Mobile Health Provider - Primary Care (Flexible Scheduling)

Be the front door to health care.

For many of our patients, a traditional clinic is the last place they'd walk into. So we moved the front door.

About us:

Central City Concern is a Portland-area nonprofit providing housing, healthcare, recovery, and employment services to people affected by homelessness. Our integrated model means your patients have support well beyond the exam room.

Our Mobile Health program launched in 2023 to bring culturally responsive, trauma-informed, patient-centered care directly to people experiencing homelessness. In early 2024, two custom-built vans joined the effort, equipped for wound care, physical exams, infectious disease screening, vaccinations, and medications.

We're looking for a physician, nurse practitioner, or physician assistant to help us do more of it.

You are someone who has primary care or mobile medical experience and approaches every patient without judgment. You think about how decisions affect underserved communities, you practice with trauma-informed principles, and you're skilled at shared decision making and motivational interviewing. You're comfortable with de-escalation, or eager to learn it, and you work well in a multidisciplinary team.

What your practice could look like:

• Prescribe medications for opioid use disorder without unnecessary hurdles between your patient and treatment.
• Harm reduction as a clinical approach. Meet patients where they are, build trust over time, and measure success by engagement and resilience.
• Whole-person medicine. Treat physical health, mental health, and substance use disorders together, the way your patients experience them.
• A team around you. Work alongside pharmacists, nurses, and programs for Hepatitis C treatment, withdrawal management, residential recovery, specialty mental health, and overdose prevention. You'll practice independently, with medical and administrative support on site and off.
  
• A culture of learning. Shape clinical workflows, contribute to quality improvement, and teach and onboard colleagues.

If you want your clinical skills to reach the people who need them most, we'd love to meet you.

Location: 327 SE Yamhill St. Portland, OR 97214

Schedule: If you are looking for less than full-time hours, we encourage you to still apply as we offer flexibility in scheduling. Employees must commit to a minimum of 20 hours (0.5 FTE) per week.

Compensation Ranges for 1.0 FTE:

• NP or PA: $138,000 - $179,000
• MD or DO: $236,000 - $307,000

MINIMUM QUALIFICATIONS: ALL APPLICANTS

• Demonstrated skills in primary care medicine experience preferred.
• Must meet CCC privileging requirements as required by FTCA.
• Must have full prescriptive powers in Oregon with a DEA number.
• Must have current BLS certification.
• Wound care experience highly preferred.
• Spanish language fluency preferred.
• Valid driver's license preferred. If required to drive, must pass a DMV background check, and be designated an "acceptable" driver as outlined in Central City Concern's Fleet Safety Policy. If required to drive, must pass an initial driver's training within 60 days of being an approved driver and continued recertification training.
• Central City Concern is committed to a drug-free workplace that encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Workplace Act of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
• Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
• Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects, and climb stairs with reasonable or no accommodation.
• Must adhere to agency's non-discrimination policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, cultural backgrounds, lifestyles, and sexual orientations and treat each individual with respect and dignity.

MINIMUM QUALIFICATIONS: PHYSICIAN (MD/DO)

• Board eligibility or certification in a primary care specialty relevant to our scope of services.
• Licensed to practice as a Physician in Oregon.

MINIMUM QUALIFICATIONS: NURSE PRACTITIONER

• Graduate of an accredited Nurse Practitioner Program with the appropriate scope of training and unrestricted licensure to practice medicine in Oregon or eligibility for such licensure.
• Appropriate board certification.

MINIMUM QUALIFICATIONS: PHYSICIAN ASSOCIATE

• Graduate of an accredited Physician Associate Program and unrestricted licensure to practice medicine in Oregon or eligibility for such licensure.
• Board certification with NCCPA.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Essential Clinical and Compliance Duties

• Work as a member of the primary care team to deliver comprehensive, patient-centered services.
• Take appropriate health histories, perform physical exams, review vitals, labs, other studies, prescribe medications, perform procedures, review outside medical records and other forms of treatment as necessary and appropriate to the standard of care being provided in the setting for both acute and chronic health concerns.
• Triage, diagnose, manage minor and/or acute illnesses and initiate treatment.
• Along with the care team, support patients in achieving health resiliency and engagement by utilizing techniques such as shared decision making, motivational interviewing, continuity relationship building, health education, and preventive care appropriate to patient characteristics.
• Timely completion of appropriate medical records.
• Attend all mandatory CCC training in a timely manner.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners' and outside providers' patient confidentiality agreements, including privacy and security requirements for EMR access.
• This position will provide after-hours phone coverage on scheduled rotation with colleagues. Calls will be addressed first by contracted nurse triage service, LMPs will be the second call.

Collaborative Care

• Support pharmacy-based collaborative drug therapy management programs and provide medical visits to support clients receiving treatment.
• Coordinate with other CCC programs supporting patients in a continuum of services such as Hepatitis C treatment, withdrawal management, residential treatment for substance use disorders, specialty mental health, and overdose prevention programs

Quality Improvement and Practice-Based Learning

• Identify opportunities for improvement in medical workflows and logistics. Participate in review and collection of performance and quality Indicators; review and contribute to continuous improvement opportunities and plans.
• Participate in and, at times, lead provider education sessions on a variety of clinical topics, including helping train and onboard other medical providers and staff.
• Participate in compliance, quality assurance, and quality improvement activities as directed.
• Collaborate with the care team to ensure optimal performance on team-based performance metrics.
• Perform other duties as assigned, including work at other CCC clinical sites and/or off-site at community events.

SKILLS AND ABILITIES:

• Individuals must have the ability to work in a multi-disciplinary, team-oriented environment.
• Must be able to interact with co-workers, patients and staff to instill confidence and facilitate communication.
• Experience in primary care or mobile medical practice.
• Ability to consider the impacts and outcomes for underserved communities during decision-making processes with attention to trauma informed principles, accounting for issues relating to social equity.
• Ability to display a non-judgmental attitude.
• Sufficient manual dexterity and physical ability to perform assigned tasks with reasonable accommodation as needed.
• Ability to manage time and meet deadlines.
• Knowledge of de-escalation methods or willingness to be trained in these methods.
• Comfort working in an independent clinical practice with on and off-site support from medical and administrative supervisors.

Benefits at Central City Concern

We offer incredible benefits to our employees, including an extensive total rewards package, competitive compensation, medical, dental, vision, Student loan repayment options, and retirement savings matching plans!

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

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

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

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