Cascadia's Primary Care programs are hiring compassionate APP / DNP / NP / PA providers to join our growing team! These positions range from Per Diem to full time (40 hours per week) based on the incumbent's interest, working across Cascadia's outpatient Health Centers in NE and SE Portland, as well as the Clackamas Health Center in Milwaukie, OR. 

On the first of the month, following 30 days of employment, benefit eligible employees (20/hrs. or more per week) are able to enjoy affordable, low cost, medical, dental, and vision benefits. Additionally, Cascadia provides a generous paid time off package, volunteer time off, and more. Click here to learn about the benefits we offer and more.

Essential Function

The Primary Care APP / DNP / NP / PA will provide patient care with team-based support at Cascadia's outpatient clinics, and Cascadia's residential or community sites as directed by the CMO, Senior Director of Primary Care & Integrated Medical Services and Primary Care Medical Director. The APP / DNP / NP / PA will be providing services and support of team-based primary care delivery at one or more of the Cascadia Health Centers, as well as, provide patient care with team-based support at Cascadia's other clinics, residential or community sites as directed by the Primary Care Medical Director. This position will meet regularly with the team of peer primary care providers, psychiatric providers, and the Primary Care Medical Director to help design, implement and continuously improve our pioneering integrated primary care services. Part of the care provided by the NP will include Medication Supported Recovery (Suboxone) and psychiatric medications management for low acuity or stabilized clients. This position may share low volume after hours call rotation (triaged through a nurse call line) with the other primary care providers.

Essential Responsibilities

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with the position. Management reserves the right to modify, add or remove duties as necessary.

• Provide primary care diagnosis and treatment integrated within Cascadia's behavioral healthcare services to clients with mental health or substance use disorders and patients assigned by our Coordinated Care Organizations.
• Lead the primary care staff in team-based care integrated with behavioral health staff at the assigned clinic, working as a peer with psychiatric doctors and nurse practitioners at that clinic.
• Provide primary care consultation to Cascadia's psychiatric providers and behavioral health clinicians.
• Provide medications management and Medication Supported Recovery for low acuity or stabilized individuals in coordination with their psychiatric provider.
• Work with the integrated staff at a health center and other assigned sites in the development of wellness programs.
• Share after hours call rotation (triaged through a nurse call line) with the other primary care providers.
• Work with the Primary Care Medical Director and provider team to define goals and review the progress of integrated primary care operations.
• Regularly review and continuously improve quality of care provided by your clinic or care team through periodic chart review, quality dashboards, daily huddles, and rapid improvement cycles.
• Work with the agency Clinic Directors and facility support staff, in the spirit of stewardship, to help assure the agency systems and facilities continuously operate at high levels of efficacy and harmony.

• Demonstrate responsibility for safety of consumers and/or residents, staff, and property; demonstrate familiarity with fire regulations and evacuation procedures.
• Maintain a high level of fluency in the use of the electronic health record.
• Deliver timely, accurate, and professional documentation.
• Adhere to mandatory abuse reporting laws and HIPAA requirements.
• Provide input on all relevant documentation and procedural requirements.
• Complete annual employee training requirements on a timely basis per agency requirements. Attend seminars, training and other educational opportunities in order to develop professional skills and abilities.
• Participate in all scheduled staff meetings, supervision sessions, and other departmental and agency meetings.
• Perform other duties as assigned.

Education:

• Active State nursing license as an APP / DNP / NP / PA focused on Family Medicine, who is experienced and trained in working in Primary Care.
• Certification from the American Nurses Credentialing Center including maintenance requirements and DEA certification.

Experience:

• Three years of clinical experience with primary care.
• Experience using an electronic health record (EPIC preferred).
• Experience serving communities of color and immigrant populations preferred.
• Experience with community health clinic, community mental health or homeless and special needs populations preferred.
• Leadership experience preferred.

Specialized Knowledge, Skills and Abilities:

• Sufficient computer skills to complete documentation in an electronic medical records system in a timely manner
• Provide care in a setting consistent with the principles of collaborative care informed by stages of change models

Other:

Ability to perform CPR, First Aid, and properly use AED equipment. CPR/ First Aid certifications are required and must remain current.

Working Conditions

Work is performed in a typical clinical setting. As such, the setting is not secure, and the LMP will be responsible for creating a safe environment within the area. In some cases, safety personnel may be available to assist with this goal. Primary care providers will be provided the appropriate tools with which to meet the requirements of their work (e.g.- computer, printer, scale, medical equipment and supplies, etc.). Meal periods and breaks are subject to interruption. Universal Precautions and remaining alert to the environment are critical to address the potential for violent behavior, exposure to disease, biohazards, noise and contaminants.

Mental Demands:

The APP / DNP / NP / PA must be able to handle a variable workflow, manage time effectively, prioritize activities, and help primary care staff with whatever tasks are necessary to establish this new primary care capacity. The work assigned is diverse and involves addressing new and unusual circumstances in which outcomes may negatively affect costs, employee morale or clients. The work regularly involves a degree of unpredictability and disruption of planned tasks requiring a flexible time management approach.

Physical Demands:

The APP / DNP / NP / PA must have the ability to assist the team in providing safety to all clients and staff in potentially volatile situations. The APP / DNP / NP / PA must be able to escort clients between waiting areas and their meeting space, before and after the encounter. 

Cascadia is an Equal Opportunity. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you need assistance or an accommodation due to a disability, you may contact us at 503.963.7654 or peopleandculture@cascadiahealth.org 

This position is represented by a labor union.