Advanced Practice Provider (PA/NP)

COWLITZ INDIAN TRIBE•Vancouver, WA

13d•$149,968 - $187,304•Onsite

About The Position

The Advanced Practice Provider provides comprehensive diagnostic assessment and treatment services to individuals experiencing substance use difficulties, optimizing evidence-based care and supporting patients in reaching their goals. The role ensures patient-centered treatment for substance use disorder, adheres to HIPAA and confidentiality requirements, and represents the mission, vision, and values of the Cowlitz Indian Tribe and Health and Human Services department. The provider practices in an independent role while consulting and collaborating with department staff and community partners. The position is based in the Opioid Treatment Program in Vancouver, Washington, reports to the Clinic Medical Director, and is a full-time exempt position. The stated annual salary range is $149,968–$187,304.

Requirements

For Nurse Practitioners: Master’s or doctoral degree in nursing, active RN licensure, and Nurse Practitioner board certification.
For Physician Assistants: Master’s degree in Physician Assistant studies (MPAS, MPA, or MSPAS), active Physician Assistant board certification, and active PA license.
Current, unrestricted DEA licensure.
Active American Heart Association Basic Life Support or Advanced Cardiac Life Support certification.
No pending legal inquiries or license probation.
Ability to provide health and TB clearance.
Valid driver’s license when driving vehicles for work-related purposes.
Ability to pass the required background screening and investigation.
Knowledge of tribal government, customs, and traditions.
Knowledge of principles, practices, procedures, and regulatory requirements for comprehensive substance abuse treatment in a clinic environment.
Knowledge of patient evaluation, plans of care, and patient outreach services.
Knowledge of clinical counseling principles and methodologies for substance use disorder treatment and recovery support.
Knowledge of substance use disorder and medical-condition etiologies, risk factors, pathophysiology, presentation, and epidemiology.
Knowledge of medications, their biological effects, and desired effects in opioid use disorder treatment.
Familiarity with mandatory reporting requirements under the Indian Child Protection Act concerning suspected child abuse or neglect.
Knowledge of community resources, referral agencies, and relevant accreditation and certification requirements.
Skill in treating patients with tact, courtesy, and respect; in relevant clinical procedures; in de-escalation and crisis intervention; and in timely, accurate electronic health record documentation.
Ability to independently perform routine clinical procedures, including laceration repair with sutures, staples, or Dermabond; fracture splinting; foreign body removal; incision and drainage; suture or staple removal; pelvic exams; and other medical procedures.
Ability to diagnose substance use disorders and clinical signs of intoxication, take medical histories, conduct physical examinations, and communicate laboratory results.
Ability to maintain quality, safety, and infection-control standards.
Ability to work independently and as part of a team, communicate effectively verbally and in writing, and establish professional relationships with people from varied social and cultural backgrounds.
Ability to maintain confidentiality and conduct professional activities ethically.
Ability to analyze and evaluate situations, choose effective courses of action, and observe, assess, and record symptoms, reactions, and progress.
Ability to follow Cowlitz OTP personnel policies; remain calm, focused, professional, and kind in stressful situations; and be reliable, flexible, versatile, and humble.
Ability to give and receive constructive feedback, share opinions, uphold beliefs, and maintain commitment to assisting patients.
Adhere to Cowlitz Indian Tribe safety policies concerning vaccine requirements and personal protective equipment.
Meet the stated criminal-history screening requirements: applicants must not have specified disqualifying convictions, charges, deferred sentences, conditional discharges, or pleas involving crimes of violence, sexual offenses, prostitution, or crimes against persons or children.
Overnight travel and weekend or evening work may occasionally be required; the employee must be able to meet the position’s listed physical demands and work-environment conditions.

Nice To Haves

Two years of clinical experience working in a similar setting.
Active American Heart Association ACLS certification is preferred.
Tribal preference applies to all positions in accordance with the Cowlitz Indian Tribe Code and the CIT Employee Policies and Procedures Handbook. Applicants who are American Indian/Alaska Native and/or veterans may submit supporting documentation for hiring preference.

Responsibilities

Perform accurate, complete, concise, and clinically appropriate patient histories and physical assessments.
Conduct examinations; develop, manage, and modify treatment plans; order diagnostic studies; and interpret results.
Dispense medications and maintain accurate controlled-substance records.
Use critical thinking to synthesize and analyze collected data, and develop, implement, evaluate, and alter plans of care as needed.
Manage general medical and addiction medicine care using knowledge of medications, their indications, contraindications, side effects, interactions, and adverse reactions, as well as other relevant treatment modalities.
Counsel and educate patients and families.
Provide crisis intervention, including safety and relapse-prevention planning, referrals to community resources, and same-day evaluation and possible stabilization.
Provide compassionate, patient- and family-centered care to promote health, prevent illness, and treat disease; include patients and families in care planning across settings and advocate for them.
Facilitate coordinated care and clear communication among healthcare team members; collaborate with physicians, colleagues, health-related agencies, and community partners.
Develop, implement, and maintain partnerships with clients, healthcare providers, and community resources, and work effectively within a multidisciplinary team.
Communicate effectively with patients and families while incorporating considerations such as gender, age, culture, race, religion, disabilities, and sexual orientation.
Follow ethical principles and confidentiality requirements, including HIPAA rules for client information and its release.
Participate in educating students and other healthcare professionals.
Participate in organizational and departmental meetings, educational opportunities, committees, workgroups, quality initiatives, and performance activities as needed.
Participate in daily huddles and collaborate with the multidisciplinary team to adjust plans of care.
Facilitate referrals to appropriate community health facilities, agencies, and resources.
Comply with applicable drug laws and maintain complete, accurate electronic health records documenting client contacts and services in accordance with program policy and professional standards.
Adapt to changing safety protocols and procedures and changing circumstances and priorities.
Maintain professional and technical knowledge through research, seminars, workshops, classes, conferences, publications, professional networks and societies, and consultation with contracting agencies and related organizations.
Contribute to team efforts, accomplish related results, and perform other duties as assigned.