Advanced Practice Clinician - Harm Reduction Clinic

Current employees: Please apply through the employee portal to be considered for this opportunity.

Pay Range:

$61.73 - $78.95 Hourly

Department:

Health Department

Job Type:

Regular Represented

Exemption Status:

United States of America (Non-Exempt)

Closing Date (Open Until Filled if No Date Specified):

November 09, 2025

The Opportunity:

THIS WORK MATTERS!

At Multnomah County Public Health, we provide needed health care services to adults at risk of infections and other public health priorities. We provide services aimed at improving the quality of life for people who use drugs, are at risk of sexually transmitted infections, vaccine-preventable illnesses, and more.

The Advanced Practice Clinician (APC)will work primarily at the Harm Reduction Clinic (HRC) to provide effective and efficient evaluations, diagnosis, treatment plans and prevention services. Direct clinical work will be focused on evaluation and treatment of wounds and abscesses associated with substance use as well as HIV/STD testing and diagnosis, and STD treatment. This role will work in cooperation with the Multnomah County STD Clinic, Primary Care (Integrated Clinical Services), Pharmacy, and Corrections Health. This role will also enhance and/or create referral mechanisms for patients seeking medical services beyond the scope of the HRC.

The HRC is open two days per week (Mondays and Thursdays). The front of the space is centered around a Syringe Access Program (aka Needle Exchange). Non-clinical staff are focused on creating a welcoming environment for participants by providing some basic nutrition, referral services, naloxone, fentanyl test strips, and safer injection supplies.

Required training will be across the HRC and the Multnomah County STD Clinic located at the Gladys McCoy Building in Portland. Priority clinical services at HRC are wound/abscess care, STD diagnosis and treatment, and MSR at the HRC and STD diagnosis and treatment at the STD Clinic as needed and if schedule allows. Secondary responsibilities include collaborating with our medical director on clinical policies and workflows. We aim to have the clinic open for direct services for a third day each week once our capacity improves.

The ideal candidate for this role will be able to work independently in the assessment and care of HRC clients, with or without clinical support from a medical assistant or nurse. They will perform phlebotomy, collect specimens, perform basic microscopy, administer injections, perform abscess incision and drainage and other wound care, and complete their own documentation in the electronic health record (Epic). Training will be provided as needed for all of the above expectations. They are adaptable and able to perform in a clinical environment that varies from day to day in both the volume and health status of clients. They will be open to providing or referring for Medication Supported Recovery (MSR), as well as HCV diagnosis and treatment.

The APC must consistently demonstrate effective, positive and respectful communication with patients and staff including: active listening, empathy, courtesy, cultural sensitivity, and the ability to promote modification of health behaviors with clients.

Come join our team of Portland's most outstanding health care professionals providing exceptional services to our diverse community!

As the Advanced Practice Clinician, other duties will include but are not limited too:

Clinical Care

The Advanced Practice Clinician formulates appropriate diagnoses and implements treatment plans based on Harm Reduction Clinic (HRC) practice guidelines, Health Department policies and community standards of practice as well as State and MCHD stage-based behavioral counseling guidelines and training.

• Perform sexual health history, physical examination and specimen collection as outlined in HRC Program, Multnomah County Public Health, and state clinical guidelines as appropriate.
• Orders and interprets laboratory studies, including on-site provider performed microscopy for trichomonas, yeast infections, bacterial vaginosis.
• Performs venipuncture as needed. Phlebotomy training is available as needed.
• Performs diagnosis and treatment of genital and sexually transmitted infections (STI).
• Performs wound care including care of skin and soft tissue infections as well as chronic conditions such as venous stasis ulcers.
• Prescribes medications such as HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, contraceptives (including emergency contraceptives), and antibiotics per Program clinical guidelines.
• Provide injection medications as outlined in HRC clinical practice guidelines.
• Provide or facilitate ultra low barrier medication access or referrals to support recovery and reduce risk of overdose.
• Provide health education to patients.
• Provide follow-up patient consultations and telehealth visits.
• Develop and direct patient-centered care plans with the assistance of other disciplines within the care team.
• Maintains exam room cleanliness and supply in coordination with HRC staff.
• Refer patients to other clinics when beyond scope of practice.

Consultation and Care Coordination

This position provides consultation to nursing staff, Harm Reduction Clinic (HRC) program staff, Health Department Clinics, and community providers as indicated for continuity of client care. The Advanced Practice Clinician assesses and counsels patients regarding additional care needs, including preventative healthcare, specialty or rehabilitative services, or high risk / acute care. Provides appropriate advice on the management of STD to county or community health care providers, following HRC and STI Program clinical guidelines and in accordance with Centers for Disease Control and Prevention (CDC) treatment guidelines.

• Make appropriate referrals to care, including specialty and rehabilitative services in coordination with the patient and care team.
• Provide direction to Community Health Specialists, Community Health Nurse, and other staff to implement aspects of care plans within their scope and training
• Partner with the Health Officer/Medical Director and Harm Reduction Clinic Coordinator to coordinate STI-related care between the two public health clinics.
• Assist in developing and implementing protocols, procedures and other teaching tools for employees.
• Participate in precepting students, volunteers, and new staff when appropriate.
• Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MSR access.
• Provide in-service training to staff as a group or individually, as requested.

Documentation and Reporting

The Advanced Practice Clinician is responsible for the timely and accurate documentation of client care through the use of electronic health record charting.

• Review client records for needs for medications, treatments, education, or referrals related to HIV, STIs, skin infections, substance use disorder, or Hepatitis C.
• Document appropriately and clearly in the electronic health record (EHR) system.
• Utilize panel based information technology tools to prioritize and direct proactive care for HRC clients.
• Apply division, department, and general healthcare requirements for patient privacy (such as HIPAA) and other compliance standards.

Multnomah County offers an exceptional benefits package, including employer-funded retirement savings; health and dental insurance at very low cost to full-time employees and their dependents; paid parental leave; wellness programs; a focus on work-life balance; and much more. Find more details on ourbenefits website.

Salary/Pay: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.

TO QUALIFY:

We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection process page.

Minimum Qualifications/Transferable Skills*:

Education/Training:

• Master's Degree in Nursing AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position OR
• Master’s Degree in Physician Assistant Studies AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position

Certification Requirements:

• License required to practice medicine as a Nurse Practitioner as outlined by Oregon Revised Statutes (ORS) 678.375OR
• License required to practice medicine as a Physician Assistant as outlined by Oregon Revised Statutes (ORS) 677.515
• BLS certification required
• DEA License

Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.

• Training or experience in working with Electronic Health Record systems, preferably Epic.
• Experience working with specific groups and with ethnically and culturally diverse populations.
• Demonstrated understanding, implementation, and promotion of harm reduction principles in all aspects of clinical care.
• Experience in medication assisted recovery (e.g. medications for opioid use disorder, MOUD, MSR or MAT) including experience in opioid withdrawal management.

*Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

SCREENING & EVALUATION:

REQUIRED APPLICATION PACKET: The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.

1. Attach a Resume or Curriculum Vitae demonstrating you meeting minimum qualifications; AND

2. Attach a Cover Letter addressing the following:

• Demonstrate your experience working with diverse vulnerable populations; and
• How you meet the qualifications for this position; and
• Why you are interested in the position

Note:The application, resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process.

The Selection Process: For details about how we typically screen applications, review our overview ofthe selection process page. We expect to evaluate candidates for this recruitment as follows:

• Initial review of minimum qualifications
• Resume and Cover Letter Review
• Phone screen
• Consideration of top candidates
• Background, reference

Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.

ADDITIONAL INFORMATION:

Type of Position: This position is eligible for overtime.

Type: Represented

FLSA: Non-Exempt

Note: The eligible list created from this recruitment may be used to fill regular, full or part time, temporary, and limited duration assignments for other available Advanced Practice Clinician positions.

Our Commitment to Safety, Trust and Belonging: Multnomah County is committed to developing, nurturing and continually improving workforce equity by identifying and addressing the structural and policy barriers to equal employment opportunity faced by our employees and communities. County employees across the organization have stepped forward to develop a strategic plan and help create a workplace where everyone can reach their full potential. Learn more by reading our Workforce Equity Strategic Planand exploring ourCore Competencies for all County employees

Serving the Public, Even During Disasters: Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit theDisaster Service Worker Information page.

In accordance with Oregon Law, Multnomah County is not collecting school attendance dates in the initial application process; please do not include these dates in your resume, cover letter and other application materials.

Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.

We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.

Questions?

Recruiter:

Rebecca Richko

Email:

rebecca.richko@multco.us

Phone:

+1 (971) 9971646

Application information may be used throughout the entire selection process. This process is subject to change without notice.

Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.

Job Profile:

6314 - Advanced Practice Clinician