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Job Description:\n\nJob Title:Tribal Healthcare Systems and Education Director Reports to: Director of Programs and Development Salary Range: $145,000-$165,000 Benefits: Health, Vision, & Dental Insurance, Retirement Contributions, PTO & Paid Holidays Classification: Salaried, Exempt Status: Full-Time (1.0 FTE), Regular w/ Benefits Location: Portland, OR JOB SUMMARY About the Northwest Portland Area Indian Health Board (NPAIHB) The Northwest Tribes have long recognized the need to exercise control over the design and development of health care delivery systems in their local communities. To this end, they formed the Northwest Portland Area Indian Health Board (also referred to as NPAIHB or "the Board") in 1972. Guided by a vision of "Health and Wellness for the Seventh Generation," NPAIHB is a 501(c)3 designated (non-profit) organization and Tribal organization, P.L. 93-638, under the Indian Self-Determination and Education Assistance Act (ISDEAA) serving the 43 federally recognized Tribes in the states of Idaho, Oregon, and Washington (Northwest Tribes). Tribes become voting members of the Board through resolutions passed by their governing body. Each member Tribe designates a delegate to serve on the NPAIHB Board of Directors. Led by our Board of Directors (Tribal Delegates), NPAIHB's mission is to "eliminate health disparities and improve the quality of life of American Indians and Alaska Natives (AI/AN) by supporting Northwest Tribes in their delivery of culturally appropriate, high-quality health programs and services." We have a staff of over 100 professionals dedicated to advancing Tribal health for the 7th generation in the Pacific Northwest. Position Summary The Tribal Healthcare Systems and Education Director (THSED) is a senior leader responsible for the overall management and strategic direction of the Clinical Support Services Division (Clinical Division) at the Northwest Portland Area Indian Health Board (NPAIHB). The THSED ensures that the Clinical Division works in service to the 43 federally recognized tribes Idaho, Oregon, and Washington by meeting Division goals in alignment with NPAIHB's 2025-2030 Strategic Plan, by ensuring operational efficiency and fiscal compliance, and by fostering a positive and productive work environment. The THSED serves as leader and central resource for technical assistance, training, management, and quality assurance, along with leading the supervision of all NPAIHB's Clinical Division programs, projects, and services. Key responsibilities include team leadership, program development and implementation, critical communication, strategic planning, financial management, and performance oversight. The THSED reports directly to the Director of Programs and Development and serves as a member of the Management Team. This position is based at NPAIHB's offices in Portland, Oregon; the option of teleworking may be available with approval from the Executive Director. Local travel and/or overnight travel outside of the area is required approximately 20% of the time. Essential FunctionsClinical Support and Prevention Services Division Excellence and SuccessEnsures that NPAIHB's Clinical Support Programs are developed with input and direction from Northwest TribesEnsures that NPAIHB's Clinical Support Division achieves performance deliverables and objectives set forth in contracts with Tribes and funding partners and in the NPAIHB 2025-2030 Strategic PlanWorks with Indian Health Service (IHS), federal, and state agencies to support, monitor and protect the Indian Healthcare system, with a focus on IHS and tribal clinicsOversees the Clinical Division's planning, implementation, and evaluation of comprehensive clinical tribal health and education programs. This may include, for example, a focus on health promotion and education, behavioral health, dental, clinic support, and provider development, education, and supportOversees the Clinical Division's delivery of high-quality, culturally responsive, and tailored programs and services to Northwest TribesMonitors and reports on Clinical Division accomplishments, workload trends and needs, and unmet needsSupports Northwest Tribes in the development of clinical services and public health policies, procedures, regulations, employee training programs, and public education materials Serves as a technical advisor to Northwest Tribes, as requested, on clinical and prevention support servicesServes as Principal Investigator on research grant proposals, as applicableFormulates and interprets clinical, public health, prevention, and behavioral health policy, data, and systems to enhance health outcomesStrengthens the field of tribal public health in partnership with Northwest TribesEstablishes and maintains relationships with federal and state partners and Northwest Tribes. Serves as a Member of the NPAIHB Management Team*Provides organizational leadership, problem-solving, planning, advocacy, teamwork, and critical communications to NPAIHB staffCreates and maintains a culture of professional excellence, integrity, and rigorBuilds, in partnership with the Management Team, organizational strategies and policies to make efficient use of all human and financial resources, integrate programs services, and uphold the fiduciary responsibility of NPAIHB Provides updates to the Executive Director and/or Board of Directors and its Committees as requested by the Executive Director or the Director of Programs and DevelopmentRepresents the NPAIHB and its Clinical Support and Prevention Services Division at tribal, state, and national meetings, conferences, events, and workgroupsAssists with special projects as assigned by the Executive Director or designee.*Upon completion of Probationary period (see "Qualifications") Supervisory ResponsibilitiesSupervises seven (7) Project Directors/Managers across NPAIHB's clinical and prevention programs: Indian Country ECHO, Northwest Tribal Dental Support Center, Northwest Tribal Community Health Provider Project (CHAP), Tribal Opioid Response (TOR), Tribal Health Response InVolves Everyone (Thrive), and Behavioral Health activitiesLeads Division-level quality improvement initiatives to strengthen programs and services, maximize performance, and meet the needs and priorities of Member Tribes and NPAIHB Delegates/Board of Directors. Promotes collaboration and learning between all NPAIHB Division projects, partners, and funding agencies to meet grant and organizational goals and objectives Evaluates staff performance and ensures that individual employee development plans result in a Clinical Division which is equipped with the skills and knowledge necessary to accomplish their jobs and meet NPAIHB's strategic goals Ensures that Clinical Division staff comply with organizational policies and applicable laws, rules, regulations, and standardsProvides direction, consultation, and support to Clinical Division staff regarding issues related to the implementation of programs, policies, procedures, priorities, and/or personnel concernsReceives, resolves, and reports to Director of Programs and Development any concerns or complaints related to Clinical Division services or staffEnsures quality assurance and quality control over the collection, tracking, and analysis of Tribal dataUpholds the principles of Tribal Data SovereigntyEnsures human subjects protections and Institutional Review Board (IRB) compliance meets or exceeds standards for clinical- and prevention-based research, surveillance, and evaluation Promotes manuscript publication among NPAIHB staff and in collaboration with Northwest Tribes Works in collaboration Director of Programs and Development and Human Resources on staff hiring and staff disciplinary procedures, as needed. Administrative and Reporting FunctionsOversees all Clinical Division budgetsOversees the Clinical Division's preparation and submission of all grant, project or activity reports and/or updates Drafts and/or reviews project-related external contracts Other DutiesOversees submission of Clinical Division's articles for publication and external communication Performs other duties as assigned by the Director of Programs and Development and/or Executive Director or designee. Standards of ConductAct in service to the Tribes and Tribal communities we serveUphold the Mission, Values, and Vision of the NPAIHBMaintain the highest level of confidentiality with all NPAIHB information and documentationConsistently exhibit professional behavior and a high degree of personal and professional integrity and impartiality appropriate to the responsible and confidential nature of the positionExercise good judgment and initiative in performance of duties and responsibilitiesDemonstrate high emotional intelligence in the performance of all duties and responsibilitiesOrientation toward learning, innovation, service, and the building of second-line leadershipCommitment to building an organizational culture which centers NPAIHB's service to Tribes, promotes professional excellence, and builds an environment where employees grow and thriveCommitment to build an inclusive workplace across a range of identities and experiences, including (but not limited to) geography, age, gender identity, gender expression, sexual orientation, ethnicity, class, language, disability, religion, spiritual practices, and immigration statusSee diversity as a strength, and equity as a baselineWork in a cooperative manner with all levels of management and with all NPAIHB staffEffectively plan, organize workload, and schedule time to meet workload demandsUse reasonable judgment to consistently display professional work attire during normal business hours, and/or dress appropriately for the workday, space, or event in lieu of a formal dress codeBe present, available, and responsive for meetings and calls during regular working hoursCommit to sharing knowledge and building expertise by participating in all virtual spaces in our workplace with cameras onShow consideration by communicating effectively and building collective understandingRecognize that relationships are the cornerstone of NPAIHB's work by treating all NPAIHB delegates/alternates, partners, staff, and American Indian/Alaska Native people with dignity and respectParticipate in all NPAIHB events and activities. QualificationsEducation Minimum education required:PhD in Public Health, Behavioral Health, Social Science or related field Master's degree in public health, behavioral health, health care administration or a related field will be considered with 15 years or more of experience Additional experience preferred:Doctor of Medicine (MD) or Advanced Nurse Practitioner (ANP) Experience Minimum experience required:Ten (10) or more years of experience with executive and project managementAt least five (5) years of professional experience working with Tribes, Tribal Organizations, or Tribal health clinicsWorking knowledge of the laws, rules, and regulations relating to Indian health at local, state and federal level, including legislative processes Additional experience preferred:Direct experience working with Northwest TribesExperience in the planning, organization, implementation, and follow-up of public health-related coalitionsExperience with health care administration.Required Knowledge, Skills, and AbilitiesDemonstrated knowledge, discretion, tact, judgment, and overall ability in working effectively with federal, Tribal, and other professionals, and facilitating participation and partnership in the activities of the Clinical Support and Prevention Services Division and the Northwest Portland Area Indian Health Board.Demonstrated knowledge of the Indian Self-Determination and Education Assistance Act, Indian Health Care Improvement Act, and other relevant laws, regulations, policies and rules related to Indian Health.Proficiency with computer applications (specifically Word, Excel, PowerPoint, and other Microsoft Office Suite programs)Strong technical writing skills, including good spelling and grammatical skills, and the ability to produce polished writing under a deadlineExcellent research and analysis skillsExcellent interpersonal skillsMust be sensitive to cross-cultural differences, and able to work effectively within their contextAbility to work with minimal supervision, exercise initiative, and make independent decisions and recommendationsAbility to make professional oral presentations in settings at the national, regional, and community levels, as well as in Tribal settingsAbility to complete tasks in a timely and accurate mannerAbility to travel occasionally (approximately 20% of the time)Probationary Period External applicants must agree to serve a minimum six-month probationary period during which time their employment can be terminated at will. For the purpose of evaluating job performance, internal applicants must agree to serve a minimum six-month probationary period when job duties change significantly. Worksite Location NPAIHB generally requires employees to work in its main office, located in Portland, OR. Work ConditionsPhysical Demands This position:Frequently involves sedentary work (exerting up to 10 pounds of force and/or a negligible amount of force to lift, carry, push, pull or otherwise move objects, including the human body)Occasionally involves light work (exerting up to 20 pounds of force and/or up to 10 pounds of force and/or a negligible amount of force to move objects) Physical Requirements This position:Consistently requires the ability to receive detailed information through oral communication and expressing or exchanging ideas or important instructions accurately, loudly, or quicklyConstantly requires working with fingers, rather than the whole hand or armConstantly requires repetitive movement of the wrists, hands, and/or fingersOften requires walking or moving about to accomplish tasksOccasionally requires standing and/or sitting for sustained periods of timeOccasionally requires ascending or descending stairs or ramps using feet and legs and/or hands and armsOccasionally requires raising objects from a lower to a higher position, or moving objects horizontallyOccasionally requires stooping, which entails the use of the lower extremities and back musclesInfrequently requires crouching Typical Environmental Conditions The worker is frequently subject to inside environmental conditions, which provide protection from weather conditions, but not necessarily from temperature changes, and is occasionally subject to outside environmental conditions. Travel Requirements Local travel and/or overnight travel outside of the area is required (approximately 20% of the time). Disclaimer The individual must perform the essential duties and responsibilities with or without reasonable accommodation efficiently and accurately without causing a significant safety threat to self or others describe the general nature and level of work being performed b

Job Description $10,000 SIGNING BONUS! To welcome you to our team and show our commitment to your success, we are offering a signing bonus of $10,000! This bonus will be paid upon successful completion of probationary period. POSITION SUMMARY: At Fora Health, we’re looking for a dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our mission of providing life-changing care for individuals facing substance use disorders. In this role, you’ll be a vital connector across our programs, offering compassionate, evidence-based medical support in inpatient Withdrawal Management, outpatient Medication for Addiction Treatment, and Residential Medically Managed SUD treatment. You won’t be tied to one program you’ll be the steady, trusted presence patients rely on as they progress through their recovery journey. Working alongside a highly collaborative team of PMHNPs, physicians, nurses, case managers, and peer recovery mentors, you’ll help deliver care that is personal, consistent, and rooted in best practices. This is an opportunity to make a direct and lasting impact while being part of a community that values both clinical excellence and human connection. FOCUS AND SPECIFIC TASKS Tasks are to be completed with little follow up from supervisor. Support takes the form of collaborative team meetings and weekly supervision. • Admits patients to inpatient Withdrawal Management unit, • Admits patients to Medically Monitored Residential program, • Identifies treatment plans for patients in all programs that are specific to patients’ substance use patterns and medical needs, consistent with evidence-based practice and with patients’ goals of care, • Provides ongoing direct care to patients across residential programs in collaboration with interdisciplinary care teams, • Completes both in-person & telehealth intakes of patients enrolling in MAT services, provides ongoing telehealth visits and in-person injections for patients receiving medications for addiction treatment, • Participates in interdisciplinary treatment team collaborative meetings, • Collaborates with community partners, optimizing care coordination of mutual patients as needed, • Provides periodic on-call coverage, supporting on-site nursing staff from home, usually one week per month, • Practices harm reduction principles in all aspects of patient care, • Thoroughly completes patient care documentation in a timely manner, • Ensures patient care and prescribing practices are compliant with local, state and federal regulatory guidelines Works closely with the Chief Medical Officer, Director of Psychiatric Services and Director of Medical Operations to: • Ensure coverage for other providers’ patient care and administrative duties when they are away or on PTO., • Perform other duties in residential and/or withdrawal management when needed, as deemed necessary by the Chief Medical Officer, • Attends and participates in all staff meetings, including medical team and leadership meetings, as assigned., • Attends all supervision meetings as assigned., • Participates in quality improvement meetings and initiatives., • Maintains and strengthens good working relationships with members of the clinical teams., • Communicates and coordinates with staff from other departments effectively., • Maintains cleanliness and safety of work environment., • Performs related tasks as assigned. The LMP must negotiate the conflicting demands of patients, the needs of the group, available resources, agency policy, and state/federal laws. The LMP must also prioritize and manage her work in responding to patient needs, completing documentation, providing adequate coordination. ORGANIZATIONAL RELATIONSHIPS The LMP reports to the Chief Medical Officer and works interdependently as a member of a program clinical team and works collaboratively with other agency staff. EVALUATION CRITERIA • Productivity: The extent to which tasks (in part B) are met., • Quality of Work: The extent to which tasks are completed in a timely manner with few or no errors and consistent with both harm reduction principles and evidence-based practice., • Initiative: The extent to which the LMP knows when to ask for help prioritizes and efficiently and effectively performs duties., • Addresses crisis situations as they present themselves., • Demonstrates time management and organizational skills., • Advances Department’s and Fora Health Mission and Values., • Represents Department and Fora Health appropriately in the community., • Integrity: The extent to which the LMP performs job in a professional manner, demonstrating ethical behaviors and adhering to federal/state laws and agency policies and procedures., • Works all regularly scheduled hours., • While at work, engages in work activities., • Attends and participates in all meetings assigned by supervisor., • Conducts clinical and administrative duties in an honest and respectful manner., • Maintains professional behavior and all ethical standards., • Informs Supervisor of unprofessional or unethical behavior by self or other staff members., • Reliability: The extent to which the LMP accomplishes tasks with little or no follow up from the Supervisor., • Represents Fora Health in a professional manner., • Keeps the Supervisor informed of significant events that impact agency.\, • Completes projects in a timely manner., • Conducts clinical activities in a timely and appropriate manner., • Ensures that all clinical services provided are within the Services Model Framework., • Consistently practices harm reduction principles and maintains/models an attitude of kindness toward patients and colleagues, • Completes all administrative and paperwork responsibilities in a timely and reliable manner., • Minimum of three years of general medical practice experience in a primary care, urgent care or hospital-based setting – equivalent relevant practice experience considered., • Familiarity with prescribing buprenorphine, • DHS Background Check Approval, • Successful completion of Drug Test upon hire The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job requires the following: • Conversing with others in person and by phone, • Reading computer screens, correspondence, forms, etc., • Sitting and standing for long periods of time, • Moving from one area of the facility to another, • Bending, • Identifying clients and staff members, • Typing; filing; handling papers and charts, • Lifting and moving up to 25 pounds, • This position generally works in an indoor office environment with periodic travel between sites or special events., • Possible exposure to communicable diseases which can encompass a variety of illnesses and infections, including tuberculosis, Hepatitis A, B, and C, and HIV., • Possible exposure to upset, angry, severely traumatized or emotionally disturbed adults, adolescents, and families., • Position might require overtime, but not consistently. Adjustment of work schedule may be required., • Shift work may include day, swing and graveyard hours. Shifts may also be scheduled on weekends and holidays. ABOUT FORA HEALTH Looking for a meaningful career? At Fora Health, we employ a team of passionate, diverse and caring people who are committed to carrying out our mission to provide treatment, care and advocacy for all who are affected by substance use disorder. We are seeking dedicated individuals to join our experienced team of professionals in the fight to overcome the stigma of addiction and mental health. Come join one of Oregon’s largest and most reputable providers of substance use disorder and co-occurring mental health treatment for adults! Fora Health is committed to providing a wide range of accessible, coordinated, and well-integrated services that benefit the community and support our clients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports Fora's mission, each employee will, at a minimum: • Have knowledge of substance use disorders., • Recognize the importance of family, social networks, and community systems in the treatment and recovery process., • Respect the diversity and uniqueness of all people., • Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care., • Kaiser medical insurance, • Comprehensive dental and vision insurance, • Employer-paid basic life and accidental death & dismemberment insurance, • Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance), • Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs, • 401K plan with Employer Matching up to 6%, • 4 weeks paid vacation, one floating holiday & sick leave, • 10 observed holidays, paid bereavement and paid jury duty days, • Flexible schedules, • Employee Assistance Program, • Discounted 24 Hour Fitness membership from $6.99/month, • One free employee meal on days worked at our Cherry Blossom location, • Online education tools for CEUs, • Critical shift compensation up to double hourly pay rate and shift premiums for certain positions, • Employee referral bonus, • Education grant program reimbursement for continuing education expenses after 90 days of employment, • Loan forgiveness for eligible medical and clinic positions, • National Health Service Corps (NHSC), • NURSE Corps Fora Health encourages applications from those who are in recovery. Please note that we require individuals in recovery to certify that they have at least six months of sobriety for non-patient facing positions or two years of continuous sobriety for patient-facing positions upon hire. Fora Health is a second chance employer and complies with applicable laws regarding consideration of criminal background for employment purposes. Fora Health conducts a background check for all positions upon offer of employment. Government regulations, contractual requirements, or the duties of certain jobs may require us to take appropriate action to address prior criminal convictions. Powered by JazzHR eulUWjRkdK

Job DescriptionCompany Description International Health and Medical Serivces delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Serivces, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: Job Description This project is in the proposal stage; we’re awaiting to be awarded the contract. International Health and Medical Services is looking for an experienced Advanced Practice Provider to deliver high-quality medical care, including assessments, diagnosis, and treatment planning for individuals with a variety of health concerns. This role involves collaborating with a multidisciplinary team to ensure comprehensive care, patient advocacy, and adherence to regulatory standards within the facility. Key Responsibilities • A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and agency procedures. Efforts are directed toward the enhancement of the physical, emotional, and social well-being of individuals., • Provides health care of a scope, quality, and quantity consistent with agency and policies., • Performs comprehensive history and physical evaluations, behavioral health care, and minor outpatient surgical procedures for patients as required by client policy, or as required for patient medical complaint., • Coordinates health care needs of patients including referrals to off-site consultants., • Takes appropriate infection control actions in accordance with client policy and guidance., • Completes all training as required/assigned., • Attends on-site, regional, and national meetings as required., • Participates in the APP Peer Review process., • Provides direct care to patients via scheduled appointments, emergency, or urgent care visits., • Consults with the physician / Clinical Director for complex medical and/or psychiatric patients and as required by client policy., • Provides infirmary care including admission, discharge, and daily rounds for patients that require higher levels of medical care or monitoring., • Works within and performs functions as outlined in the client Advanced Practice Provider (APP) Scope of Practice and the Controlled Prescribing Scope of Practice for APPs., • Applies knowledge of drugs and therapeutics when prescribing medication., • Interprets diagnostic and laboratory results., • Interprets Tuberculin skin tests (TSTs) and diagnostic studies, manages Direct Observation Therapy (DOT) for treatment of active or latent tuberculosis., • Adheres to universal precautions and properly disposes of all sharps., • May serve as medical escort of patients as needed, for domestic/overseas travel., • Utilizes and documents interpretation and/or translation and/or assisted communication services as needed to ensure ability to communicate with patients or others who are Limited English Proficient (LEP) or have a communication disability or impediment., • Maintains flexibility and adaptability to sudden changes in schedules and work requirements., • Provides relevant patient health education to patients verbally and/or with handouts., • Documents patient care visits in the required health record using required format, in compliance with client policy and guidance., • Maintains patient confidentiality and confidentiality of medical records., • Completes all training as required/assigned., • Serves as Acting Senior Supervisory APP or Acting Regional APP. Basic Requirements/Certifications: • Must possess a current, unrestricted licensed in Oregon, • Four 4 years of full-time clinical experience as a PA or NP required or approval of the client Medical Director., • American Heart Association (AHA) Basic Life Support (BLS)., • Physician Assistant (PA) -, • An accredited bachelor's or master's degree is required., • Must have completed a physician assistant training program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), national certification through the National Commission on Certification of Physician Assistants (NCCPA)., • Nurse Practitioner (NP) -, • Must possess a certified advance practice nurse practitioner degree from a graduate school training program approved for this qualifying degree., • National board certification through the American Academy of Nurse Practitioners (APRN) or the American Nurse Credentialing Center (ANCC)required., • Employees shall have at least one year of general experience that demonstrates the following:, • The ability to greet and deal tactfully with the public., • Capability of understanding and applying written and verbal orders, rules, and regulations. All personnel shall be literate and be able to interpret printed rules and regulations, detailed written orders, training instructions and materials, and must be able to compose reports., • Good judgment, courage, alertness, an even temperament, and render satisfactory performance through knowledge of his/her position responsibilities., • Knowledge and/or experience with client policies, NCCHC and PBNDS requirements., • Knowledge of public health preparedness, infection control and TB management, • This position is considered hazardous duty., • Required to walk unaided at a normal pace for up to 5 minutes and maintain balance., • Required to jog/fast walk up to ¼ mile., • Requires physical exertion such as lifting objects greater than 30 pounds., • Required to perform CPR/emergency care standing or kneeling., • Must have the ability to assist sick, injured, or aging patients or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self)., • Must be able to see, hear and smell with aids if necessary., • Must be able to lift, push, or carry 30 pounds., • Must perform the duties of my job in a stressful and often austere environment without physical limitations., • Sitting and/or standing for extended periods of time., • Average manual dexterity for computer operation., • Minimum of 21 years of age., • Must maintain current/physical residency in the continental U.S., • Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment., • Be a U.S. citizen or a person lawfully admitted into the U.S. for permanent residence., • Have resided in the U.S. for the last five years (unless abroad on official U.S. government duty)., • Successfully engage in and complete a thorough Background Investigation., • Poses or have ability to obtain required security clearances., • Proficiency in Spanish is preferred. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Serivces complies with all federal, state, and local minimum wage laws. International Health and Medical Serivces is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Nortek Medical Staffing, Inc. is seeking a Nurse Practitioner Neonatology for a job in Portland, Oregon. Job Description & Requirements • Specialty: Neonatology, • Discipline: Nurse Practitioner, • Duration: Ongoing, • 40 hours per week, • Shift: 8 hours, days, nights NorTek Medical Staffing is seeking a Neonatal Nurse Practitioner (NNP) or Physician Assistant (PA) to join a well-established team in Portland, OR. This full-time position will provide clinical management for high-risk neonates and infants in a Level III NICU setting. In this role, you will manage complex neonatal cases, attend deliveries, perform neonatal procedures, and collaborate closely with medical teams to provide the highest level of family-centered care. Ideal candidates will have neonatal experience or be willing to obtain an OR license and take on a pivotal role in the neonatal team. What We Offer: Competitive salary ranging from $70,000 to $100,000, based on experience. Comprehensive benefits including health, dental, and vision coverage. Opportunity to work in a Level III NICU providing critical care for neonates. Autonomy of practice in ordering, performing, and interpreting diagnostic tests. Training and mentorship for those without prior experience in neonatal care. Collaborative team environment with support from experienced neonatal physicians and other providers. Key Responsibilities: Clinical management of high-risk neonates and infants in the NICU. Attend deliveries, provide neonatal resuscitation, and assist with immediate neonatal care. Perform neonatal procedures including intubation, chest tube placement, and line insertion. Collaborate with neonatal physicians, nursing teams, and support staff to ensure comprehensive care. Monitor and adjust treatment plans based on patient progress and diagnostic results. Provide patient and family education regarding neonatal care, discharge planning, and follow-up care. Unit-based support including rounding, patient assessments, and ensuring care continuity. Work with a high-volume patient load in a busy NICU environment. Qualifications: Certified Neonatal Nurse Practitioner (NNP) or Physician Assistant (PA). Completion of a 12-month Neonatal PA fellowship or residency program. Previous experience in Neonatal ICU (NICU) or high-risk neonatal care preferred. Willingness to obtain OR license if not already held. Experience in high-volume deliveries and working in Level III NICUs. BLS and NRP certifications required. Ability to work 12-hour or 24-hour shifts, including days and nights. Strong interpersonal and communication skills to work with multidisciplinary teams. Work Schedule: Shifts: 12-hour or 24-hour shifts, including day shifts (7 AM – 7 PM) and night shifts (7 AM – 7 AM). Patient volumes: 3,000 deliveries per year at the main hospital. 4,500 deliveries per year at the other facility. Patient load per day: ~10 patients per day at one location. ~22 patients per day at another location. Ideal Candidate: The ideal candidate is a Neonatal Nurse Practitioner or Physician Assistant who is passionate about neonatal care and ready to work in a high-volume, fast-paced environment. You should have experience in neonatal care, be comfortable performing neonatal procedures, and be eager to contribute to a collaborative, patient-focused environment. If you're committed to family-centered care and want to grow in a supportive, high-volume NICU setting, this is the perfect opportunity for you. Nortek Medical Staffing, Inc. Job ID #10007. About Nortek Medical Staffing, Inc. Allied Healthcare Staffing Services NorTek Medical Staffing is a full-service recruitment firm specializing in providing critical staffing solutions for Allied Healthcare Professionals, alongside physicians and mid-level providers. The company excels at connecting high-quality, specialized clinicians with facilities requiring temporary (Locum Tenens), contract, or permanent staff. • Placement Types: Locum Tenens (temporary), Contract, and Permanent placements., • Key Allied Health Specialties Staffed:, • Certified Registered Nurse Anesthetists (CRNAs), • Physician Assistants (PAs), • Nurse Practitioners (NPs), • Other Allied Healthcare Professionals (specific roles often include Imaging, Therapy, and specialized technicians). NorTek's approach is designed to meet the high demand for specialized non-physician providers: • National Reach: Placing Allied Health professionals in facilities across the entire U.S., • Rapid Deployment: Efficiently sourcing and deploying professionals to cover urgent short-term and long-term needs., • Compliance and Credentialing: A dedicated team ensures all placed personnel are thoroughly screened, compliant, and credentialed according to the highest industry and facility standards., • Focus on Fit: Providing personalized, consultative service to ensure a strong match between the clinician's skills and the facility's specific patient needs.

Job Description Lifeline Connections is a community-based behavioral health organization that specializes in providing confidential and compassionate care to individuals who experience substance use and/or mental health conditions. Our Vision - As the premier provider of substance use and mental health services in the Pacific Northwest, we are respected and the most trusted resource for behavioral health treatment and whole-person care. We provide a comprehensive continuum of coordinated quality services, foster enduring relationships, and empower our communities to truly thrive. Our Mission - Through superior customer service, high quality programs, and well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health conditions. MAJOR DUTIES: This position is responsible for conducting psychiatric assessments; assessing physical health needs; making appropriate referrals to community physicians; and providing management and administration of medication. In fulfilling these duties, the incumbent performs the following duties: 1. Provide service coordination for clients including participation with the individual treatment teams (ITT);, 2. Participate in and conduct parts of the client-centered comprehensive assessment of psychiatric history (e.g., onset, course and effect of illness, past treatment and responses, and risk behaviors), mental status, and diagnosis; physical health and dental health; use of drugs or alcohol; education and employment; social development and functioning; activities of daily living (e.g., self-care, living situation, nutrition, money management); and family structure and relationships;, 3. Document client progress in a permanent record of client activity according to established methods and procedures;, 4. Participate in staff meetings and treatment planning review meetings;, 5. Take the lead role or participate in providing medication administration and medical services;, 6. Organize and manage the system of getting medication to clients and integrating medication administration into clients’ individual treatment plans;, 7. Manage pharmaceuticals and medical supplies;, 8. Coordinate, schedule, and administer medical assessments of client physical health, making appropriate referrals to community physicians for further assessment and treatment, and coordinate psychiatric treatment with medical treatment;, 9. Provide ongoing assessment of clients’ mental illness symptoms and clients’ response to treatment. Make appropriate changes in treatment plans to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior which put clients at risk;, 10. Provide symptom education to enable clients to identify their mental illness symptoms;, 11. Provide direct clinical services to clients on an individual, group, or family basis in the office and in community settings to teach behavioral symptom-management techniques to alleviate and manage symptoms not reduced by medication and to promote personal growth and development by assisting clients to adapt to and cope with internal and external stresses;, 12. Provide individual treatment in the office and community settings in a stage-based treatment model that is non-confrontational, considers interactions of mental illness and substance abuse, and has client-determined goals;, 13. In coordination with the other registered nurses on the team, assist and support clients to have and effectively use a personal primary care physician, dentist, and other medical specialists as required;, 14. Must have a strong commitment to the right and ability of each person with a severe and persistent mental illness to live in normal community residences; work in market jobs; and have access to helpful, adequate, competent, and continuous supports and services. Skills and competence to establish supportive trusting relationships with persons with severe and persistent mental illnesses and respect for client rights and personal preferences in treatment are essential;, 15. In coordination with Chief Clinical Officer, provide training to Lifeline employees regarding specific subject areas related to expertise;, 16. Support and implement agency policies and procedures., 17. Other duties as assigned. REQUIREMENTS OF THE POSITION: 1. Master’s degree in psychiatric mental health nursing;, 2. Licensed as a Washington State Advanced Registered Nurse Practitioner;, 3. Carry American Nurses Credentialing Center (ANCC) certification;, 4. At least one year of work experience in an inpatient or outpatient psychiatric setting is preferred;, 5. Attend weekly team meeting;, 6. Ability to communicate clearly both verbally and in writing;, 7. Great attendance;, 8. Ability to work well with others., 9. Ability to accurately complete all tasks as assigned;, 10. Maintain high level of confidentiality with any and all information acquired; SUPERVISORY CONTROLS: Incumbent functions as Psychiatric Advanced Registered Nurse Practitioner under the direct supervision of the Medical Director. GUIDELINES: The Psychiatric Advanced Registered Nurse Practitioner relies on training and/or equivalent experience provided by Lifeline Connections and performs duties in accordance with Washington Administrative Codes, Federal regulations governing the confidentiality of consumer files, and Lifeline Connections Policy and Procedure Manual. PERSONAL CONTACT: Contacts are with members of the treatment team, consumers, significant others of the consumers, administrative, supervisory and clerical personnel, employers, representatives of various community agencies specializing in the treatment of substance use and mental health, related community representatives including lawyers, parole officers, and other court officials. All personal contacts are carried out in accordance with federal and state statues, laws and regulations dealing with the confidentiality of alcohol and drug dependent consumer records. PHYSICAL DEMANDS: While performing the essential functions of the job, the employee is regularly required to sit, speak clearly, hear and use hands and fingers to manipulate writing utensils and keys on a keyboard. The employee is occasionally required to stand, walk, reach with hands or arms, stoop, kneel, crouch or lift and/or move maximum of 15 lbs. WORKING ENVIRONMENTS: Working hours are spent in a community setting and require seeing patients in person. Salary: $66.76 - 97.30/hr DOE Application Process: To apply electronically for this position, please click "Apply Now" or visit our ADP career center. For more information on this and other positions, please visit our website at The Benefits: Lifeline Connections strives to be your employer of choice by offering our regular/full-time employees a generous benefits package. Our plans cover 85% of medical, dental, and vision costs at the employee level and 75% for all dependent plans. The majority of out-of-pocket costs (i.e. co-pays, prescriptions, and deductibles) under our medical plans are also covered. We also offer other benefits, such as: employer paid Short Term Disability, Long Term Disability, Life Insurance, and supplemental coverage. Our full-time employees and some part-time employees also qualify for our 401(K) plan that matches dollar for dollar up to 5%. On top of all that, our full-time employees receive approximately 4 weeks of paid time off during their first year of employment (accrual rates increase with years of service), as well as 1 personal holiday and 12 paid holidays per year! There are many other supplemental benefits we are glad to offer such as tuition reimbursement and discounted cellular service amongst others. Send us your resume and let's talk about you joining our team!

Job Description Position Summary Do you lie awake at night dreaming of changing the world and transforming dominant paradigms? Are you excited about providing trauma-informed, person-centered care to vulnerable people with substance use disorders? Do you believe a spoonful of sugar helps the medicine go down? Have we got a job for you!! Come join an inspired, curious, innovative multidisciplinary team offering radically kind medical care and loving compassion to patients with substance use disorders. The Medical Director works closely with the Chief Medical Officer to provide vision for and implementation of medical programs and services across Fora Health’s Departments. The Medical Director is an integral part of a collaborative leadership team, which includes the Director of Psychiatric Services, Medical Operations Director and Nurse Manager. This team, in turn, collaborates with Fora-wide leadership, representing other programs in the continuum of care to support Fora Health’s mission of providing excellent care for those with substance use disorders. The Medical Director will provide direct patient care in 3.7 level withdrawal management and medically managed residential programs. Additionally, the MD will direct expansion of both outpatient and residential MAT services. The MD will also direct the development of expanded medical services for patients enrolled in Fora Residential and Outpatient SUD programs. The MD will collaborate with Operations & Admissions leadership to develop and strengthen rapid access pathways from local hospitals into appropriate levels of care at Fora. The Medical Director will join the Chief Medical Officer in nurturing a program culture that centers excellent medical care within a framework of loving kindness, harm reduction, and trauma informed care. Expected allocation of time is approximately 60% administrative and 40% clinical. Essential Job Duties * Completing medical intakes on patients admitting to withdrawal management and residential treatment * Formulating treatment plans for those patients and communicating with nurses and case managers as necessary regarding implementation of medical orders and ongoing assessment of patients * Reviewing medical referrals to Medically Managed Residential Program and communicating with referents, including hospitals and outpatient settings. * Continuing expansion of MMR program to include patients on IV antibiotics, with complex wound care needs, and those newly dependent on insulin * Developing curricula & structure for residential medical groups to address PAWS, tobacco cessation, and MAT for AUD * Providing clinical education to nurses * Sharing overnight phone call with Chief Medical Officer and advance practice providers, typically one week per month. * Supervising advanced practice providers * Supervising and mentoring medical learners throughout their rotations at Fora * Providing education to patients about medications and treatment options. * Collaborating with Access Department to develop and expand relationships with community partners and pathways into Fora medical services. * Collaborating with Chief Medical Officer on development and implementation of new programs * Collaborating with Chief Medical Officer & Medical Operations Director on writing and revision of policies & procedures, creating & maintaining EMR order sets, addressing grievances & incident reports. * Other duties as assigned Additional Job Duties * Attend and participate in all staff meetings, including medical department and leadership meetings as assigned. * Attend all supervision meetings as assigned. * Maintain and strengthen good working relationships with members of other departments. * Maintain cleanliness and safety of work environment. * Perform related tasks as assigned. * Complete documentation in a timely manner. * Negotiate conflicting demands of patients, staff, available resources, and applicable policies & laws. * Prioritize and manage the competing demands of their work effectively. ORGANIZATIONAL RELATIONSHIPS * The Medical Director reports to the Chief Medical Officer. * The Medical Director works interdependently as a member of a program clinical team and works collaboratively with other agency staff. Qualifications Education and Experience: * Must be a licensed MD or DO * Must be board certified in Addiction Medicine; Fellowship training strongly preferred * Experience in prescribing buprenorphine required * At least one year of attending experience in primary care, hospital medicine or urgent care required * Experience in withdrawal management strongly preferred * Supervising experience is a plus Other Requirements * For employees with a history of substance use disorder, Fora Health’s policy requires certification of a minimum of two years of sobriety for this position. * Position will require some amount of regular connection to work via cell phone to answer questions and respond to internal and external contacts. * Ability to pass a pre-employment or for cause drug tests. EVALUATION CRITERIA * Productivity: The extent to which essential job tasks are met. * Quality of Work: The extent to which tasks are completed in a timely manner with few or no errors: * Conducts medical history review and physical assessment when necessary in a timely manner which does not compromise client health. * Communicates to Clinical Team any medical information that may impact client's participation in treatment. * Provides ongoing status reports to Supervisor on responsibilities. * Initiative: The extent to which the Medical Provider knows when to ask for help, prioritizes and efficiently and effectively performs duties. * Addresses crisis situations as they present themselves. * Demonstrates time management and organizational skills. * Furthers Department’s and Fora Health Mission and Values. * Represents Department and Fora Health appropriately in the community. * Integrity: The extent to which the Medical Provider performs job in a professional manner, demonstrating ethical behaviors and adhering to federal/state laws and agency policies and procedures. * Works all regularly scheduled hours. * While at work, engages in work activities. * Attends and participates in all meetings assigned by supervisor. * Conducts clinical and administrative duties in an honest and respectful manner. * Maintains professional behavior and all ethical standards. * Informs Supervisor of unprofessional or unethical behavior by self or other staff members. * Reliability: The extent to which the Medical Nurse Practitioner accomplishes tasks with little or no follow up from the Supervisor. * Represents Fora Health in a professional manner. * Consistently practices kindness with patients and colleagues. * Keeps the Supervisor informed of significant events that impact agency. * Completes projects in a timely manner. * Conducts clinical activities in a timely and appropriate manner. * Ensures that all clinical services provided are within the Services Model Framework. * Consistently employs Harm Reduction principles, Trauma-Informed care, and Motivational Enhancement techniques. * Completes all administrative and paperwork responsibilities in a timely and reliable manner. * Informs the Supervisor of any difficulties in performing regular duties PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job requires the following: * Conversing with others in person and by phone * Reading computer screens, charting in EMR, completing correspondence, forms, etc. * Sitting and standing for long periods of time * Moving from one area of the facility to another * Bending, kneeling * Identifying patients and staff members * Typing; filing; handling papers and charts * Lifting and moving up to 25 pounds * Ascending and descending stairs INTERNAL CANDIDATES: click here to apply via the employee intranet site ABOUT FORA HEALTH Looking for a meaningful career? At Fora Health, we employ a team of passionate, diverse and caring people who are committed to carrying out our mission to provide treatment, care and advocacy for all who are affected by substance use disorder. We are seeking dedicated individuals to join our experienced team of professionals in the fight to overcome the stigma of addiction and mental health. Come join one of Oregon’s largest and most reputable providers of substance use disorder and co-occurring mental health treatment for adults! Fora Health is committed to providing a wide range of accessible, coordinated, and well-integrated services that benefit the community and support our clients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports Fora's mission, each employee will, at a minimum: • Have knowledge of substance use disorders., • Recognize the importance of family, social networks, and community systems in the treatment and recovery process., • Respect the diversity and uniqueness of all people., • Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care., • Kaiser medical insurance, • Comprehensive dental and vision insurance, • Employer-paid basic life and accidental death & dismemberment insurance, • Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance), • Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs, • 401K plan with Employer Matching up to 6%, • 4 weeks paid vacation, one floating holiday & sick leave, • 10 observed holidays, paid bereavement and paid jury duty days, • Flexible schedules, • Employee Assistance Program, • Discounted 24 Hour Fitness membership from $6.99/month, • One free employee meal on days worked at our Cherry Blossom location, • Online education tools for CEUs, • Critical shift compensation up to double hourly pay rate and shift premiums for certain positions, • Employee referral bonus, • Education grant program reimbursement for continuing education expenses after 90 days of employment, • Loan forgiveness for eligible medical and clinic positions, • National Health Service Corps (NHSC), • NURSE Corps Fora Health encourages applications from those who are in recovery. Please note that we require individuals in recovery to certify that they have at least six months of sobriety for non-patient facing positions or two years of continuous sobriety for patient-facing positions upon hire. Fora Health is a second chance employer and complies with applicable laws regarding consideration of criminal background for employment purposes. Fora Health conducts a background check for all positions upon offer of employment. Government regulations, contractual requirements, or the duties of certain jobs may require us to take appropriate action to address prior criminal convictions. Powered by JazzHR UTxSbIHrGR

The Providence Provider Resource Department (PRD) is seeking a Per Diem physician associate or nurse practitioner to provide coverage for all Immediate Care clinics in the Portland, Oregon service area. This is a float position where the ideal candidate is comfortable in an autonomous role that requires serving high patient volumes at any clinic location. Additionally, this is a great nurse practitioner/physician assistant opportunity to position yourself for future non-float roles by work alongside multiple multispecialty teams across all 7 Immediate Care clinics in the Portland area. Be part of a group that’s dedicated towards providing patients from across the Portland area with more convenient access to high quality care. • Outpatient care only, • Provider can work 6- or 12-hour shifts, • Must be willing to work at all clinics in the Portland Service area, • OR license required, • Must have 2+ years of experience in a fast-paced urgent care or emergency department, • Growth opportunity, • Guaranteed salary and generous incentives Where You’ll Work The Providence Clinical Network provides patients access to optimized ambulatory services with a consumer-centric and connected focus. The PCN Express and Urgent Care clinics are reducing barriers and creating a network of same-day care options that are easily accessible. By building out a network for ambulatory care, surgical services and imaging across Providence, the PCN offers ease, transparency and lower costs. This work is foundational to evolving the Providence delivery model to enhance the future of convenient care. Where You’ll Live In Portland, Oregon, you’ll find a perfect blend of urban excitement and natural beauty. Home to the Portland Trail Blazers, “Rip City” offers residents endless entertainment, with eclectic art and culinary scenes, sports culture and distinct neighborhood identities. Nestled between the Willamette and Columbia rivers, and just a drive away from Mt. Hood, the Columbia Gorge and the Oregon Coast, Portland offers unparalleled, year-round access to outdoor adventures. Who You’ll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission — to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran Job ID Number: 24113

Providence Medical Forensic Program is seeking a part-time, Family Nurse Practitioner to join their new clinic located within the Family Peace Center, in Hillsboro, Oregon. The Family Peace Center is a unique, collaborative hub where survivors of domestic violence, sexual assault, child abuse, elder abuse, and human trafficking can access a range of services, all under one roof. With more than 20 partner agencies working side-by-side, providing trauma-informed care, medical support, therapy, legal advocacy, housing assistance, and childhood services, the Family Peace Center is working to end generational cycles of violence and abuse. In this role, the Family Nurse Practitioner will provide direct care to survivors to include; physical and anogenital examinations, medication counseling and management, sexual health and mental health screening and counseling, and counseling and/or referrals to other resources as needed. Additional duties may include forensic documentation of injuries and evidence collection. Join us in providing patient-focused, whole-person care built on understanding, commitment, and mutual respect. • Part-time, 0.6 FTE, benefit eligible, • Clinic schedule: Monday thru Friday; 8:00am to 5:00pm, • Rotation of weekend coverage required at Providence SAFE Center Clinic, • Minimum of 2-years' clinical experience as Family Nurse Practitioner in an acute and/or ambulatory care setting required; previous experience as Forensic Nurse strongly preferred, though willing to train, • Required licensure Oregon State Board of Nursing APRN; Board-certified in Family Medicine; Oregon DEA, • Guaranteed salary, quality incentive, CME funds and hours, and relocation assistance available, • Comprehensive Employed Provider Benefits Package, including Paid Time Off, Health, Life, Dental, Vision, Disability and Malpractice Insurance The Family Peace Center, opening in March 2026, brings together over 20 partner agencies under one roof to provide survivors and their children with coordinated, compassionate care. Offering safety and advocacy, legal assistance, counseling, medical services, housing support, and basic needs like food and clothing, the center eliminates gaps by connecting services seamlessly. With resources ranging from crisis response and restraining orders to therapeutic preschool and forensic medical exams, it creates a safe, welcoming environment where families can access justice, healing, and support in one survivor-centered system. Where You'll Live Hillsboro, a suburb of Portland, is Oregon's fifth-largest city and boasts a rich farming heritage. With its small-town charm, local eateries, and a must-see mineral and rock museum, there is always something to keep residents entertained. Ideally situated with Portland and Mt. Hood to the east, and the forested Coastal Range to the West, Hillsboro is just a short drive from countless adventures. Who You'll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran Job ID Number: 30127

Maine Medical Center, a MaineHealth member, is seeking an experienced Nurse Practitioner to join our Palliative Care team. The goal of palliative care is to maximize quality of life and align the individual's medical care with what matters most to them. The Palliative Care APP is an integral member of the Palliative Care Interdisciplinary Team of physicians, APPs, nurses, social workers, and chaplains who deliver patient- and family-centered care to individuals of all ages living with serious illness. The Palliative Care NP will care for patients primarily in the inpatient setting at Maine Medical Center – Portland, with potential coverage in the ambulatory clinic in Scarborough, ME. Responsibilities: • Provides inpatient specialty palliative care consultation services in collaboration with the Palliative Care interdisciplinary team through expert assessment and treatment of complex symptoms, assisting with complex decision making, and providing psychosocial support., • Collaborates successfully as a member of the Palliative Care Interdisciplinary Team, taking responsibility for quality and continuity of care of assigned patients., • Embodies and serves as an ambassador for the philosophy of evidence-based care provision following NCP guidelines., • Within the Palliative Care interdisciplinary team framework, collaborates with the patient’s primary care teams to facilitate identification of patient and family goals of care and access to appropriate support post discharge (e.g., home health, hospice, rehabilitation)., • Completes timely and accurate documentation of all activities in the EPIC EMR system., • Participates in education of non-palliative care providers and promotes culture transformation to reinforce primary palliative care education to enhance compassion and support for patients within the health system., • Respects patient confidentiality, privacy, and dignity., • Provides services in a timely and courteous manner with care and respect for the patient’s individual needs., • Participates in all practice group assignments and meetings., • Education: Successful completion of an approved Nurse Practitioner or Physician Assistant program., • License/Certifications: Current license and registration to practice as an Advance Practice Registered Nurse or Physician Assistant as required in the State of Maine., • Experience: Advanced skill and knowledge in conducting physical examinations and treating patients with minimal direction at a level generally acquired through at least 3 years of experience practicing as a Nurse Practitioner or Physician Assistant, or through completion of a Palliative Medicine training program specialty certification and/or experience equivalent/ eligible for specialty certification., • Analytical abilities necessary to obtain medical histories, conduct physical examinations, prepare complex treatment plans, and treat assigned patients with minimal guidance and direction., • Interpersonal skills and communication skills to engage as a specialist with a variety of personnel (e.g., patients, employees, physicians, and other health care professionals.), • Knowledge of patient assessment techniques including taking medical histories, performing physicals, evaluating health status, including state of wellness and compliance with care recommendations., • Skill in case management, time management, problem solving, crisis intervention, multitasking and other organizational matters., • Ability to make responsible decisions within scope of practice (NP)., • Ability to educate patients, families, and staff in user-friendly manner., • Strong computer skills with skill in using computerized health information management system., • Excellent communication, interpersonal and customer service skills with the ability to establish/maintain effective working relationships with patients, clinical staff and the public., • Ability to maintain confidentiality.

Job DescriptionCompany Description International Health and Medical Serivces delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Serivces, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: Job Description This project is in the proposal stage, we’re awaiting to be awarded the contract. Location: Newport, OR International Health and Medical Services is looking for an experienced Registered Nurse Manager to oversee the nursing staff and ensuring the delivery of high-quality healthcare services to patients while maintaining compliance with regulatory standards. This role includes managing daily operations, addressing clinical issues, and fostering a collaborative environment to promote optimal patient care and staff development. Key Responsibilities • Accountable for the management, supervision and evaluation of care delivered by nursing and other allied health staff for assigned areas on a 24-hour basis., • Use appropriate consultation with experts of each discipline he/she supervises to ensure that practice and performance issues are addressed and resolved., • Functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care., • Assesses, plans, implements, and evaluates delivery of care based on age specific components., • Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care., • Demonstrate sound decision-making and judgment and possess excellent interpersonal skills., • Collaborate with members of the interdisciplinary team and leading innovative process improvement initiatives., • Execute position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care., • Responsible and accountable for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance., • Function as a role model, educator, practitioner, and supervisor providing leadership to the team., • Influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based programs and processes., • Perform initial patient triage and ongoing assessment and treatment of acute/urgent presenting symptoms in collaboration with the provider., • Use critical thinking and excellent communication skills to care for patients., • Knowledgeable of an array of presenting symptoms to quickly triage with appropriate use of nursing protocols in providing evidence-based care., • Take vital signs, collects specimens for lab testing, administers medications, administers IV fluid, performs 12-lead EKG as needed., • Performs point-of-care testing., • Accurately documents care given. Basic Requirements/Certifications: • Current, full, active, and unrestricted license as a Registered Nurse in a State of Oregon., • Minimum of six years of professional nursing experience is required., • American Heart Association (AHA) Basic Life Support (BLS)., • Employees shall have at least one year of general experience that demonstrates the following:, • The ability to greet and deal tactfully with the public., • Capability of understanding and applying written and verbal orders, rules, and regulations. All personnel shall be literate and be able to interpret printed rules and regulations, detailed written orders, training instructions and materials, and must be able to compose reports., • Good judgment, courage, alertness, an even temperament, and render satisfactory performance through knowledge of his/her position responsibilities. Bachelor of Science in Nursing (BSN) is required. Physical Requirements: • This position is considered hazardous duty., • Required to walk unaided at a normal pace for up to 5 minutes and maintain balance., • Required to jog/fast walk up to ¼ mile., • Requires physical exertion such as lifting objects greater than 30 pounds., • Required to perform CPR/emergency care standing or kneeling., • Must have the ability to assist sick, injured, or aging patients or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self)., • Must be able to see, hear and smell with aids if necessary., • Must be able to lift, push, or carry 30 pounds., • Must perform the duties of my job in a stressful and often austere environment without physical limitations., • Sitting and/or standing for extended periods of time., • Average manual dexterity for computer operation., • Minimum of 21 years of age., • Must maintain current/physical residency in the continental U.S., • Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment., • Be a U.S. citizen or a person lawfully admitted into the U.S. for permanent residence., • Have resided in the U.S. for the last five years (unless abroad on official U.S. government duty)., • Successfully engage in and complete a thorough Background Investigation., • Poses or have ability to obtain required security clearances., • Proficiency in Spanish is preferred. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Serivces complies with all federal, state, and local minimum wage laws. International Health and Medical Serivces is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

JOB DESCRIPTION Job Summary \n Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. \n Essential Job Duties \n • Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric., • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments., • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency., • Establishes and documents reasonable medical diagnoses., • Seeks specialty consultation as appropriate., • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately., • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed., • Creates and implements a medical plan of care., • Schedules appointments for visits when appropriate., • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization., • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations., • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations., • Orders bulk laboratory orders to target specific member populations., • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care., • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care., • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay., • Obtains and maintains cross-state license in other states besides home state based on business need., • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively., • Actively participates in regional meetings., • May prescribe medications and perform procedures as appropriate., • Performs timely medical records documentation in electronic medical record (EMR) computer system., • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment., • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws., • Local travel required (based upon state/contractual requirements). \n Required Qualifications \n • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience., • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC)., • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice., • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice., • Current Basic Life Support (BLS) certification., • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements., • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations., • Ability to work independently with minimal supervision and demonstrate self-motivation., • Responsive in all forms of communication., • Ability to remain calm in high-pressure situations., • Ability to develop and maintain professional relationships., • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change., • Excellent problem-solving and critical-thinking skills., • Strong verbal and written communication skills., • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience. \n Preferred Qualifications \n • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting., • Experience in home health as a licensed clinician, especially in management of chronic conditions., • Experience with underserved populations facing socioeconomic barriers to health care., • Immunization and point of care testing skills., • Bilingual. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $198,356 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.