Primary Care Float Provider (NP, PA, MD or DO)

Central City Concern•Portland, OR

About The Position

Central City Concern is hiring a Primary Care Float Provider (NP, PA, MD, or DO) to provide primary care across its clinics and community-based services. The provider has no assigned patient panel and moves among sites according to need, including Old Town Clinic Walk-In Clinic, Blackburn Center, Evergreen/Recuperative Care Program, Hansen Clinic, and Mobile Health. Care settings and services include urgent care, wound care, addiction services, primary care, medical respite, shelter-based care, and mobile community care. The position provides comprehensive, patient-centered care for acute and chronic health concerns, including assessment, diagnosis, treatment, prescribing, procedures, and care coordination. Providers use shared decision-making, motivational interviewing, health education, and trauma-informed, non-judgmental practices. They coordinate with integrated programs such as Hepatitis C treatment, withdrawal management, residential substance use treatment, specialty mental health, and overdose prevention. The role also contributes to clinical workflow improvement, quality activities, and provider and staff education. Scheduled after-hours phone coverage is shared with colleagues. The position offers scheduling flexibility for applicants seeking less than full-time hours, with a minimum commitment of 20 hours (0.5 FTE) per week. Compensation at 1.0 FTE is $138,000–$179,000 for NPs or PAs and $236,000–$307,000 for MDs or DOs.

Requirements

  • Demonstrated skills in primary care medicine; primary care experience is preferred.
  • Meet Central City Concern privileging requirements as required by FTCA.
  • Have full prescriptive powers in Oregon and a DEA number.
  • Hold current BLS certification.
  • Pass pre-employment drug screening, TB testing, and a background check, including clearance by the DHS Background Check Unit.
  • Ability to walk, bend, stoop, kneel, squat, twist, reach, pull, lift heavy objects, and climb stairs, with reasonable or no accommodation.
  • Adhere to the agency’s non-discrimination policies and interact respectfully with people across diverse ethnic, religious, cultural, lifestyle, and sexual-orientation backgrounds.
  • Ability to work in a multidisciplinary, team-oriented environment and communicate effectively with coworkers, patients, and staff.
  • Ability to consider the impacts of decisions on underserved communities and apply trauma-informed principles and attention to social equity.
  • Display a non-judgmental attitude.
  • Have sufficient manual dexterity and physical ability to perform assigned tasks, with reasonable accommodation as needed.
  • Manage time effectively and meet deadlines.
  • Know de-escalation methods or be willing to be trained in them.
  • Be comfortable practicing independently with on- and off-site support from medical and administrative supervisors.
  • Physician (MD/DO): Board eligibility or certification in a primary care specialty relevant to the scope of services, and an Oregon physician license.
  • Nurse Practitioner: Graduate of an accredited Nurse Practitioner program, with an appropriate scope of training and unrestricted Oregon licensure to practice medicine or eligibility for such licensure; appropriate board certification.
  • Physician Associate: Graduate of an accredited Physician Associate program, with unrestricted Oregon licensure to practice medicine or eligibility for such licensure; NCCPA board certification.

Nice To Haves

  • Wound care experience.
  • Spanish language fluency.
  • Valid driver's license.
  • Primary care or mobile medical experience.
  • Adaptability, steadiness, and comfort entering new settings and building rapport quickly.
  • A trauma-informed, equity-minded, non-judgmental approach.
  • Experience with de-escalation methods or willingness to learn them.

Responsibilities

  • Work as a member of the primary care team to deliver comprehensive, patient-centered services.
  • Take health histories, perform physical examinations, review vital signs, labs and other studies, prescribe medications, perform procedures, review outside medical records, and provide other appropriate treatment for acute and chronic concerns.
  • Triage, diagnose, and manage minor or acute illnesses and initiate treatment.
  • Support patients’ health resiliency and engagement through shared decision-making, motivational interviewing, relationship building, health education, and preventive care.
  • Complete medical records in a timely manner.
  • Attend mandatory Central City Concern training and follow applicable privacy, confidentiality, and security regulations and policies, including HIPAA and 42 CFR Part 2.
  • Provide after-hours phone coverage on a scheduled rotation with colleagues; calls are initially addressed by a contracted nurse triage service, with licensed medical providers as the second call.
  • Support pharmacy-based collaborative drug therapy management programs and provide medical visits for clients receiving treatment.
  • Coordinate care with programs including Hepatitis C treatment, withdrawal management, residential substance use treatment, specialty mental health, and overdose prevention.
  • Identify opportunities to improve medical workflows and logistics.
  • Participate in collecting and reviewing performance and quality indicators and contribute to continuous improvement plans.
  • Participate in and sometimes lead provider education sessions, including training and onboarding providers and staff.
  • Participate in compliance, quality assurance, and quality improvement activities as directed.
  • Collaborate with the care team to support team-based performance metrics.
  • Perform other assigned duties, including work at other clinical sites or off-site community events.

Benefits

  • Medical, dental, and vision insurance.
  • Student loan repayment options.
  • Retirement savings matching, with employer match of 4.25% in the first year, 6% in the second year, and 8% in the third year.
  • Paid time off beginning at four weeks of accrual per year, with accrual increasing with longevity.
  • Up to 11 recognized holidays and two personal holidays, depending on work shift schedule.
  • Employer-paid life insurance.
  • Employer-paid short-term disability insurance.
  • Employer-paid long-term disability insurance.
  • Sabbatical program offering extended time off at years 7, 14, and 21.
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