Advanced Practice Clinician Harm Reduction Clinic

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

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THIS WORK MATTERS!

Please Note: This position has been reposted after a significant change to the previously posted minimum qualifications for the position. If you previously viewed this job opening but decided not to apply we strongly encourage you to take another look at the updated requirements.

Join us at Multnomah County Health Department where we are seeking individuals who embody leadership achievement and action in a dynamic and ever-evolving environment. Our mission is at the heart of everything we do: to collaborate with communities advance health equity safeguard the most vulnerable and foster health and wellness for all. Guided by our core values of Compassion and Care Empowerment Racial Equity Creativity and Integrity we strive to create a workplace culture characterized by respect trust and understanding for the incredibly diverse populations we serve in our communities.

Multnomah County Public Health delivers needed health care services to adults at risk of infections and other public health priorities specifically aiming to improve the quality of life for people who use drugs and those at risk for STIs and vaccine-preventable illnesses. The Advanced Practice Clinician (APC) will be the primary provider at the Harm Reduction Clinic (HRC) which currently operates two days per week. The core clinical work involves providing effective evaluations diagnosis treatment plans and prevention services with a specific focus on the evaluation and treatment of wounds and abscesses associated with substance use as well as HIV/STD testing diagnosis and treatment. The APC will collaborate with the Multnomah County STD Clinic Primary Care Pharmacy and Corrections Health and is expected to provide referrals for services outside the HRCs scope. The clinic environment features a Syringe Access Program where non-clinical staff provide essentials like naloxone and safer injection supplies.

The role requires an ideal candidate who can work independently in the assessment and care of HRC clients. Responsibilities include performing key clinical tasks such as phlebotomy specimen collection basic microscopy administering injections and performing abscess incision and drainage and other wound care. The APC must complete their own documentation in the electronic health record (Epic). Priority services at the HRC include wound/abscess care STD services and Medication Supported Recovery (MSR) with a goal to expand the clinic to a third day weekly.

Crucially the APC must be adaptable to a clinical environment that varies daily in client volume and health status and be open to providing or referring for MSR and HCV diagnosis/treatment. The clinician must consistently demonstrate effective positive and respectful communication with all patients and staff utilizing active listening empathy courtesy and cultural sensitivity to promote positive health behavior modifications with clients.

As the Advanced Practice Clinician responsibilities include:

Clinical Care

• Formulate appropriate diagnoses and implement treatment plans including performing diagnosis and treatment of genital and sexually transmitted infections (STI) and wound care (e.g. skin/soft tissue infections and chronic conditions).

• Perform sexual health history physical examination and specimen collection. Order and interpret laboratory studies including on-site provider performed microscopy. Perform venipuncture injection of intramuscular antibiotics as needed.

• Prescribe medications such as HIV Pre-Exposure Prophylaxis (PrEP) doxy-PEP contraceptives and antibiotics. Provide or facilitate ultra low barrier medication access or referrals to support recovery and reduce risk of overdose.

• Provide health education and follow-up patient consultations (including telehealth). Develop and direct patient-centered care plans with the assistance of the care team and refer patients when beyond the scope of practice.

• Maintain exam room cleanliness and supply in coordination with HRC staff.

Consultation and Care Coordination

• Offer consultation to nursing staff HRC program staff Health Department Clinics and community providers for continuity of care. Assess and counsel patients regarding additional care needs including preventative healthcare and specialty services.

• Provide appropriate advice on the management of STDs to county or community health care providers following HRC STI Program clinical guidelines and CDC treatment guidelines.

• Make appropriate referrals to care including specialty and rehabilitative services. Partner with the Health Officer/Medical Director and HRC Coordinator to coordinate STI-related care between the two public health clinics.

• Provide direction to Community Health Specialists Community Health Nurses and other staff to implement care plans. Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MSR (Medication Supported Recovery) access.

• Assist in developing and implementing protocols procedures and teaching tools for employees. Participate in precepting students volunteers and new staff and provide in-service training.

Documentation and Reporting

• Responsible for the timely and accurate documentation of client care including documenting appropriately and clearly in the electronic health record (EHR) system.

• Review client records for needs for medications treatments education or referrals related to HIV STIs skin infections substance use disorder or Hepatitis C.

• 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 our benefits 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 candidates 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 of the selection process page.

Minimum Qualifications/Transferable Skills*:

REQUIRED TRAINING LICENSES AND/OR CERTIFICATES:

• License required to practice medicine as a Nurse Practitioner as outlined by Oregon Revised Statutes(ORS) 678.375 OR

• License to practice as a physician assistant as outlined by Oregon Revised Statutes (ORS) 677.515

• CPR certification required

EXPERIENCE:

• One (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position.

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.

• DEA license

• 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 of the 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 Plan and exploring our Core 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 the Disaster 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 dont 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.

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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.

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