Family Nurse Practitioner - Street Medicine

Nurse Practitioner - Family Practice (FNP)

The Nurse Practitioner - Family Practice (FNP) promotes and maintains patients' health by providing medical services to all age groups to the extent which licensed and/or certified. The FNP uses independent judgment in carrying out daily job responsibilities. The position will be supervised by the Chief Clinical Officer. This FNP - Street Medicine role is uniquely focused on providing compassionate, community-based care to individuals experiencing homelessness or housing insecurity. The FNP - Street Medicine will be an integral part of our street medicine and outreach efforts, addressing complex medical needs that are often influenced by psychosocial challenges, social determinants of health (SDOH), and substance use disorders.

The ideal candidate is passionate about serving vulnerable populations, comfortable providing care in non-traditional settings (such as encampments, shelters, and mobile units), and experienced-or willing to become waivered to prescribe medications for opioid use disorder (MOUD). With the support of our integrated in-house behavioral health team, the FNP will work collaboratively to ensure patients have access to counseling and therapy services.

This role is more than clinical-it's an opportunity to advocate, connect, and restore dignity through healthcare. It includes a twice-a-month weekend (Saturday or Sunday) field commitment, which is accounted for (offset) within the regular work schedule.

Required Qualifications:

• Family Nurse Practitioner master's degree or Doctor of Nursing Practice (DNP), with active license to practice in Arizona required.

Preferred Qualifications:

• Experience in a Federally Qualified Health Center (FQHC) or Primary Health Care environment preferred.
• Prior experience working with homeless, unstably housed, or substance-using populations is highly desirable.

Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

Knowledge, Skills and Abilities:

• Demonstrates a strong commitment to health equity, trauma-informed care, and patient-centered principles.
• Experienced working with culturally diverse, low-income, ethnic minority, and marginalized populations, showing sensitivity and understanding of their unique needs.
• Possesses a deep understanding of social determinants of health (SDOH), community health frameworks, and public health issues in vulnerable settings.
• Familiar with harm reduction practices, wound care, and infectious disease management in underserved environments.
• Capable of quickly assimilating, assessing, and acting upon new concepts, trends, and initiatives in dynamic environments.
• Demonstrates excellent communication, interpersonal, and customer service skills, with the ability to build rapport under challenging conditions and represent the organization professionally across varied settings.
• Able to respond to questions from leadership, providers, managers, and healthcare team members with clarity and diplomacy.
• Skilled in reading, comprehending, analyzing, and applying complex documents, policies, and regulations in alignment with state and federal standards.
• Proficient in preparing, submitting, and documenting clear and concise reports using EHR systems and mobile documentation tools.
• Functions effectively and independently in field settings with limited resources, exhibiting flexibility, creativity, and resilience.
• Strong team player with effective collaboration skills and comfort working within interdisciplinary healthcare teams.

Duties and Responsibilities:

• Follows evidence-based guidelines to diagnose, treat, and monitor acute and chronic conditions.
• Deliver comprehensive medical care in the field and clinical settings under the supervision of the Chief Clinical Officer.
• Provide primary care services including acute, chronic, and preventive care within the patient's environment (streets, encampments, shelters, mobile units).
• Build trusting, therapeutic relationships with patients who may be experiencing trauma, stigma, or chronic instability.
• Collaborate with social services, behavioral health, and outreach workers to address housing, food insecurity, addiction, and mental health needs.
• Utilize evidence-based guidelines to diagnose, treat, and manage medical conditions.
• Prescribe medications, including controlled substances and MOUD (when waivered).
• Order and interpret labs, imaging, and other diagnostic tests.
• Document encounters thoroughly in the EHR using mobile/remote access as needed.
• Refer patients to appropriate specialists and ensure care coordination.
• Participate in community events, outreach, and public health initiatives to enhance visibility and access.
• Identifies short-term and long-range patient care issues to be addressed, providing pertinent information, and recommends options and course of action.
• Promote patient education, self-care, and harm reduction practices.
• Participate in twice-monthly weekend outreach rotations, offset in the overall schedule.
• Collaborates with other providers in the care of patients as needed.
• Attend required CME training and maintain active licensure.
• Provides continuity of care by developing and implementing treatment plans.
• Diagnoses and treats common acute health issues.
• Diagnoses, treats, and monitors chronic health issues.
• Collaborates with physician as needed on complex, unusual, and high-risk cases.
• Orders and interprets diagnostic tests and prescribes proper medications.
• Follows up with patients through telephone, electronic, and mail correspondence.
• Documents patient contracts in patient chart.
• Performs outpatient procedures such as suture removal and other procedures within scope of practice.
• Promotes community awareness of health care issues.
• Promotes and participates in off-site activities such as health fairs, community, and school-based programs as requested by Chief Clinical Officer.
• Ensures proper documentation in patient charting, patient encounter forms, insurance forms and all other additional information pertaining to patient care.
• Participates in other assigned duties as designated by the Chief Clinical Officer and/or Chief Executive Officer.
• Other duties/projects as assigned.

Benefits

Marana Health's vision is to be the premier provider and employer in community health. To support our mission and vision in our community, Marana Health believes health and well-being must start at home. Marana Health offers a competitive benefits package in addition to Loan Repayment options for Professional Scholarships through Federal and State Programs for full-time staff. Therefore, employees have many opportunities to care for our own health and wellness with benefits such as:

• Medical, Dental, and Vision Insurance
• 403(b) with employer contribution
• 160 hours PTO, sick leave in addition to 11 paid holidays
• Federal Tort Claims Act (FTCA) Professional Liability Coverage
• Loan Reimbursement options through NHSC and ADHS programs (for eligible clinicians)
• Professional Licensure and DEA reimbursement
• Relocation Reimbursement
• Continuing Medical Education

Marana Health will recruit, hire, train, and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.