This is very responsible work serving as relief for the MMID physician delivering health care services and providing consultation to professional nursing staff delivering services on unit.

The Nurse Practitioner conducts histories and physicals for consumers within 24 hours of patient admission; makes rounds; and provides consultation by phone to licensed professional nursing staff. Work performed includes diagnosing, assessing, and treating persons detoxifying from substances through scheduled and as needed patient contact;  providing direction when contacted by nursing staff on a 24 hour basis, 7 days per week; monitoring the nursing care provided to patients; and making appropriate notations in the medical chart of assigned patients.

This employee performs work with independence within established medical standards of practice under a practice agreement with the medical director/physician. Work is under the general review of an administrative superior who reviews work for conformance with established agency policies and procedures, leaving considerable latitude for independent judgment and discretion.


Work may include, but is not limited to, the following examples:

  • Remains alert during working hours; attends work as scheduled, and complies with attendance policies.
  • Directs and monitors services provided by nursing staff to ensure good patient care and compliance with professional standards of practice.
  • Responds and provides direction to nursing staff when patient care concerns are identified. Responds to medical emergencies immediately.
  • Conducts diagnostic assessment and identifies health risk factors within 24 hours of patient admission. Develops medical care plan; directs and monitors nursing care and patient progress; reviews patient charts and directly observes patients, ensuring appropriate interventions that contribute to care.
  • Documents assessments, diagnosis, patient care, observations and interventions that contribute to care.
  • Coordinates services with hospital staff.
  • Maintains confidentiality of consumers in accordance with federal and state regulations.
  • Performs other related work as assigned.


  • Extensive knowledge of the principles, techniques and practices of general medicine
  • Knowledge of the principles and practices of medically monitored inpatient detoxification medicine
  • Thorough knowledge of pharmacology used in treating persons detoxifying from substances
  • Knowledge of the signs and symptoms of alcohol and other drug intoxication and withdrawal
  • Knowledge of appropriate treatment and monitoring of alcohol and drug intoxication and withdrawal
  • Skill in applying medical care to persons detoxifying from substances including appropriate therapeutic interventions
  • Ability to direct the work of nursing staff
  • Ability to provide medical consultation and effective response in crisis; to act decisively when necessary to protect patients
  • Ability to make and apply decisions in accordance with professional regulations and policies and procedures
  • Ability to maintain an empathetic attitude toward physically ill
  • Ability to establish and maintain harmonious working relationships with hospital staff, supervisors, local officials, and the general public
  • Ability to assist, and exercise tact, patience, and understanding of others
  • Ability to handle confidential information appropriately
  • Ability to perform with autonomy or with minimum direction
  • Ability to read, write, comprehend, and speak in the English language


The following education and experience qualifications are the minimum requirement used to admit or reject applicants for consideration.

Graduation from an accredited school of nursing and recognized and licensed by the Missouri State Board of Nursing as an advanced practice nurse with specialization in family practice


 The successful candidate must:

  1. Have and maintain a current license to practice as an Advanced Practice Nurse in the State of Missouri;
  2. Maintain a collaborative practice agreement with the MMID physician that complies with all practice requirements of the State of Missouri; and
  3. Be available to respond on-site to patient admissions within 24 hours of the admission; and
  4. Be available for 24/7 telephone consultation with nursing staff when on-call.

NECESSARY SPECIAL QUALIFICATIONSNo candidate may be considered for employment who is, or has been for the past two (2) years under the supervision of Federal, State, County or Municipal Corrections Department nor have any pending felony or misdemeanor charges other than minor traffic charges.

All candidates for employment must meet the established minimum qualifications for employment as identified by the applicable regulatory agencies

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