Opioid Treatment Nurse Practitioner

Are you interested in using your skills to address the opioid crisis in Pierce County? Are you looking for a position that will help you gain experience prescribing/ordering medications for the treatment of opioid use disorder? If this sounds like you, we invite you to apply for our new Advanced Registered Nurse Practitioner (ARNP) position with our treatment services public health clinic This is a Regular, Full-Time (1.0 FTE) position that offers the opportunity to participate in a learning and collaborative environment with the interdisciplinary team at the Public Health Clinic comprising of substance use disorder treatment services, street medicine, and sexual health teams.

* Position is open until filled - 1st review of applications 4/5/2026
* This is an advanced professional classification that works in collaboration with other health care team members to deliver patient-centered, trauma-informed care for individuals, including those with substance use disorder. This position supervision of other nurses and clinical staff to ensure the delivery of quality health care and health education to those seeking services. In addition, the Advanced Registered Nurse Practitioner (ARNP) provides hands-on care, develops evidence-based treatment plans, performs a variety of diagnostic workups, and prescribes medications.

Distinguishing Characteristics

This is a single-level classification within the nursing services field that is supported by clinic physicians and/or a Medical Director. This role works independently, under the general supervision of a physician. Employees in this classification work with sensitive and confidential information requiring a high level of discretion.

Essential Functions

* Provide high-quality direct patient care for patients seeking substance use disorder treatment, primary care, sexual health services, or other care deemed appropriate by the Health Officer or Medical Director.

* Maintain appropriate clinical documentation and bill appropriately for clinical services in a time-sensitive manner.

* Consult with Medical Director as soon as possible in all scenarios listed in the operating procedures and when unable to independently arrive to a safe and effective care plan for a patient.

* Maintain compliance with all relevant laws, regulations, policies, and guidelines.

Examples of Key Duties

The items in this section are the key duties and responsibilities for this job and do not represent an exhaustive list. Our organization is dynamic, and duties may change based on business needs. Any new duties will remain within the scope of the job.

* Act as a licensed Opioid Treatment Program (OTP) practitioner for outpatient substance use disorder treatment clinic working under indirect supervision of Medical Director. Obtain health and medical history, both general and specific, including but not limited to substance use history, sexual health history, family history, psychosocial/developmental histories and cultural information using patient centered, trauma informed care. Identify actual and potential health needs based on medical, behavioral, financial, and social factors.

* Perform comprehensive physical exams and focused physical exams depending on patients' needs. The ARNP may perform procedures within their scope of practice to include, but not limited to naloxone challenge testing, administration of long-acting buprenorphine, naltrexone, incision and drainage of abscess, placement of long-acting reversible contraception, removal of foreign body, sample collection, etc.

* Diagnose and manage substance use disorders, medical and psychiatric conditions with appropriate referrals.

* Develop and implement treatment plan; oversee the treatment plan throughout treatment. Longitudinal follow-up of patients. Obtain a collateral history. Consult with the Medical Director on complex cases and situations as noted in the operational procedures. Refer cases to physicians and allied health professionals for conditions outside the scope of practice to diagnose or treat.  Confer directly with one or more physicians regarding diagnosis and care management problems as needed.

Refers to community…