Nurse Practitioner/Physician Assistant

Nurse Practitioner or Physician Assistant – Addiction Medicine

Locations: Franklin and Sylva, North Carolina

About Hazelwood Healthcare

Hazelwood Healthcare provides compassionate, evidence-based treatment for individuals with substance use disorders in the communities of Western North Carolina. We believe people deserve accessible, respectful care close to home—and that recovery is supported by strong clinical relationships, individualized treatment, and a team that treats every person with dignity.

We are seeking a Nurse Practitioner or Physician Assistant to provide services across our Franklin and Sylva locations. This is an opportunity to practice meaningful, relationship-centered medicine while helping expand access to lifesaving treatment in rural communities.

Position Summary

The Nurse Practitioner or Physician Assistant works collaboratively with the Medical Director, nursing staff, counselors, and operational leadership to provide comprehensive medical care to patients receiving treatment for opioid and other substance use disorders.

The provider will complete assessments and physical examinations, develop and implement treatment plans, manage medications for opioid use disorder, monitor patient response, and support safe dose stabilization. The ideal candidate is clinically thoughtful, compassionate, dependable, and comfortable caring for patients with complex medical, behavioral health, and social needs.

Experience in addiction medicine is preferred but not required. We welcome providers who are eager to learn and who share our commitment to respectful, evidence-based care.

Essential Responsibilities

• Complete admission assessments, medical histories, physical examinations, and ongoing medical evaluations.
• Diagnose and treat opioid and other substance use disorders within the provider’s scope of practice.
• Develop and implement individualized treatment plans in accordance with current clinical standards and regulatory requirements.
• Initiate and manage medications for opioid use disorder, including methadone and buprenorphine, within the opioid treatment program setting.
• Monitor withdrawal symptoms, cravings, medication effectiveness, side effects, and progress toward dose stabilization.
• Review laboratory results, urine drug screens, prescription-monitoring information, EKGs, and other relevant clinical information.
• Order appropriate diagnostic testing and make referrals for primary, specialty, behavioral health, and infectious-disease care when indicated.
• Provide patient education regarding medications, overdose prevention, safer use practices, naloxone, and other health needs.
• Coordinate care with the Medical Director and other internal and external healthcare providers.
• Participate in treatment-team and case-conference meetings to support coordinated clinical decision-making.
• Complete accurate, timely, and thorough documentation in the electronic health record.
• Maintain compliance with federal and state OTP requirements, accreditation standards, organizational policies, and accepted standards of medical care.
• Support clinical quality-improvement initiatives, staff education, and community outreach activities as appropriate.
• Communicate respectfully and effectively with patients, families, team members, referral partners, and community providers.
• Maintain current knowledge of substance-use trends, medications for opioid use disorder, harm-reduction practices, and emerging standards of care.
• Provide services at both the Franklin and Sylva locations based on patient and operational needs.

Required Qualifications

• Current, unrestricted North Carolina license as a Nurse Practitioner or Physician Assistant.
• Current prescriptive authority and ability to obtain and maintain all required controlled-substance registrations.
• Current DEA registration, or eligibility to obtain one.
• Current CPR/BLS certification.
• Ability to meet all applicable credentialing, privileging, and payer-enrollment requirements.
• Strong clinical judgment, professional integrity, and attention to detail.
• Effective communication, documentation, and interpersonal skills.
• Ability to work both independently and collaboratively within an interdisciplinary team.
• Comfort working with individuals who may have complex medical, psychiatric, substance-use, and social needs.
• Basic proficiency with electronic health records and standard computer systems.
• Ability and willingness to travel between the Franklin and Sylva locations.

Preferred Qualifications

• Experience in addiction medicine, behavioral health, primary care, emergency medicine, correctional medicine, or another related setting.
• Experience prescribing or managing methadone, buprenorphine, or other medications for substance use disorders.
• Familiarity with opioid treatment program regulations and interdisciplinary treatment models.
• Experience serving rural or medically underserved communities.
• A nonjudgmental, trauma-informed, and patient-centered approach to care.

Physical Demands and Working Conditions

• Work is primarily performed in an outpatient medical setting.
• The role requires regular interaction with patients, staff, and community partners.
• Duties may include periods of sitting, standing, walking, bending, and using standard medical and computer equipment.
• Must possess the communication, hearing, and visual abilities necessary to safely perform the essential functions of the position.
• The work environment may occasionally involve urgent clinical needs or periods of increased activity.
• Appropriate personal protective equipment may be required.

Why Join Hazelwood Healthcare?

At Hazelwood Healthcare, you will have the opportunity to provide care that changes—and often saves—lives. You will join a growing organization committed to expanding access to substance use disorder treatment throughout Western North Carolina while preserving the personal relationships and community connection that make rural healthcare meaningful.

We are building a workplace grounded in compassion, accountability, collaboration, and respect—for both those in our care and one another. If you want your clinical work to have a visible impact in the communities you serve, we would love to hear from you.

Hazelwood Healthcare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, gender identity, sexual orientation, age, disability, national origin, veteran status, or any other status protected by applicable law.

Pay: $120,000.00 - $135,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Paid time off

People with a criminal record are encouraged to apply

Work Location: In person

Salary : $120,000 - $135,000