Advanced Practice Clinician, Medication Assisted Treatment (MAT)

Multnomah County • Portland, OR

2d • $62 - $79

About The Position

THIS WORK MATTERS! At Corrections Health, we provide medically needed health care and transitional services to adults and youth in custody at Multnomah County Jails and Juvenile Detention Facility. The Advanced Practice Clinician (APC) will provide Medication Assisted Treatment (MAT) cooperatively with the Corrections Health and Harm Reduction Program teams. The APC will provide effective and efficient evaluations, diagnosis, treatment plans and prevention services for those with substance use disorder or who are referred for MAT while in custody. The APC must consistently demonstrate effective, positive and respectful communication with patients and staff including: active listening, empathy, courtesy, cultural sensitivity, and the ability to promote modification of health behaviors with clients. This position will work in both Corrections Health and Harm Reduction Program locations, with service hours and schedules that meet the needs of the population served. As an Advanced Practice Clinician in Corrections Health and the Harm Reduction Program team , you will help serve at two of our Correctional Health facilities and the Menlo Park Syringe Service Program and Clinic (HRC) 1. The Multnomah County Detention Center (downtown) 2. Inverness Jail (near PDX airport) 3. Harm Reduction Clinic at Menlo Park Plaza (NE Portland) Come join our team of Portland's most outstanding health care professionals providing exceptional services to our diverse community! We encourage all interested and qualified professionals to please apply as we are holding interviews. Please apply today! As the Advanced Practice Clinician , other duties will include but are not limited too: Clinical Care The Advanced Practice Clinician formulates appropriate diagnoses and implements treatment plans based on Menlo Park Harm Reduction Clinic (HRC) practice guidelines, Corrections Health (CH) policies when appropriate, Health Department policies and community standards of practice as well as State and MCHD stage-based behavioral counseling guidelines and training. Provide ultra low barrier buprenorphine and other medication access to support recovery and reduce risk of overdose. Provide health education to patients. Performs wound care including care of skin and soft tissue infections as well as chronic conditions such as venous stasis ulcers. Provide vaccinations as outlined in HRC clinical practice guidelines. Offer contraception services and HIV PrEP based on HRC Program clinical guidelines. Maintain the exam room and orders and review appropriate diagnostic tests and medication. Perform sexual health history, physical examination and specimen collection as outlined in HRC Program and Corrections Health clinical guidelines as appropriate. Performs sexual health screening, genital and gynecological exams, and diagnosis and treatment of genital and sexually transmitted infections (STI). Perform venipuncture as needed. Order and interpret laboratory studies. Prescribe medications such as contraception, HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, and antibiotics. Provide follow-up patient consultations, telehealth visits, and other medical conditions. Develop and direct patient-centered care plans with the assistance of other disciplines within the care team. Refer clients to the physician when beyond scope of practice. Consultation and Care Coordination This position provides consultation to nursing staff, Menlo Park Harm Reduction Clinic (HRC) program staff, Health Department Clinics, and community providers as indicated for continuity of client care. The Advanced Practice Clinician assesses and counsels patients regarding additional care needs, including preventative healthcare, specialty or rehabilitative services, or high risk / acute care. Providing appropriate advice on the management of SUD to county or community health care providers, following HRC and STI Program clinical guidelines and in accordance with Centers for Disease Control and Prevention (CDC) treatment guidelines. Provide in-service to staff as a group or individually, as requested. Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MAT services across relevant sites Participate in precepting students, volunteers, and new staff when appropriate Make appropriate referrals to care in coordination with the patient and care team. Establish need for specialty and rehabilitative services and make appropriate referrals. Assist in developing and implementing protocols, procedures and other teaching tools for employees. Provide direction to Community Health Workers, Community Health Nurse and Clinical Service Specialists to implement aspects of care plans within their scope and training. Documentation and Reporting The Advanced Practice Clinician is responsible for the timely and accurate documentation of client care through the use of electronic health record charting. Review client records for needs for medications, treatments, education or referrals. Document appropriately and clearly in the electronic health record (EHR) system. Utilize panel based information technology tools to prioritize and direct proactive care for patients assigned to the provider panel. Apply division, department, and all healthcare requirements for HIPAA and other compliance standards. Partner with department and evaluation staff to identify priority MAT outcomes and workflows for evaluation and improvement.

Requirements

• Master's Degree in Nursing AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position.
• License required to practice medicine as a Nurse Practitioner as outlined by Oregon Revised Statutes (ORS) 678.375 OR License required to practice medicine as a Physician Assistant as outlined by Oregon Revised Statutes (ORS) 677.515
• CPR certification required
• DEA License
• Previous experience prescribing buprenorphine for the treatment of substance use disorder is required.
• Passing a Multnomah County Sheriff's Office background check is required
• To protect the health of the community and employees, Multnomah County requires employees to be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment.
• This position requires a background investigation, including being fingerprinted.
• Employment is contingent on passing a background investigation.
• The employee holding this position is designated as an Essential Employee under Multnomah County Personnel Rule 3-15-015, Essential Employees.

Nice To Haves

• Experience working in a correctional facility.
• Training or experience in working with Electronic Health Record systems.
• Experience working with targeted groups and with ethnically and culturally diverse populations.
• Experience in medication assisted recovery (e.g. medications for opioid use disorder, MOUD, MAT, or stimulant use disorder treatment).
• Experience in opioid withdrawal management.
• Demonstrated understanding, implementation, and promotion of harm reduction and social justice principles

Responsibilities

• The Advanced Practice Clinician formulates appropriate diagnoses and implements treatment plans based on Menlo Park Harm Reduction Clinic (HRC) practice guidelines, Corrections Health (CH) policies when appropriate, Health Department policies and community standards of practice as well as State and MCHD stage-based behavioral counseling guidelines and training.
• Provide ultra low barrier buprenorphine and other medication access to support recovery and reduce risk of overdose.
• Provide health education to patients.
• Performs wound care including care of skin and soft tissue infections as well as chronic conditions such as venous stasis ulcers.
• Provide vaccinations as outlined in HRC clinical practice guidelines.
• Offer contraception services and HIV PrEP based on HRC Program clinical guidelines.
• Maintain the exam room and orders and review appropriate diagnostic tests and medication.
• Perform sexual health history, physical examination and specimen collection as outlined in HRC Program and Corrections Health clinical guidelines as appropriate.
• Performs sexual health screening, genital and gynecological exams, and diagnosis and treatment of genital and sexually transmitted infections (STI).
• Perform venipuncture as needed.
• Order and interpret laboratory studies.
• Prescribe medications such as contraception, HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, and antibiotics.
• Provide follow-up patient consultations, telehealth visits, and other medical conditions.
• Develop and direct patient-centered care plans with the assistance of other disciplines within the care team.
• Refer clients to the physician when beyond scope of practice.
• This position provides consultation to nursing staff, Menlo Park Harm Reduction Clinic (HRC) program staff, Health Department Clinics, and community providers as indicated for continuity of client care.
• The Advanced Practice Clinician assesses and counsels patients regarding additional care needs, including preventative healthcare, specialty or rehabilitative services, or high risk / acute care.
• Providing appropriate advice on the management of SUD to county or community health care providers, following HRC and STI Program clinical guidelines and in accordance with Centers for Disease Control and Prevention (CDC) treatment guidelines.
• Provide in-service to staff as a group or individually, as requested.
• Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MAT services across relevant sites
• Participate in precepting students, volunteers, and new staff when appropriate
• Make appropriate referrals to care in coordination with the patient and care team.
• Establish need for specialty and rehabilitative services and make appropriate referrals.
• Assist in developing and implementing protocols, procedures and other teaching tools for employees.
• Provide direction to Community Health Workers, Community Health Nurse and Clinical Service Specialists to implement aspects of care plans within their scope and training.
• The Advanced Practice Clinician is responsible for the timely and accurate documentation of client care through the use of electronic health record charting.
• Review client records for needs for medications, treatments, education or referrals.
• Document appropriately and clearly in the electronic health record (EHR) system.
• Utilize panel based information technology tools to prioritize and direct proactive care for patients assigned to the provider panel.
• Apply division, department, and all healthcare requirements for HIPAA and other compliance standards.
• Partner with department and evaluation staff to identify priority MAT outcomes and workflows for evaluation and improvement.

Benefits

• Multnomah County provides generous benefits to our employees and their covered family members, including domestic partners.
• Multnomah County offers a comprehensive benefits package that includes medical, dental, and vision insurance, ten paid holidays each year, vacation and sick leave, life and supplemental life insurance, flexible spending accounts, employee assistance program, and participation in Oregon Public Employees Retirement System (PERS).
• An additional benefit to being a full time employee with the Multnomah County Health Department is that you will qualify for the Federal Student Aid U.S Department Of Education Public Service Loan Forgiveness program. Essentially this is a program that allows those that work for a qualifying employer for a period of at least 10 years to have their student loans forgiven.

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 501-1,000 employees