Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty, and addictions. We hire people who are skilled and passionate to meet our mission through innovative outcome-based strategies that support personal and community transformation.

Our Mission at Central City Concern is to help those struggling with life’s biggest problems end or avoid homelessness and build healthy, housed, resilient, and engaged lives. Our vision is a connected community where all our neighbors have access to housing, health, and economic opportunity. Together, we will end homelessness.

Old Town Clinic provides treatment for acute and chronic health concerns/primary care, mental health support, care for substance use disorders and an on-site pharmacy. The Psychiatric Nurse Practitioner (PMHNP) The PMHNP works collaboratively as a member of a multi-disciplinary team providing outpatient SUDS and Mental Health services. 

A strong background in mental health and addiction medicine is strongly preferred. Experience working with homeless and underserved populations is strongly preferred. Successful applicants will understand the value of harm reduction and low-barrier buprenorphine prescribing and will be flexible and responsive to highly vulnerable patients. 

Join our team as a PMHNP at our Old Town Clinic and Mobile Medical Unit! This position will work 2 days in our Old Town Clinic and 2 days with our Mobile Medical team! 

Schedule: Tuesday-Friday 

Minimum Qualifications:

• Bachelor’s degree in nursing and Master’s degree in Psychiatric/Mental Health Nursing from State Board of Nursing-approved schools of nursing.
• Current license to practice nursing in Oregon and certified as a PMHNP by the Oregon State Board of Nursing and National certification.
• Must have full prescriptive powers in Oregon with a DEA number.
• Must meet CCC privileging requirements as required by FTCA.
• Current BLS certification required prior to start.
• Bilingual in Spanish preferred.
• Must meet applicable training requirements for Buprenorphine prescribing.
• 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.
• Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
• The OAR prohibits SUDS program staff from having within the previous 3 years a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
• Must be able to work within an integrated, multidisciplinary setting.
• Must adhere to agency’s non-discrimination policies.
• Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Ace of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles, and sexual orientations, and treat each individual with respect and dignity.

Essential duties and responsibilities:

• Work as a member of the Old Town Clinic multi-disciplinary team to deliver comprehensive, client-centered and trauma-informed integrated services.
• Actively participate in the integration of services at Old Town Clinic and identify new opportunities to improve collaboration between and within service and care teams while carefully following information-sharing guidelines.
• Proactively identify opportunities for improvement within Old Town Clinic workflows and logistics. Participate in review of Old Town Clinic Key Performance Indicators; review and contribute to continuous improvement opportunities and plans. 
• Build understanding of and appreciation for diversity among Old Town Clinic clients and support their connection to culturally responsive and culturally specific services as requested.
• Provide direct patient care including but not limited to: psychiatric evaluation, consultation, psychopharmacological and psychotherapeutic interventions, and monitoring and addressing adverse effects.
• Prescribe and manage the opioid agonist medication, buprenorphine, as well as other medication supported recovery medications such as Vivitrol, Naltrexone, and Acamprosate.
• Document plan for medical and psychiatric treatment and on-going treatment in the outpatient setting.
• Provide crisis intervention, suicide assessment and intervention.
• Conduct care of psychiatric/mental health emergencies and initiate arrangements for continuing care or referral to appropriate facility.
• Provide brief psychotherapy interventions including motivational interviewing.
• Provide patient and family education.
• Provide clinical consultation to staff in behavioral and primary care disciplines, including consultation to other CCC SUDS practitioners.
• Participate in clinical staff meetings and case conferences in order to utilize interdisciplinary expertise and facilitate individual treatment plans for clients.
• Refer patients, as necessary, to other mental health care providers and community resources/services.
• Participate in records review to ensure that services are clinically appropriate and effective.
• Maintain client records as required by program standards and funding requirements.
• Participate in compliance, quality assurance and quality improvement activities as directed.
• Participate in training opportunities to advance skills and knowledge in behavioral and primary care.
• Work within scope of training and experience and seek consultation when appropriate.
• 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. This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee.
• Attend all mandatory CCC trainings in a timely manner.
• Perform other duties as assigned.

Skills & Abilities:

• Ability to consider the impacts and outcomes for underserved communities during decision-making process.
• Ability to consider impacts of oppression, structural racism, and individual bias on client outcomes.
• Knowledge, evaluation and treatment planning for clients with substance use disorders, including both pharmacotherapies and psychotherapies.
• Knowledge of evaluation plans and treatment of clients with a variety of psychiatric disorders, with psychopharmacological and psychotherapeutic interventions.
• Skills in providing patient care, including rapidly building rapport.
• Ability to make treatment decisions based on assessment of patients concerns within PMHNP scope of practice.
• Ability to provide nonjudgmental and compassionate care to vulnerable, complex populations and to seek supervision as necessary
• Ability to practice independently and seek consultation when appropriate.
• Ability to delegate patient care, as needed, and if appropriate.
• Ability to work in a busy clinic setting and responsively attend to unpredictable requests for assistance from colleagues.
• Ability to successfully interact with a diverse population, including both patients and co-workers.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Ability to maintain accurate records and necessary paperwork
• Ability to remain calm and composed when dealing with clients who are in crisis.
• Ability to maintain strict confidentiality of patient information.
• Excellent communication skills including diplomacy, tact, effective “bedside manner”

Benefits at Central City Concern offered to our employees!

Central City Concern offers incredible benefits to our employees. We offer an extensive total rewards package to include base wages, medical, dental, vision, and voluntary plans. Central City Concern also takes employees’ financial wellness into consideration and provides a rich retirement match.

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year! Accrual amount/rate increases with longevity.
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• 11 paid Holidays 2 Personal Holidays to be used at the employee’s discretion. 
• Comprehensive Medical, Vision, and Dental insurance coverage. 
• Employer Paid Life, Short Term Disability, AND Long-Term Disability Insurance! 
• Sabbatical Program offering extended time off at years 7, 14, and 21.

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required for the position.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, and pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.

CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability. We are an Equal Opportunity Employer and we prioritize active inclusion of diverse staff.

Central City Concern is a second-chance employer and complies with applicable laws regarding the consideration of criminal background for employment purposes. Government regulations, contractual requirements, or the duties of this particular job may require CCC to conduct a background check and take appropriate action to address prior criminal convictions.