•  Ensure the timely completion of admission physicals, annual physicals, medical histories, laboratory testing (including TB screening) consistent with state and federal regulations, accreditation standards and sound medical practice
•  Review all laboratory results as well as medical documentation from other healthcare providers and manage each patient according to established best practice and accrediting and regulatory guidelines
•  Screen patients for common medical co-morbidities and evaluate co-existing medical conditions to identify potential medication impact/drug interactions, to include over-the-counter (OTC) medications
•  Prescribe and titrate the appropriate dosage of methadone or suboxone consistent with the patient’s medical and addiction history to establish a maintenance dose
•  Order dose increases, decreases, detoxification, or supervised withdrawal after assessment of the patient and his/her current treatment history
•  Write medical orders based upon the individual needs of the patient and sign off on all medical orders within 72 hours. Review medical therapy and document those activities in the patient’s chart
•  Whenever necessary, collaborate and coordinate care with other physicians, clinics or hospitals participating in the treatment of program patients
•  Provide consultation to medical, clinical, and administrative staff in formulation and implementation of each patient’s medical treatment
•  Solicit feedback from clinical and administrative staff regarding patient requests and changes in patient behavior
•  As requested, conduct in-service training and community education (participate in and periodically lead community consultation and mental health education as it relates to substance abuse)
•  Assist in developing affiliations and collaborative relationships with community based medical providers
•  Ensure that each patient receives adequate services addressing communicable diseases, including risk evaluation, clinically appropriate testing, and appropriate counseling related to testing
•  Ensure treatment center meets all accreditation standards related to include medical, health, and safety issues, and other areas as assigned
•  Provide medical training and supervision as related to Opioid Treatment for physicians and nurse practitioners where applicable working at the clinic
•  Provide medical supervision and maintain records for Nurse Practitioner as required by state law
•  Participate in peer reviews for BHG Medical Directors and/or Program Physicians as requested to comply with accrediting agency requirements.
•  Provide input to Program Director on medication nurses’ annual performance evaluation on the medical aspects of their position, when required to comply with accrediting agency requirements.
•  Ensure 24 hour per day availability to respond in a timely manner to treatment center staff and emergency care providers when they