Nurse Practitioner/Physician’s Assistant

Job Overview

Under the direct supervision of the Assistant Medical Director, the Nurse Practitioner/Physician’s Assistant is responsible for the maintenance and support of medically assisted treatment for HealthRIGHT 360 clients. The Nurse Practitioner/Physician’s Assistant is responsible for taking medical history, performing physical examination, ordering and interpreting laboratory tests, and diagnosing and treating common illnesses and injuries.  Provides consultation and education to participants regarding Medically Assisted Treatment within the Participant Centered Health Home delivery model.  Assessment of withdrawal symptoms and application of medication protocols to support participant care. Utilization of the ASAM guidelines to guide participant care. Located in our residential recovery programs and potentially providing support to our outpatient recovery program in Oceanside to provide care to participants.

North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community.  North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our residential facility serves up to 120 women (with capacity for up to 20 children under 5 years of age) seeking recovery from substance use disorders. 




Key Responsibilities

Skills & Medicine Responsibilities: 

  • Educate, support and care for participants receiving medication assisted treatment
  • Analyze and interpret participant history, symptoms, physical findings, and/or diagnostic information to develop appropriate diagnoses
  • Maintain complete and detailed records of participants' history, assessment, and health care plans
  • Perform routine or annual physical examinations 
  • Medical examination will include the interpretation of all routine laboratory tests
  • Diagnosis and treatment of illness and injury related to addiction use disorder 
  • Consulting with the Assistant Medical Director for treatment or referral options
  • Utilization of the ASAM guidelines in directing care of participants
  • Assessment of withdrawal symptoms to determine appropriate protocols and the application of those protocols
  • Provides and makes self available to staff for consultation, treatment planning, and team meetings
  • May  provide supervision to nursing staff
  • Ensures compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements

Clinical Service Responsibilities: Conducts and/or participates in meetings with treatment team. Participates in treatment and discharge planning for participants. Is available to staff for consultation on urgent or emergent issues. Participates in concurrent reviews and appeals as needed for participant treatment authorization.

Administrative Responsibilities: Participates in Peer Reviews to improve quality of clinical services. Provides training and consultation to treatment staff. Attends required training and meetings.  May supervise licensed vocational nurses or licensed psychiatric technicians. If providing supervision, responsible for all performance management including, performance improvement plans, formal written warning notices and terminations of all direct reports as needed and in consultation with Assistant Medical Director and/or Managing Director.

Compliance Responsibilities:  Compliance responsibilities include co-signing treatment plans and medical necessity determinations as required by funder requirements. Understands and ensures compliance with policies and procedures to manage risk.  Ensures compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements.  Ensures program staff, management, and other senior management are informed on quality of care concerns through regular reporting and/or team discussions. 

Training Responsibilities:  Training responsibilities include developing and conducting trainings in clinical topics related to the delivery of medication services.  Ensures all direct reports are properly trained and updated on HIPAA regulations and compliance as well as any other ongoing compliance and regulatory requirements. 

Documentation ResponsibilitiesCollaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly documents all services provided and completes admission and discharge paperwork/process and required agency assessments in timely manner and ensure that the “golden thread” is documented throughout the chart. Develop and assess effectiveness of individualized treatment plans and participant progress.  Maintains up-to-date files and documentation on psychiatric medications. Assist in ongoing maintenance of participants’ charts and other related documentation.  Ensure that all clinical documentation is completed in a timely and accurate manner, and entered into the various electronic systems, and other duties as assigned.

Education and Knowledge, Skills and Abilities

Education and Experience 


  • Graduation from a United States accredited program for Nurse Practitioners or Physician Assistants
  • Familiarity with medication assisted treatments


  • Possession of a current, valid California Registered Nurse License, Furnishing license
  • Possession of a California Nurse Practitioner Certificate


  • Possession of a current, valid California License to practice as a Physician Assistant issued by the California Board of Medical Quality Assurance 
  • Current BLS/ACLS certificate or recertification within 2 months of hire
  • Possession or DEA license and X waiver or will obtain one within one month of hire


  • Clinical experience with and commitment to working with diverse client populations suffering from substance use disorder and addiction


Background Clearance 

- Must not be on active parole or probation  




- Culturally competent and able to work with a diverse population

- Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications

- Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency



- Experience with using clinical assessment tools such as CIWA and COWS


Compensation: TBD
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a comprehensive benefits package with free medical and dental options!
City: Escondido
Hours/wk: 40

Job Location