ARNP- Houseless Outreach Program - Part Time

Thurston Mason BH-ASO/OHRS•Lacey, WA

3d•Remote

About The Position

Olympic Health and Recovery Services is seeking a dedicated and compassionate ARNP or Psychiatric ARNP to join our team in a field-based position providing low-barrier, trauma-informed, and just medical and psychiatric care to individuals experiencing homelessness. The Homeless Outreach Stabilization and Transition (HOST) Program Advanced Registered Nurse Practitioner is part of a multidisciplinary team and functions entirely in the community; meeting people where they are, including sanctioned and unsanctioned encampments, wooded areas, shelters, vehicles, and public spaces. The ARNP must be comfortable working outdoors in all weather conditions and across varied terrain while delivering high-quality, equitable care. The ARNP will provide psychiatric care, physical health support, and medication-assisted treatment (MAT), including buprenorphine/Suboxone and methadone coordination, to individuals with complex behavioral health and substance use needs. This position plays a critical role in stabilizing clients, reducing barriers to care, and promoting engagement with ongoing services. This role works closely with HOST behavioral health staff, medical staff, and community partners to ensure continuity of care and holistic support.

Requirements

Current Washington State ARNP license with prescriptive authority.
Completion or willingness to complete the Waiver Qualifying Treatment of Opioid Disorder Training.
DEA registration to prescribe buprenorphine (or willingness to obtain).
Experience in behavioral health, addiction medicine, or community-based care.
Must be able to pass required background checks as required by OHRS contractual requirements.
Current Washington State Driver's License, proof of insurance, and satisfactory driver's record required.
Commitment to racial equity, trauma-informed care, and harm reduction approaches.
Ability to work independently in diverse and non-traditional settings.
Ability to provide medical and psychiatric care in high-stress, high-demand environments while communicating clearly and effectively.
Competency in treating co-occurring medical and behavioral health concerns.
Ability to use EHR systems and mobile technology for field documentation.
Ability to provide clear documentation of assessments and dispositions.
Ability to utilize principles of crisis intervention and de-escalation while maintaining strong customer service skills and empathy.
Ability to remain calm and professional during escalated situations.
Ability to navigate challenging terrain and work in adverse weather conditions.
Ability to work collaboratively as part of a team and respectfully manage differences, opposing perspectives, opinions, and interests.
Ability to remain flexible and adaptable to change.
Adaptability and creativity when working with individuals with complex needs.
Promote and champion the values of partnership, teamwork, compassion, and integrity in all dealings within and outside of OHRS.
Ability to utilize principles of motivational interviewing and additional evidence-based practices.
Ability to work as a team and with assigned partners.
Actively develop familiarity with systems and community resources.

Nice To Haves

Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) preferred.
Experience working with individuals experiencing homelessness.
Strong collaboration and communication skills across interdisciplinary teams.

Responsibilities

Conduct comprehensive psychiatric evaluations in community-based settings.
Assess for mental health and substance use disorders and formulate diagnoses.
Perform mental health histories and assessments.
Develop individualized, person-centered treatment plans aligned with harm reduction principles.
Create stabilization plans with an emphasis on accessibility and continuity.
Coordinate with HOST behavioral health staff to ensure follow-through and integrated support.
Prescribe and monitor psychotropic medications and medications for opioid use disorder (MOUD).
Evaluate side effects and manage medication adherence.
Consult with medical providers on therapeutic drug regimens and treatment strategies.
Provide wound and foot care.
Conduct STI, HIV, and Hepatitis C testing.
Offer birth control services.
Distribute naloxone and provide overdose prevention training.
Administer vaccinations.
Manage acute and chronic medical conditions.
Deliver all services in person, in the field, including encampments, shelters, and remote outdoor locations.
Navigate uneven terrain and varied environmental conditions.
Engage individuals who may be disconnected from traditional health systems.
Promote and encourage entry into behavioral health and substance use treatment.
Work closely with therapists, psychiatrists, case managers, and other healthcare professionals.
Provide consultation with team members regarding mental health and physical health needs.
Participate in interdisciplinary team meetings and trainings.
Provide immediate support and intervention in urgent or crisis situations.
Use de-escalation and trauma-informed techniques during outreach.
Maintain accurate and timely documentation of patient visits, progress, and treatment plans.
Adhere to state and federal regulations, professional standards, and agency policies.
Document in accordance with licensing and third-party requirements.
Participate in quality improvement initiatives using evidence-based practices.
Provide backup coverage to the medical department as needed.
Support other programs to ensure continuity and accessibility of care across the organization.

Benefits

Medical/dental/vision plan options (many with no employee paid monthly premium depending on plan choice, and dependent coverage options)
Life insurance and disability insurance options
WA State PERS retirement plans
Additional pre and post-tax deferred compensation retirement options
PTO package earning a minimum of 140 hours annually
12 paid holidays
Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Approved Public Student Loan Forgiveness employer
Fees for required DOH licenses paid
Annual professional development funds