Nurse Practitioner / Administration / Oregon / Locum Tenens / Licensed Medical Provider (PA or NP) - AMC and WMS

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 Conduct admission histories and physicals for detox and residential patients; complete comprehensive assessments for outpatient AMC patients. Initiate, manage, and adjust treatment plans for substance use disorders, including buprenorphine, methadone coordination, naltrexone, and long-acting injectables under REMS/DEA guidelines. Provide daily and as-needed medical oversight for patients in withdrawal management and early stabilization. Manage acute and chronic medical conditions, including Hepatitis C, contraception counseling, STIs, wound care, and common primary care concerns. Order, interpret, and review laboratory results, diagnostic studies, and urine toxicology screens; utilize the Oregon PDMP as clinically indicated. Formulate and document individualized, evidence-based care plans with patient participation and informed consent. Provide education and counseling on recovery principles, harm reduction, and medication-assisted treatment options. Support and consult with nursing and counseling staff regarding medication management and medical conditions in both inpatient and outpatient settings. Administer or oversee the administration of subcutaneous and intramuscular medications following clean technique and best practices. Coordinate care transitions between detox, residential, and outpatient settings, ensuring safe discharge and follow-up. Maintain accurate, timely documentation in the EHR, including diagnoses, levels of service, and procedure coding. 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 Collaborate within interdisciplinary treatment teams to ensure holistic, trauma-informed care. Promote culturally responsive, equitable, and person-centered medical practice. Communicate effectively with outside providers, hospitals, and community resources for coordinated patient care. Uphold BestCare?s mission, vision, and values in all interactions. Comply with HIPAA, 42 CFR Part 2, and all organizational confidentiality policies. Maintain alignment with Oregon Medical Board standards, SAMHSA guidelines, and internal BestCare clinical protocols. Participate in professional development, required training, and continuous quality improvement initiatives. Support organizational efforts toward diversity, equity, and inclusion. Requirements: QUALIFICATIONS Education & Experience: Medical degree (PA, NP, MD, or DO) from an accredited program. Minimum one year of experience in addiction medicine, withdrawal management, or dual-diagnosis care. Strong foundation in adult primary care and chronic disease management. For individuals in recovery, at least two (2) years of continuous sobriety prior to hire. Licensure & Certification: Current Oregon license to practice medicine. Current BLS/CPR certification. DEA registration and authority to prescribe controlled substances in Oregon. DATA 2000 waiver (X-waiver) preferred. Preferred Qualifications: Experience in both outpatient and residential treatment settings. Bilingual English/Spanish preferred. Familiarity with Epic or similar EHR systems. COMPETENCIES Proficiency in motivational interviewing and trauma-informed communication. Effective interdisciplinary collaboration and clinical decision-making. Strong documentation and time management skills. Ability to balance acute stabilization with long-term recovery support. 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. Includes one assigned weekend per month for on-site and on-call coverage related to detox admissions and urgent medical needs. Occasional telehealth or extended-hour coverage may be required based on program needs.