Advanced Registered Nurse Practitioner - Buprenorphine Pathways Clinic & Mobile Team

King County; Seattle (WA); On-site; USD 120,000 - 160,000; Full time

Job summary

Pathways Clinic at Downtown Public Health in King County seeks an Advanced Registered Nurse Practitioner to join the Mobile Buprenorphine Team. The ARNP will deliver MOUD in field settings, administer long-acting injectables, and support care in non-traditional sites serving people experiencing homelessness and substance use disorders.

This role emphasizes equity, harm reduction, and collaboration with interdisciplinary partners.

Qualifications

• Master's or Doctor of Nursing Practice (DNP) from an accredited nursing school.
• Active WA RN and ARNP licenses in good standing; NPI and DEA registration.
• Current BLS CPR certification for Healthcare Providers.
• Valid WA driver's license.
• Successful credentialing and background checks.

Responsibilities

• Provide MOUD in field as part of Pathways Mobile Team.
• Prescribe and manage MOUD including buprenorphine and long-acting injectables; provide counseling.
• Offer care in clinic and mobile settings with cross-coverage when needed; coordinate care and document in EHR.
• Collaborate with community partners to support harm-reduction and outreach to vulnerable populations.

Skills

Clinical assessment

Buprenorphine MOUD

Trauma-informed care

Community outreach

Education

Master's or DNP in nursing

Tools

Electronic Health Records (EHR)

Job description

Pathways Clinic at Downtown Public Health is seeking a skilled and compassionate Advanced Registered Nurse Practitioner (ARNP) to join our interdisciplinary team providing service in the community as part of our mobile buprenorphine team. Pathways is an innovative harm-reduction program providing low-barrier access to Medications for Opioid Use Disorder (MOUD), urgent/walk-in medical care, and mobile outreach services for people experiencing homelessness, substance use disorders, and other complex health needs.

This ARNP role provides mobile field-based services and MOUD treatment, including administration of long-acting injectable medications, as well as some care coordination. The successful candidate in this role will be the primary provider on the Pathways Mobile Team providing long-acting injectable buprenorphine (LAIB) in the field. They will also cross-cover on a regular basis in the Pathways Clinic providing low-barrier buprenorphine and basic medical and/or psychiatric care depending on training.

Commitment To Equity and Social Justice

Named after Dr. Martin Luther King, Jr., one of the most influential civil rights leaders in our nation's history, King County is a vibrant international community with residents that represent countries from around the world. It is a region with increasing diversity that cherishes the traditions of many cultures.

The county government has a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all – in our workplaces and our communities. With this commitment, King County has adopted a pro-equity agenda to advance regional change and ensure that residents from all communities are incorporated into our emergency planning and public outreach efforts.

We recognize that structural racism consists of principles and practices that cause and justify an inequitable distribution of rights, opportunities, and experiences across racial groups. Since declaring Racism is a Public Health Crisis in June 2020, King County and Public Health committed to being intentionally anti-racist and accountable to Black, Indigenous and People of Color communities.

To learn more, please visit http://www.kingcounty.gov/elected/executive/equity-social-justice.aspx

Clinical Care (Clinic & Mobile Team)

• Conduct health histories, physical examinations, triage, and comprehensive assessments.
• Diagnose, develop differential diagnoses, identify risks, and create individualized treatment plans.
• Provide urgent medical care for individuals experiencing homelessness and substance use disorders.
• Order, perform, and interpret diagnostic tests; administer medications as needed.
• Provide follow-up assessments, preventive screenings, and longitudinal care for individuals receiving MOUD.
• Prescribe and manage MOUD, including buprenorphine and long-acting injectable medications. Provide medication counseling and patient education related to opioid and other substance use.

MOUD Prescribing & Administration

• Prescribe and manage MOUD, including buprenorphine and long-acting injectable medications.
• Provide medication counseling and patient education related to opioid and other substance use.
• Ensure safe storage, transportation, handling, and documentation of medications during mobile outreach operations

Mobile Outreach Responsibilities

• Provide MOUD services in the field throughout the Seattle area as part of an interdisciplinary mobile team.
• Administer long-acting injectable buprenorphine in non-traditional settings including encampments and shelters.
• Manage Pathways Mobile Team long-acting injectable buprenorphine supply, including safe storage, transportation, handling, and documentation of medications during mobile outreach operations.
• Conduct medical screenings, triage, health assessments, and follow-up care in nontraditional care settings.
• Collaborate with community partners including street medicine programs, harm-reduction services, and needle exchange programs

Care Coordination & Collaboration

• Facilitate specialty referrals, diagnostic services, and inpatient care as appropriate.
• Document care accurately and promptly in the electronic health record.
• Participate in quality assurance activities, workflow improvements, and care coordination initiatives.
• Provide training and education to staff, students, and volunteers.
• Support a trauma-informed, harm-reduction care environment for diverse and vulnerable populations.
• Other duties as assigned

Requirements

• Master's or DNP from an accredited school of nursing.
• Active and unencumbered license to practice in the State of Washington for both Registered Nurse and Advanced Practice Nurse Practitioner
• National Provider Identification (NPI) number and Drug Enforcement Administration (DEA) registration
• Documentation of current BLS CPR certification for Healthcare Providers
• Possess a valid Washington State driver's license in good standing
• Successful completion of background, pre-employment physical and credentialing

Desired

• Proficiency in a language other than English.

Work Schedule

This career service position is a fully benefitted, 1.0 FTE that will typically work within Monday-Friday, 8 a.m. and 5 p.m. and is overtime eligible. May work outside of the typical schedule to meet operational needs. This is a clinic-based position and telework is not possible.

Work Location

The primary work location for this position will be at various sites within King County but is based at 2124 4th Ave, Seattle, WA 98121.

Union Affiliation

Washington State Nurses Association (WSNA).

Contact

Contact: Amy M. Curtis, BSN, RN, Nursing Workforce Manager at [e-mail] with any practice related questions.

King County's Vision, Mission, and ACTIVATE Values unite us

King County serves residents with a relentless sense of urgency, delivering on commitments with transparency and accountability. We are action-oriented, creative problem solvers who collaborate across roles, engage directly with communities, and challenge the status quo to achieve meaningful impact. As a unified team, we uphold high ethical and stewardship standards, embrace change, stay curious, and continuously improve. Across all interactions, we listen first, act quickly, and stay aligned as a team to earn and sustain public trust. Learn more about our Vision, Mission, and ACTIVATE Values here and visit our Why work at King County page here.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on sex, race, color, national origin, ethnicity, religious affiliation, disability, sexual orientation, gender identity or expression, age except by minimum age and retirement provisions, pregnancy, status as a family caregiver, parental status, marital status, military status or status as a veteran who was honorably discharged or who was discharged solely as a result of the person's sexual orientation or gender identity or expression, citizenship or immigration status, genetic information, or other protected class. However, to the extent that distinction or differential treatment on the basis of citizenship or immigration status is authorized by either federal or state law, regulation, or government contract, it is not an unfair practice.

Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

Necessary Special Requirements

• The selection process may include evaluation of application materials and supplemental questions, interviewing, and testing. You must completely fill out the application with your relevant education and work experience.
• The selected candidate must be able to pass credentialing, pre-employment physical, and a thorough background investigation, but findings may not necessarily disqualify an applicant for employment.
• For more information on our selection process, please refer to www.kingcounty.gov/depts/health/jobs/hiring. For tips on interviewing, please visit https://www.kingcounty.gov/~/media/audience/employees/learning-and-development/Interview_Tips.ashx?la=en.
• Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law.
• Public Health relies on office automation (Microsoft Office) and web-based enabled tools; therefore, candidates must be proficient and comfortable with computer use to perform functions associated with on-going work.
• Employees are required to adhere to OSHA/WISHA guidelines including but not limited to completing their mandatory trainings on time and obtaining required immunizations.
• Regular and reliable attendance, effective communication skills, and development of effective working relationships are requirements of all Public Health positions.
• When Public Health responds to an emergency, and in accordance with relevant CBA language and/or KC policy and procedures, we may assign duties outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department.
• If you need a disability accommodation in the application or testing process, please call the contact number listed on the job announcement.