Full- or Part-Time Provider (Physician/NP/PA) - Night Shift

Schedule/FTE: This position offers flexibility to be structured as either part-time (0.5 FTE) or full-time (1 FTE), depending on the selected candidate's preferred schedule. Candidates seeking either a part-time or full-time opportunity are encouraged to apply.

• Full-Time (1 FTE): Three (3) 12-hour shifts with at least a 30-minute lunch break, 7:00 pm – 7:30 am, per week; and one additional 12-hour shift every 4 weeks.
• Part-Time (0.5 FTE): Three (3) 12-hour shifts with at least a 30-minute lunch break, 7:00 pm – 7:30 am, over a two-week period.

Salary Range:

• Full-Time (1 FTE): $160,836.00 - $177,575.76 annually
• Part-Time (0.5 FTE): $80,418.00 - $88,788.24 annually

Shift Differential: $3.25 per hour

Supervised by: ORCA Center Senior Medical Lead Physician

Insurance Benefits: Medical, Dental, Life, Long-term Disability

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (255 hours per year for full-time, pro-rated for part-time), Retirement Plan

Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW

About DESC:

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions. Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.

DESC operates five shelter/emergency housing programs, 19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.

JOB OVERVIEW:

This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center. The ORCA Center is open 24 hours per day, 7 days per week, including holidays. It offers four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants and peer specialists, with operational leadership support:

• Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments.
• Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred.
• Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis.
• Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation.

This is a clinical role without administrative or supervisory duties.

PRIMARY RESPONSIBILITIES:

Clinical Care

• Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation.
• Conduct harm reduction counseling and provide services related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP).
• Manage and treat conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care.
• Perform initial health assessments and follow-up visits for individuals starting or continuing MOUD.
• Educate patients on health-related topics, treatment plans, and harm reduction strategies.
• Document clinical care in accordance with DESC and regulatory standards.

Care Coordination

• Collaborate with an interdisciplinary team of clinicians, peer specialists, and social workers to provide holistic care.
• Ensure continuity of care for individuals transitioning between ORCA Center services and other health care providers.

Professional Development

• Stay updated on best practices in addiction medicine and harm reduction through continuing education.
• Participate in in-service training and case discussions to maintain high clinical standards.