Advanced Practice Clinician - Harm Reduction Clinic

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

Pay Range:

$61.73 - $78.95 Hourly

Department:

Health Department

Job Type:

Regular Represented

Exemption Status:

United States of America (Non-Exempt)

Closing Date (Open Until Filled if No Date Specified):

The Opportunity:

THIS WORK MATTERS!

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

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

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

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

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

As the Advanced Practice Clinician, responsibilities include:

Clinical Care

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

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

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

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

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

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