Nurse Practitioner

ACROSS THE LIFESPAN LLC; Greensboro (NC); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Flexible work from home options

Continuing education opportunities

Inclusive workplace culture

Job summary

ACROSS THE LIFESPAN LLC in Greensboro, NC is seeking a Nurse Practitioner to provide comprehensive clinical care in primary care and psychiatric health. This role offers clinical autonomy and requires a Master's or Doctorate in Nursing. Key responsibilities include performing joint injections, mental health management, and patient-centered care. The position involves travel between locations and may offer flexible work from home options. Join a dedicated team committed to high-quality clinical services and community well-being.

Qualifications

• Current unrestricted Nurse Practitioner licensure in North Carolina.
• National board certification as Family Nurse Practitioner or Psychiatric Mental Health Nurse Practitioner.
• Minimum two years of clinical NP experience.

Responsibilities

• Provide comprehensive clinical care across primary care and psychiatric health.
• Perform joint aspiration and corticosteroid injections for osteoarthritis.
• Conduct psychiatric evaluations and medication management.

Skills

Clinical autonomy

Joint injection therapy

Mental health assessment

Patient-centered care

Education

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)

Tools

Electronic Health Record (EHR)

Job description

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.