Part-Time Provider; Physician​/NP​/PA; Night Shift

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

Seattle, WA ()
-Medical - ORCA Center

Job Type: Full-time

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.

• 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 Enforcement Agency.
• Experience or training in addiction medicine and harm reduction.
• Strong commitment to serving individuals with complex needs, including homelessness and co-occurring behavioral health conditions.
• Familiarity with trauma-informed care, harm reduction principles, and equity frameworks.
• Ability to remain open and receptive to constructive feedback.
• Strong ability to approach those with differing opinions with curiosity & active listening.
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