CNA Health Care Provider

Pay Range: $65.87 - $84.24 Hourly

Department: Health Department

Corrections Health Nurses receive an additional 12% hourly premium and hourly differentials for working swing ($3/hr), graveyard ($6/hr), weekends ($3/hr) shifts.

Multnomah County provides generous benefits to employees and their covered family members, including domestic partners. The benefits package includes medical, dental, and vision insurance, ten paid holidays each year, vacation and sick leave, life and supplemental life insurance, flexible spending accounts, employee assistance program, and participation in Oregon Public Employees Retirement System (PERS).

Eligible employees may qualify for the Federal Student Aid U.At Corrections Health, we provide medically needed health care and transitional services to adults and youth in custody at Multnomah County Jails and Juvenile Detention Facility.

The Advanced Practice Clinician (APC) will provide Medication Assisted Treatment (MAT) cooperatively with the Corrections Health and Harm Reduction Program teams. The APC must consistently demonstrate effective, positive and respectful communication with patients and staff including active listening, empathy, courtesy, cultural sensitivity, and the ability to promote modification of health behaviors with clients.

This position will work in both Corrections Health and Harm Reduction Program locations, with service hours and schedules that meet the needs of the population served.

As an Advanced Practice Clinician in Corrections Health and the Harm Reduction Program team, you will serve at two of our Correctional Health facilities and the Menlo Park Syringe Service Program and Clinic (HRC):

Multnomah County Detention Center (downtown)

Harm Reduction Clinic at Menlo Park Plaza (NE Portland)

Clinical Care

Formulate appropriate diagnoses and implement treatment plans based on HRC practice guidelines, Corrections Health (CH) policies, Health Department policies, and state and MCHD stage-based behavioral counseling guidelines.

Provide ultra low barrier buprenorphine and other medication access to support recovery and reduce risk of overdose.

Provide health education to patients.

Perform wound care and care of skin and soft tissue infections, including chronic conditions such as venous stasis ulcers.

Provide vaccinations as outlined in HRC clinical practice guidelines.

Offer contraception services and HIV PrEP based on HRC Program clinical guidelines.

Perform sexual health history, physical examination and specimen collection as outlined in HRC Program and Corrections Health clinical guidelines.

Perform sexual health screening, genital and gynecological exams, and diagnosis and treatment of genital and sexually transmitted infections (STI).

Prescribe medications such as contraception, HIV Pre-Exposure Prophylaxis (PrEP), doxy-PEP, and antibiotics.

Provide follow-up patient consultations, telehealth visits, and other medical conditions.

Develop and direct patient-centered care plans with the assistance of other disciplines within the care team.

Refer clients to the physician when beyond scope of practice.

Consultation and Care Coordination

Provide consultation to nursing staff, Menlo Park Harm Reduction Clinic program staff, Health Department Clinics, and community providers as indicated for continuity of client care.

Assist patients regarding additional care needs, including preventative healthcare, specialty or rehabilitative services, or high risk / acute care.

Provide in-service training to staff as requested.

Partner with the Senior Harm Reduction Specialist and Corrections Health to enhance and improve MAT services across relevant sites.

Participate in precepting students, volunteers, and new staff when appropriate.

Make appropriate referrals to care in coordination with the patient and care team.

Provide direction to Community Health Workers, Community Health Nurse and Clinical Service Specialists to implement aspects of care plans within their scope and training.

Document appropriately and clearly in the electronic health record (EHR) system.

Utilize panel based information technology tools to prioritize and direct proactive care for patients assigned to the provider panel.

Apply division, department, and all healthcare requirements for HIPAA and other compliance standards.

Master's Degree in Nursing AND one (1) to four (4) years of experience that demonstrates the ability to perform the duties of the position.

License required to practice medicine as a Nurse Practitioner or Physician Assistant as outlined by Oregon Revised Statutes (ORS) 678.375 or (ORS) 677.515.

Passing a Multnomah County Sheriff's Office background check is required.

Experience working in a correctional facility.

Training or experience in working with Electronic Health Record systems.

Experience in medication assisted recovery (e.g. medications for opioid use disorder, MOUD, MAT, or stimulant use disorder treatment).

Demonstrated understanding, implementation, and promotion of harm reduction and social justice principles.

COVID-19 Vaccination Requirement

Employees must be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment.

We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

Veterans’ Preference

Qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

Accommodation under the Americans with Disabilities Act

We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process.