Family Nurse Practitioner (FNP)

Job Title: Family Nurse Practitioner (FNP)
Department: Medical
FLSA Status: Exempt

SUMMARY
The Family Nurse Practitioner (FNP) provides medical evaluation, diagnosis, treatment, and withdrawal
management for clients admitted to the medically supervised detoxification program. The FNP collaborates with
nursing, clinical, and leadership teams to ensure safe, evidence-based care, appropriate medical stabilization,
and continuity of treatment while maintaining compliance with all applicable federal and state regulations, Joint
Commission standards, HIPAA, DEA requirements, and organizational policies.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Perform admission history and physical examinations and determine medical appropriateness for

detoxification services.

• Assess withdrawal severity using evidence-based assessment tools, including CIWA, COWS, and

other clinically indicated protocols.

• Develop, implement, and modify individualized detoxification treatment plans.
• Prescribe medications and manage withdrawal symptoms within the scope of licensure and

established medical protocols.

• Conduct ongoing medical assessments, evaluate client progress, and address acute medical

concerns throughout treatment.

• Review laboratory results, diagnostic testing, vital signs, and nursing assessments to guide clinical

decision-making.

• Determine when a client requires transfer to a higher level of medical care.
• Collaborate with nursing, therapists, admissions, and other members of the interdisciplinary

treatment team to coordinate care and discharge planning.

• Complete accurate and timely medical documentation, including history and physicals, progress

notes, medication orders, and discharge summaries in the electronic medical record.

• Maintain compliance with applicable licensing requirements, DEA regulations, HIPAA, Joint

Commission standards, organizational policies, and evidence-based clinical practice.

• Participate in quality improvement activities, regulatory readiness, and medical staff meetings.
• Maintain required licensure, certifications, and continuing education.
• Perform other duties as assigned. The duties listed in this job description may not be inclusive of all

requirements of this position. Additional duties may be assigned by leadership.

SUPERVISORY RESPONSIBILITIES
None.

EDUCATION AND LICENSURE

• Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited program.
• Current, unrestricted Texas Family Nurse Practitioner (FNP) license.
• Current national board certification as a Family Nurse Practitioner.
• Current DEA registration with prescriptive authority.
• Current Basic Life Support (BLS) certification required.
• Advanced Cardiovascular Life Support (ACLS) certification preferred.

COMPETENCIES

To perform the job successfully, an individual should demonstrate the following competencies:

• Clinical Assessment & Decision Making – performs comprehensive medical assessments; interprets

clinical findings accurately; exercises sound clinical judgment and makes timely, evidence-based
decisions.

• Communication – expresses medical information clearly and professionally, both verbally and in writing;

actively listens; communicates effectively with clients, families, and interdisciplinary team members.

• Collaboration – works effectively with physicians, nurses, therapists, and other members of the

treatment team; supports coordinated care and positive client outcomes.

• Professionalism & Ethics – demonstrates integrity, maintains confidentiality, upholds professional

standards, and consistently complies with organizational policies, HIPAA, and applicable regulatory
requirements.

• Critical Thinking & Problem Solving – identifies medical concerns promptly; analyzes clinical information

effectively; prioritizes interventions and responds appropriately to changing client conditions.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodation may be made to enable individuals with disabilities to perform the essential functions.

LANGUAGE SKILLS
Ability to communicate effectively with clients, families, physicians, nursing staff, and interdisciplinary team
members. Ability to prepare clear, accurate, and timely clinical documentation.

MATHEMATICAL SKILLS
[In Ability to perform medication calculations, interpret laboratory values and diagnostic findings, and apply
clinical data to patient care.

REASONING ABILITY
Ability to assess complex medical conditions, prioritize interventions, exercise independent clinical judgment,
and respond appropriately to medical emergencies.

COMPUTER SKILLS

• Electronic Medical Records (EMR)
• Electronic prescribing systems
• Microsoft Office Suite
• Standard medical documentation software

PHYSICAL DEMANDS
This position requires frequent standing, walking, sitting, bending, reaching, and occasional lifting of up to 25
pounds. The employee must be able to perform patient assessments and respond promptly during medical
emergencies. Reasonable accommodation may be made to enable qualified individuals with disabilities to
perform the essential functions.

WORK ENVIRONMENT
Work is performed within a licensed behavioral health detoxification facility providing 24-hour medical services.
The position requires frequent interaction with clients experiencing substance withdrawal and collaboration
with interdisciplinary treatment teams. The employee may be exposed to communicable illnesses and
behavioral health crises and is expected to follow all infection control, safety, confidentiality, and regulatory
requirements.