Advanced Practice Provider (NP/PA)

OneTogether Solutions•Perris, CA
•$165,000 - $192,000•Onsite

About The Position

Harmony Health is a Tribally owned wellness clinic serving Native and Non-Native patients. Its outpatient model provides whole-person care for people with substance use disorders, including primary care, infectious disease care, and mental health care. The Advanced Practice Provider (NP/PA) delivers direct clinical care, diagnostic evaluations, and evidence-based pharmacotherapy for patients with substance use disorders and co-occurring medical conditions. The role includes Medications for Opioid Use Disorder (MOUD), primary care screening, and routine clinical procedures in an integrated outpatient setting. The provider works in close partnership with the Clinic Medical Director and interdisciplinary care team, and collaborates with clinic leadership and OTS leadership. The position reports directly to the Medical Director and operates within the clinic's dyad leadership model to support integrated clinical operations, quality outcomes, and continuous service improvement. The ideal candidate brings clinical expertise, humility, calm leadership, kindness, adaptability, strong communication skills, and a trauma-informed, harm-reduction approach to serving multicultural populations. The clinic is located in Perris, California. Indian Preference applies; qualified American Indian or Alaska Native applicants will receive preference in accordance with the cited federal statutes.

Requirements

  • Active, unrestricted California license as a Nurse Practitioner or Physician Assistant.
  • Active national board certification as a Nurse Practitioner or Physician Assistant.
  • Active DEA registration with controlled-substance prescribing authority, or ability to obtain it before the start date.
  • Active American Heart Association Basic Life Support certification.
  • Ability to pass background screening, drug screening, and applicable state, federal, or tribal credentialing requirements.
  • Ability to provide health clearance and tuberculosis clearance.
  • Ability to enroll with Medi-Cal and Medicare.
  • Ability to manage complex clinical cases independently and prioritize tasks in a fast-paced environment.
  • Ability to lead with calm confidence and work effectively in an interdisciplinary team.
  • Strong communication and listening skills, cultural humility, flexibility, resilience, and ability to remain calm and kind under pressure.
  • Commitment to serving patients, families, staff, and the community; creating a welcoming environment that celebrates diversity and honors tribal sovereignty; and upholding ethical standards and the Tribe's values.
  • Experience working within a harm-reduction model.

Nice To Haves

  • Active American Heart Association Advanced Cardiovascular Life Support certification.
  • At least two years of recent clinical experience in a substance use disorder, OTP/MOUD, primary care, or community health setting.
  • Demonstrated proficiency in routine clinical procedures, such as simple laceration repair, incision and drainage, and pelvic examinations.
  • Experience with tribal health programs, Indian Health Service, or Public Law 93-638 self-determination entities.
  • Knowledge of trauma-informed care principles and harm-reduction strategies.
  • Bilingual fluency in Spanish or a language native to the community served.

Responsibilities

  • Perform comprehensive, accurate, concise, and culturally responsive health histories and physical assessments.
  • Order, perform, and interpret diagnostic laboratory tests and clinical studies, and synthesize clinical data to formulate diagnoses.
  • Develop, implement, evaluate, and modify individualized treatment plans for general medical conditions and addiction medicine, including evidence-based MOUD protocols.
  • Maintain expert knowledge of indications, contraindications, interactions, side effects, and adverse reactions associated with pharmacologic agents used in addiction medicine and primary care.
  • Provide compassionate, non-judgmental, patient- and family-centered care tailored to each individual's goals and needs.
  • Dispense medications, prescribe pharmacotherapy, and maintain accurate controlled-substance records in compliance with federal, state, and tribal regulations.
  • Conduct routine clinical procedures within licensure, practice agreements or standardized procedures, and clinic-granted privileges; procedures may include laceration repair, splinting, incision and drainage, foreign body removal, suture or staple removal, and pelvic exams, as qualified.
  • Facilitate referrals to health facilities, specialty care, community agencies, and wraparound service providers when indicated.
  • Participate in daily multidisciplinary huddles with physicians, nursing staff, counselors, and support teams to optimize workflows and plan-of-care adjustments.
  • Facilitate coordinated care-loop closure and clear communication across internal departments and external health-related agencies.
  • Advocate for patients and foster mutual respect, trust, and shared decision-making across multidisciplinary teams.
  • Comply with drug enforcement regulations, DEA guidelines, 42 CFR Part 2, HIPAA, and applicable state and tribal requirements.
  • Maintain accurate, complete, concise, and timely clinical documentation in the electronic health record.
  • Adhere to ethical standards for patient confidentiality, informed consent, and professional boundaries.
  • Participate in quality improvement initiatives, peer reviews, incident root-cause analyses, and safety committees.
  • Support clinical learning by assisting with orientation, training, or clinical instruction for students and onboarding staff as needed.
  • Cross-train to meet patient needs and support clinic operations.

Benefits

  • Competitive salary and benefits package.
  • Opportunities for continuing education and professional advancement.
  • On-the-job training.
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