Primary Care Provider - Detox Center

Central City Concern • Portland, OR

22h • Onsite

About The Position

Central City Concern is seeking a dedicated Primary Care Provider with a passion for addiction medicine and serving people in crisis to join a collaborative, multidisciplinary team at Hooper Detox Center. This role provides transformative care to individuals experiencing homelessness, substance use disorders, and serious mental illness, working alongside the Medical Director to deliver evidence-based withdrawal management with a focus on trauma-informed care, dignity, and connection. Patients arrive in crisis, and the provider will use clinical skills from performing physical exams to initiating Buprenorphine to help stabilize their health, while also utilizing compassion, cultural humility, and deep understanding of marginalized communities to build trust and open the door to long-term recovery.

Requirements

• Graduate of an accredited Nurse Practitioner Program or Physician Assistant program required of all Nurse Practitioner applicants.
• If candidate is a Nurse Practitioner, graduate of an accredited school of nursing and has unrestricted licensure to practice medicine in Oregon or eligibility for such licensure.
• Current Advanced Practice Registered Nurse (APRN) Licensure with National certification or Licensed to practice as a Physician’s Assistant in Oregon, with at least 2 years’ experience.
• Board eligibility or certification in Internal Medicine or Family Practice.
• Graduation from a CNME-accredited, four-year Naturopathic Medical program.
• Must have completed a CNME-certified primary care residency program.
• Licensed naturopathic physician in the State of Oregon.
• Maintain an Active DEA Certification.
• A strong background in mental health and addiction medicine is highly preferred, as well as experience working with unhoused and underserved/marginalized populations.
• Must have full prescriptive powers in Oregon with a DEA number.
• Demonstrated skills in primary care medicine with a minimum of 2 years’ experience preferred.
• Must have current BLS certification.
• Available to work during standard Hooper Center hours.
• Must meet CCC privileging requirements as required by FTCA.
• The OAR prohibits A&D program staff from having, within the previous 3 years a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
• Central City Concern is committed to a drug-free workplace that encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Workplace Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
• Must pass a pre-employment drug screen, TB test, and criminal background check. This includes clearance by the DHS Background Check Unit.
• Physical ability to bend, stoop, kneel, squat, twist, reach, pull, and lift moderately heavy objects.
• Able to climb stairs several times a day.
• Must adhere to agency non-discrimination policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, lifestyles and sexual orientation, and treat individuals with respect and dignity.
• Ability to consider the impacts and outcomes for underserved communities during decision-making process
• Ability to consider impacts of oppression, structural racism, and individual bias on client outcomes
• Must be able to interact with co-workers, patients and staff to instill confidence and facilitate communication.
• Experience in urgent care and/or primary care practice.
• Ability to display a non-judgmental attitude.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Ability to manage time and meet deadlines.
• Knowledge of de-escalation methods or willingness to be trained in these methods.

Nice To Haves

• A strong background in mental health and addiction medicine
• Experience working with unhoused and underserved/marginalized populations

Responsibilities

• Conduct physical exams and oversee withdrawal management protocols
• Provide ongoing care and crisis response in a fast-paced detox setting
• Collaborate with a compassionate team of nurses, case managers, and behavioral health providers
• Help shape recovery pathways for some of our community’s most vulnerable members
• Provides admission orders for new patients into residential care, including orders for the administration of medications for opioid use disorder.
• Take appropriate health histories, perform physical exams, review vitals, labs, other studies, prescribe medications, perform procedures, review outside medical records and other forms of treatment as necessary and appropriate to the standard of care being provided in the setting for both acute and chronic health concerns.
• Formulates treatment plans based on available clinical data and works cooperatively with patients and care team to implement treatment plans.
• Conducts on-going clinical management of patients including the management of both chronic and acute illnesses.
• Supports provision and documentation of the appropriate level of care according to Oregon Administrative Rules applicable to the facility.
• Determines and manages minor and/or acute illnesses and initiates treatment.
• Conducts initial care for emergency situations such as illness or injury and initiates arrangements for continuing care.
• Prescribes medication or other forms of treatment as necessary.
• Keeps appropriate records.
• Participates in compliance, quality assurance and quality improvement activities as directed.
• Is available to take calls from RNs even when off-site when working.
• This position will provide after-hours phone coverage for Residential Substance Use Disorder treatment programs on scheduled rotation with colleagues.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.
• Support pharmacy-based collaborative drug therapy management programs and provide medical visits to support clients receiving treatment.
• Coordinate with other CCC programs supporting patients in a continuum of services such as Hepatitis C treatment, withdrawal management, residential treatment for substance use disorders, specialty mental health, and overdose prevention programs.
• Collaborates with other health care team personnel and case management personnel.
• Identify opportunities for improvement in medical workflows and logistics.
• Participate in review and collection of performance and quality Indicators; review and contribute to continuous improvement opportunities and plans.
• Participate in and, at times, lead provider education sessions on a variety of clinical topics, including helping train and onboard other medical providers and staff.
• Collaborate with the care team to ensure optimal performance on team-based performance metrics.
• Perform other duties as assigned, including work at other CCC clinical sites and/or off-site at community events.

Benefits

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year!
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• 11 recognized Holidays + 2 Personal Holidays (dependent on work schedule)
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short-Term Disability, AND Long-Term Disability Insurance!
• Sabbatical Program offering extended time off at years 7, 14, and 21.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level