Primary Care Provider (MD, DO, NP or PA) - Flexible Scheduling

Central City Concern•Portland, OR
•Onsite

About The Position

Central City Concern is seeking a primary care provider (MD, DO, NP, or PA) to deliver comprehensive, patient-centered care to people affected by homelessness. The role uses a harm-reduction approach, emphasizes whole-person care for physical health, mental health, and substance use disorders, and builds trust through shared decision-making, motivational interviewing, and continuity of care. Providers work across primary care clinics and may support mobile health, street medicine, shelter-based settings, community events, and other CCC clinical sites. The role is part of a multidisciplinary team and includes collaboration with pharmacy, nursing, and programs serving patients in Hepatitis C treatment, withdrawal management, residential substance-use treatment, specialty mental health, and overdose prevention. Providers assess and manage acute and chronic health concerns, including histories, examinations, diagnostics, prescribing, procedures, treatment planning, and record review. They also participate in after-hours phone coverage on a scheduled rotation, quality improvement, provider education, and training and onboarding. The position is based at Blackburn Primary Care Clinic in Portland, Oregon. The usual schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.; reduced hours are also considered, with a minimum commitment of 20 hours per week. Applicants must meet the relevant licensing, certification, and CCC privileging requirements for their provider role, have full prescriptive powers in Oregon with a DEA number, and maintain current BLS certification. Employment is contingent on required pre-employment screening, including drug screening, TB testing, and a background check. The position involves physical activities such as walking, bending, kneeling, lifting, and climbing stairs, with reasonable accommodation as applicable.

Requirements

  • Demonstrated primary care medicine skills; primary care experience is preferred.
  • Meet CCC privileging requirements as required by FTCA.
  • Have full prescriptive powers in Oregon and a DEA number.
  • Hold current BLS certification.
  • Pass a pre-employment drug screen, TB test, and background check, including DHS Background Check Unit clearance.
  • Adhere to agency nondiscrimination policies and interact respectfully with coworkers and clients from diverse backgrounds, lifestyles, and sexual orientations.
  • Have the ability, with reasonable or no accommodation, to walk, bend, stoop, kneel, squat, twist, reach, pull, lift heavy objects, and climb stairs.
  • Physician (MD/DO): Be board-eligible or board-certified in a primary care specialty relevant to the scope of services, and be licensed to practice as a physician in Oregon.
  • Nurse Practitioner: Graduate from an accredited Nurse Practitioner program with appropriate scope of training, unrestricted Oregon licensure or eligibility for licensure, and appropriate board certification.
  • Physician Associate: Graduate from an accredited Physician Associate program, have unrestricted Oregon licensure or eligibility for licensure, and hold NCCPA board certification.
  • Work effectively in a multidisciplinary, team-oriented environment and communicate in ways that instill confidence and facilitate communication.
  • Consider the impacts and outcomes of decisions for underserved communities, apply trauma-informed principles, and attend to social equity.
  • Display a nonjudgmental attitude.
  • Have sufficient manual dexterity and physical ability to perform assigned tasks, with reasonable accommodation as needed.
  • Manage time and meet deadlines.
  • Be comfortable working in an independent clinical practice with on- and off-site support from medical and administrative supervisors.

Nice To Haves

  • Wound care experience.
  • Spanish language fluency.
  • Valid driver's license.
  • Experience in primary care or mobile medical practice.
  • Knowledge of de-escalation methods or willingness to be trained in them.

Responsibilities

  • Deliver comprehensive, patient-centered primary care as a member of the primary care team.
  • Take health histories, perform physical examinations, review vitals, labs, and other studies, prescribe medications, perform procedures, review outside medical records, and provide appropriate treatment for acute and chronic concerns.
  • Triage, diagnose, and manage minor and acute illnesses and initiate treatment.
  • Support patient 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 CCC training and comply with applicable privacy, confidentiality, security, and information-access requirements, 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 providers as the second call.
  • Support pharmacy-based collaborative drug therapy management programs and provide medical visits for clients receiving treatment.
  • Coordinate care with CCC 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 reviewing performance and quality indicators and in continuous-improvement plans.
  • Participate in and sometimes lead provider education sessions, and help train and onboard medical 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 CCC clinical sites or off-site community events.

Benefits

  • Competitive compensation.
  • Medical, dental, and vision insurance.
  • Student loan repayment options.
  • Retirement savings plan with employer matching: 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, dependent on work shift schedule.
  • Employer-paid life, short-term disability, and long-term disability insurance.
  • Sabbatical program offering extended time off at years 7, 14, and 21.
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