ORGANIZATION OVERVIEW
Across The Life Span, PLLC (ATLS) is an integrated behavioral health, primary care, and opioid addiction treatment organization serving Caswell County and surrounding communities in North Carolina under NC Medicaid. Our mission is to provide compassionate, whole-person care across all stages of life, ensuring equitable access to high-quality clinical services for our patients.
ATLS operates multiple clinical sites, including our Greensboro and Burlington locations, and is committed to growing our team of skilled clinicians to meet rising community need.
POSITION SUMMARY
The Nurse Practitioner (NP) will provide comprehensive, evidence-based clinical care across primary care and psychiatric health disciplines, with specialized competency in osteoarthritis (OA) joint injection therapy. This dual-site position serves patients at both the Greensboro and Burlington locations, delivering patient-centered services within a collaborative, multidisciplinary care model.
The NP functions with a high degree of clinical autonomy while collaborating closely with the Medical Director, psychiatric providers, and the broader clinical team to ensure continuity of care, compliance with NC Medicaid standards, and adherence to ATLS quality improvement protocols.
KEY RESPONSIBILITIES
Primary Care Services
Conduct comprehensive and episodic patient assessments including history, physical examination, and diagnostic evaluation
Order, interpret, and manage diagnostic testing including labs, imaging, and specialty referrals
Diagnose and manage acute, chronic, and complex medical conditions across the lifespan
Develop, implement, and monitor individualized care plans in alignment with evidence-based clinical guidelines
Prescribe medications, therapies, and treatments in compliance with North Carolina Board of Nursing and NC Medical Board prescriptive authority regulations
Provide chronic disease management for conditions including diabetes, hypertension, COPD, asthma, and metabolic disorders
Conduct annual wellness visits, preventive screenings, and immunizations per CDC and USPSTF guidelines
Coordinate referrals to specialists, community resources, and ancillary services
Osteoarthritis Injection Therapy
Perform joint aspiration and corticosteroid injections for osteoarthritis of the knee, shoulder, hip, and other affected joints
Administer hyaluronic acid (viscosupplementation) injections per established clinical protocols
Evaluate patient candidacy for injection therapy, including review of imaging and prior treatment history
Educate patients on procedural expectations, post-injection care, activity modifications, and expected outcomes
Document all injection procedures in compliance with NC Medicaid billing requirements and ATLS quality standards
Monitor injection outcomes and adjust treatment plans based on patient response and functional improvement goals
Stay current with emerging evidence and best practices for OA interventional pain management
Psychiatric Health Services
Provide psychiatric evaluation and medication management for patients presenting with depression, anxiety, PTSD, ADHD, bipolar disorder, and related conditions
Conduct mental health assessments including standardized screening tools (PHQ-9, GAD-7, PCL-5, etc.) in alignment with ATLS clinical protocols
Prescribe and monitor psychotropic medications in accordance with prescriptive authority and NC practice standards
Collaborate with licensed clinical staff, including the Clinical Services Manager and behavioral health counselors, to ensure integrated care delivery
Support opioid addiction treatment (OAT) patients through co-occurring mental health management and coordination with MAT program staff
Participate in care coordination for patients with complex psychiatric and medical comorbidities
Documentation & Compliance
Maintain accurate, timely, and complete clinical documentation in the electronic health record (EHR) in compliance with NC Medicaid, HIPAA, and ATLS policies
Support completion of Comprehensive Clinical Assessments (CCAs), Psychiatric Care Plans (PCPs), and service authorization requests as required
Participate in internal audits, peer review, and quality improvement initiatives as directed by the QA/QI Officer
Adhere to ATLS two-level document review workflows and all applicable regulatory compliance standards
Fulfill mandatory reporting obligations and maintain current knowledge of applicable federal and state regulations
Organizational Contribution
Participate in multidisciplinary team meetings, case conferences, and clinical staff training activities
Contribute to orientation of new clinical staff as requested
Maintain continuing education and professional development requirements per licensure standards
Perform other duties as assigned by the Medical Director or CEO
MINIMUM QUALIFICATIONS
Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program
Current, unrestricted Nurse Practitioner licensure in the State of North Carolina
National board certification as Family Nurse Practitioner (FNP-BC, FNP-C) or Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) — dual certification preferred
Current DEA registration and prescriptive authority in North Carolina
Current BLS/CPR certification (ACLS preferred)
Minimum of two (2) years of clinical NP experience in primary care, behavioral health, or integrated care settings
Demonstrated competency or willingness to obtain training in joint injection therapy
Experience with NC Medicaid billing, documentation, and compliance standards
PREFERRED QUALIFICATIONS
Experience in opioid addiction treatment (MAT/OAT) settings
Proficiency with, NC Tracks, or similar EHR/billing platforms
Bilingual or multilingual abilities to serve diverse patient populations a plus
Experience conducting osteoarthritis joint injections or completion of formal injection therapy training
Knowledge of NC Medicaid value-based care and quality reporting requirements
WORK ENVIRONMENT & CONDITIONS
This position requires regular travel between the Greensboro and Burlington clinic locations. Schedule may include variable hours to meet patient demand. The NP will work in a clinical setting involving standard health care environment exposures. Reasonable accommodations will be made for qualified individuals with disabilities.
EQUAL OPPORTUNITY EMPLOYMENT
Across The Life Span, PLLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by applicable law.
Flexible work from home options available.
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