Part-Time Provider; Physician​/NP​/PA - ORCA Center

Schedule: Three (3) 12‑hour shifts with at least a 30‑minute lunch break, 7:00 pm – 7:30 am, over a two‑week period.

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 (17 days per year), Retirement Plan

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

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.

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.

• 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.

• 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.

• 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.

• Fully licensed as a Physician, Nurse Practitioner (Family or Adult NP), or Physician Assistant in the State of Washington.
• Registration with the Drug…