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.