Advanced Practice Provider (FNP or PA) – MOUD & Substance Use Disorder Care

High Country Community Health•Morganton, NC

39d

About The Position

High Country Community Health is seeking a full-time Family Nurse Practitioner (FNP) or Physician Assistant (PA) to provide comprehensive care with a dedicated focus on Medication for Opioid Use Disorder (MOUD) and outreach to individuals living with substance use disorders. This provider will deliver care in both traditional clinic settings and nontraditional, community-based environments. The role is ideal for a clinician committed to harm reduction, equity-focused care, and serving patients with complex medical, psychiatric, and social needs.

Requirements

Licensed or eligible for licensure as an FNP or PA in North Carolina
DEA registration (or ability to obtain)
Willingness to obtain training and competency in MOUD provision
Commitment to trauma-informed, patient-centered care

Nice To Haves

Experience providing MOUD
Familiarity with harm reduction principles
Experience working with: Individuals experiencing homelessness, patients with co-occurring mental illness and substance use disorders, and justice-involved populations
Comfort working in nontraditional clinical environments
Experience in FQHC or safety-net settings
Approaches patients with empathy, humility, and cultural sensitivity
Is adaptable and comfortable working outside traditional care models
Understands addiction as a chronic medical condition
Demonstrates resilience and flexibility
Thrives in team-based, mission-driven environments

Responsibilities

Provide comprehensive primary care services within an FQHC setting
Initiate and manage MOUD (e.g., buprenorphine-based treatment)
Conduct assessment and management of substance use disorders, including co-occurring mental illness
Deliver low-barrier, patient-centered care using harm reduction principles
Coordinate care with behavioral health providers, case managers, and peer support specialists
Address chronic medical conditions common among patients with SUD (Hep C, HIV prevention/PrEP, wound care, chronic pain, etc.)
Provide outreach services to individuals with SUD in community settings
Collaborate with community partners, shelters, recovery programs, and harm reduction organizations
Participate in innovative models of care delivery (mobile services, street outreach, bridge clinics, etc.)
Build trusting relationships with patients who may be disengaged from traditional healthcare
Work closely with interdisciplinary teams including primary care, psychiatry, behavioral health, and care management
Participate in quality improvement initiatives related to SUD and MOUD
Contribute to program development and expansion of SUD services in Burke County