Nurse Practitioner or Physician's Associate

Central City Concern

Portland, OR0–2 yrs1h agovia LinkedIn

About the Role

The Licensed Medical Provider at Central City Concern may provide primary care services appropriate to the needs of the population served in a variety of settings. The role will understand and be comfortable with treatment of physical health, mental health, and substance use disorder diagnoses in the context of care to a homeless and underserved population. Primary care includes low barrier prescribing of medications for opioid use disorder, a harm reduction approach to many health conditions, and a flexible and responsive approach to highly vulnerable patients.

Key Responsibilities

Work as a member of the primary care team to deliver comprehensive, patient-centered services.
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 for both acute and chronic health concerns.
Triage, diagnose, manage minor and/or acute illnesses and initiate treatment.
Support patients in achieving health resiliency and engagement by utilizing techniques such as shared decision making, motivational interviewing, continuity relationship building, health education, and preventive care.
Timely completion of appropriate medical records.
Attend all mandatory CCC training in a timely manner.
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 compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
Provide after-hours phone coverage on scheduled rotation with colleagues.
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.
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.
Participate in compliance, quality assurance, and quality improvement activities as directed.
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.

Requirements & Tech Stack

Full prescriptive powers in Oregon with a DEA number.
Current BLS certification.
Ability to work in a multi-disciplinary, team-oriented environment.
Ability to interact with co-workers, patients and staff to instill confidence and facilitate communication.
Experience in primary care or mobile medical practice.
Ability to consider the impacts and outcomes for underserved communities during decision-making processes with attention to trauma informed principles, accounting for issues relating to social equity.
Ability to display a non-judgmental attitude.
Sufficient manual dexterity and physical ability to perform assigned tasks with reasonable accommodation.
Ability to manage time and meet deadlines.
Knowledge of de-escalation methods or willingness to be trained.
Comfort working in an independent clinical practice with on and off-site support from medical and administrative supervisors.

Qualifications

ALL APPLICANTS

Demonstrated skills in primary care medicine experience preferred.
Must meet CCC privileging requirements as required by FTCA.
Wound care experience highly preferred.
Spanish language fluency preferred.
Valid driver's license preferred.
If required to drive, must pass a DMV background check, and be designated an "acceptable" driver as outlined in Central City Concern's Fleet Safety Policy.
If required to drive, must pass an initial driver's training within 60 days of being an approved driver and continued recertification training.
Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects, and climb stairs with reasonable or no accommodation.
Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, cultural backgrounds, lifestyles, and sexual orientations and treat each individual with respect and dignity.