreditation requirements
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Strong clinical assessment and documentation skills
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Experience using electronic health records (EHR)
- Experience working with individuals experiencing substance use disorders or co-occurring mental health conditions
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Telehealth experience
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Familiarity with Sunwave EHR
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Experience collaborating within multidisciplinary treatment teams
This role primarily involves conducting comprehensive medical evaluations for new residents within seven days of admission and at key program milestones, ensuring their medical appropriateness for the assigned level of care. You will manage non-controlled medications, including prescribing, adjusting, and refilling, while ensuring all actions are supported by documented medical appointments. A crucial aspect is reviewing urine drug screen results for consistency and potential concerns, collaborating with various care teams to coordinate referrals, and assisting residents in maintaining primary care relationships.
The Medical Provider is responsible for maintaining meticulous documentation within the electronic health record, covering initial assessments, follow-up notes, and medication reconciliation, all in compliance with regulatory standards. A core clinical duty is to identify residents requiring a higher level of medical care due to instability, complex needs, or inability to perform daily activities, facilitating appropriate referrals. This position does not replace a resident's primary care provider, nor does it typically involve prescribing controlled substances or providing ongoing primary care services.
