Advanced Practice Clinician, Medication Assisted Treatment (MAT)

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:

Limited Duration

Exemption Status:

United States of America (Non-Exempt)

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

April 30, 2026

The Opportunity:

Overview:

Additional Compensation:

• Corrections Health Nurses receive an additional 10% hourly premium and hourly differentials for working swing ($2/hr), graveyard ($5/hr), weekends ($3/hr) shifts.
• Benefits: Multnomah County provides generous benefits to our employees and their covered family members, including domestic partners. Multnomah County offers a comprehensive benefits package that includes medical, dental, and vision insurance, ten paid holidays each year, vacation and sick leave, life and supplemental life insurance, flexible spending accounts, employee assistance program, and participation in Oregon Public Employees Retirement System (PERS). Please click here for a General Benefits Overview that you as a Multnomah County employee will be eligible to receive.https://multco.us/benefits/new-employee-benefits

Public Service Loan Forgiveness (PSLF)

An additional benefit to being a full time employee with the Multnomah County Health Department is that you will qualify for the Federal Student Aid U.S Department Of Education Public Service Loan Forgiveness program. Essentially this is a program that allows those that work for a qualifying employer for a period of at least 10 years to have their student loans forgiven. To learn more about Public Service Loan Forgiveness please visitPublic Service Loan Forgiveness (PSLF).

THIS WORK MATTERS!

At Corrections Health, we provide medically needed health care and transitional services to adults and youth in custody at Multnomah County Jails and Juvenile Detention Facility.

The Advanced Practice Clinician (APC) will provide Medication Assisted Treatment (MAT) cooperatively with the Corrections Health and Harm Reduction Program teams. The APC will provide effective and efficient evaluations, diagnosis, treatment plans and prevention services for those with substance use disorder or who are referred for MAT while in custody.

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.

This position will work in both Corrections Health and Harm Reduction Program locations, with service hours and schedules that meet the needs of the population served.

As an Advanced Practice Clinician in Corrections Health and the Harm Reduction Program team , you will help serve at two of our Correctional Health facilities and the Menlo Park Syringe Service Program and Clinic (HRC)

1. The Multnomah County Detention Center (downtown)

2. Inverness Jail (near PDX airport)

3. Harm Reduction Clinic at Menlo Park Plaza (NE Portland)

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

We encourage all interested and qualified professionals to please apply as we are holding interviews. Please apply today!

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 Menlo Park Harm Reduction Clinic (HRC) practice guidelines, Corrections Health (CH) policies when appropriate, Health Department policies and community standards of practice as well as State and MCHD stage-based behavioral counseling guidelines and training.

• Provide ultra low barrier buprenorphine and other medication access to support recovery and reduce risk of overdose.
• Provide health education to patients.
• Performs wound care including care of skin and soft tissue infections as well as chronic conditions such as venous stasis ulcers.
• Provide vaccinations as outlined in HRC clinical practice guidelines.
• Offer contraception services and HIV PrEP based on HRC Program clinical guidelines.
• Maintain the exam room and orders and review appropriate diagnostic tests and medication.
• Perform sexual health history, physical examination and specimen collection as outlined in HRC Program and Corrections Health clinical guidelines as appropriate.
• Performs sexual health screening, genital and gynecological exams, and diagnosis and treatment of genital and sexually transmitted infections (STI).
• Perform venipuncture as needed.
• Order and interpret laboratory studies.
• Prescribe medications such as contraception, HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, and antibiotics.
• Provide follow-up patient consultations, telehealth visits, and other medical conditions.
• Develop and direct patient-centered care plans with the assistance of other disciplines within the care team.
• Refer clients to the physician when beyond scope of practice.

Consultation and Care Coordination

This position provides consultation to nursing staff, Menlo Park 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. Providing appropriate advice on the management of SUD 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.

• Provide in-service to staff as a group or individually, as requested.
• Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MAT services across relevant sites
• Participate in precepting students, volunteers, and new staff when appropriate
• Make appropriate referrals to care in coordination with the patient and care team.
• Establish need for specialty and rehabilitative services and make appropriate referrals.
• Assist in developing and implementing protocols, procedures and other teaching tools for employees.
• Provide direction to Community Health Workers, Community Health Nurse and Clinical Service Specialists to implement aspects of care plans within their scope and training.

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.
• Document appropriately and clearly in the electronic health record (EHR) system.
• Utilize panel based information technology tools to prioritize and direct proactive care for patients assigned to the provider panel.
• Apply division, department, and all healthcare requirements for HIPAA and other compliance standards.
• Partner with department and evaluation staff to identify priority MAT outcomes and workflows for evaluation and improvement.

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 processpage.

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.

• 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
  • CPR certification required
  • DEA License
• Other: Previous experience prescribing buprenorphine for the treatment of substance use disorder is required.
• Other: Passing a Multnomah County Sheriff's Office background check is required

COVID-19 Vaccination Requirement: To protect the health of the community and employees, Multnomah County requires employees to be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment.

Other:

• This position requires a background investigation, including being fingerprinted. Employment is contingent on passing a background investigation.
• The employee holding this position is designated as an Essential Employee under Multnomah County Personnel Rule 3-15-015, Essential Employees.

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.

• Experience working in a correctional facility.
• Training or experience in working with Electronic Health Record systems.
• Experience working with targeted groups and with ethnically and culturally diverse populations.
• Experience in medication assisted recovery (e.g. medications for opioid use disorder, MOUD, MAT, or stimulant use disorder treatment).
• Experience in opioid withdrawal management.
• Demonstrated understanding, implementation, and promotion of harm reduction and social justice principles

*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 Resumedemonstrating 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 processpage. 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

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:

Amanda Sinclair

Email:

amanda.armstrong@multco.us

Phone:

+1 (971) 5001688

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