Description:
Licensed Medical Provider (PA or NP) – Hybrid: Withdrawal Management & Addiction Medicine Clinic in Redmond and Bend, OR
JOB SUMMARY
The Licensed Medical Provider (LMP) delivers comprehensive addiction medicine and primary care services across both inpatient withdrawal management (60%) and outpatient addiction medicine (40%) settings. This hybrid role provides medical evaluation, stabilization, and longitudinal care for patients with substance use disorders and co-occurring health conditions. The provider works as part of an interdisciplinary team including physicians, advanced practice providers, RNs, LPNs, CADCs, QMHPs, and CHWs to ensure high-quality, integrated medical and behavioral healthcare.
The position includes scheduled on-site and on-call responsibilities one weekend per month, conducting admission evaluations, issuing orders, medication management, and urgent medical coverage for withdrawal management clients.
ESSENTIAL FUNCTIONS
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Conduct admission histories and physicals for detox and residential patients; complete comprehensive assessments for outpatient AMC patients.
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Initiate, manage, and adjust treatment plans for substance use disorders, including buprenorphine, methadone coordination, naltrexone, and long-acting injectables under REMS/DEA guidelines.
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Provide daily and as-needed medical oversight for patients in withdrawal management and early stabilization.
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Manage acute and chronic medical conditions, including Hepatitis C, contraception counseling, STIs, wound care, and common primary care concerns.
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Order, interpret, and review laboratory results, diagnostic studies, and urine toxicology screens; utilize the Oregon PDMP as clinically indicated.
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Formulate and document individualized, evidence-based care plans with patient participation and informed consent.
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Provide education and counseling on recovery principles, harm reduction, and medication-assisted treatment options.
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Support and consult with nursing and counseling staff regarding medication management and medical conditions in both inpatient and outpatient settings.
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Administer or oversee the administration of subcutaneous and intramuscular medications following clean technique and best practices.
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Coordinate care transitions between detox, residential, and outpatient settings, ensuring safe discharge and follow-up.
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Maintain accurate, timely documentation in the EHR, including diagnoses, levels of service, and procedure coding.
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Participate in the monthly on-call rotation (approximately one weekend per month, additional shifts available if desired) to provide withdrawal management coverage, including telephonic support and urgent medical consultation.
TEAM & ORGANIZATIONAL RESPONSIBILITIES
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Collaborate within interdisciplinary treatment teams to ensure holistic, trauma-informed care.
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Promote culturally responsive, equitable, and person-centered medical practice.
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Communicate effectively with outside providers, hospitals, and community resources for coordinated patient care.
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Uphold BestCare’s mission, vision, and values in all interactions.
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Comply with HIPAA, 42 CFR Part 2, and all organizational confidentiality policies.
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Maintain alignment with Oregon Medical Board standards, SAMHSA guidelines, and internal BestCare clinical protocols.
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Participate in professional development, required training, and continuous quality improvement initiatives.
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Support organizational efforts toward diversity, equity, and inclusion.
Requirements:
QUALIFICATIONS
Education & Experience:
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Medical degree (PA, NP, MD, or DO) from an accredited program.
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Minimum one year of experience in addiction medicine, withdrawal management, or dual-diagnosis care.
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Strong foundation in adult primary care and chronic disease management.
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For individuals in recovery, at least two (2) years of continuous sobriety prior to hire.
Licensure & Certification:
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Current Oregon license to practice medicine.
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Current BLS/CPR certification.
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DEA registration and authority to prescribe controlled substances in Oregon.
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DATA 2000 waiver (X-waiver) preferred.
Preferred Qualifications:
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Experience in both outpatient and residential treatment settings.
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Bilingual English/Spanish preferred.
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Familiarity with Epic or similar EHR systems.
COMPETENCIES
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Proficiency in motivational interviewing and trauma-informed communication.
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Effective interdisciplinary collaboration and clinical decision-making.
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Strong documentation and time management skills.
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Ability to balance acute stabilization with long-term recovery support.
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Consistent adherence to evidence-based medical and ethical standards.
WORK SCHEDULE
This hybrid position is 0.75–1.0 FTE (approximately 30–40 hours/week), typically scheduled over 3–4 days per week, with flexibility between outpatient AMC and inpatient withdrawal management settings.
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Includes one assigned weekend per month for on-site and on-call coverage related to detox admissions and urgent medical needs.
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Occasional telehealth or extended-hour coverage may be required based on program needs.
