Nurse Practitioner - Primary Care

CareOregon, Inc.; United States; Hybrid; USD 141,000 - 172,000; Full time

Job summary

CareOregon, Inc. is seeking a Nurse Practitioner - Primary Care to deliver medical care in patient residences and via audio/video sessions, with emphasis on chronic disease management and palliative care.

The role may focus on Regular Care or Relief Care across multiple counties, with a flexible 32–40 hour schedule depending on needs. Responsibilities include comprehensive health assessments, care planning with the care team, medications management, referrals, and ensuring high-quality

Job description

Nurse Practitioner - Primary Care

This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas:

• Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention.
• Relief Care: Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office.

NOTE: We are accepting applications for future openings. These roles could be 32 hours to 40 hours a week, based on the candidate’s needs. Service areas could include the following counties: Multnomah, Washington, Clackamas, Clark, Clatsop, Columbia, and/or Marion. Service area and schedule preferences can be discussed with the Hiring Manager.

Estimated Hiring Range: $140,940.00 - $172,260.00. Bonus Target: Bonus - SIP Target, 0% Annual.

Essential Responsibilities

Clinical Service

• Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• Make referrals to appropriate social or medical agencies and practitioners.
• Identify, evaluate, and address the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• Order testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• Educate patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment.
• Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• Deliver quality care while maintaining all company metrics pertaining to productivity.
• Practice within the scope of license where applicable, and as required by law and regulation.
• Participate in the after-hours call schedule.

Administration

• Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Oversee the care plan/case management activities for assigned patients.
• Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• Provide coverage for clinical colleagues in their absence.
• Participate in quality improvement activities as assigned.
• Complete and maintain medical records according to agency protocols and in support of quality metrics.

Experience and/or Education Required

• Master’s degree from an accredited advanced nurse practitioner program.
• Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified).
• Drug Enforcement Administration (DEA) license.
• Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle.
• CPR certification at hire or within 6 months in position.

Preferred Minimum 2 years of related clinical experience.

Knowledge, Skills and Abilities Required

Knowledge

• Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care.
• Proficient in the practice of geriatrics and palliative care.
• Knowledge of principles, practices, and procedures of general medicine.
• Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries.
• Knowledge of sources of information and current literature applicable to the field of general medicine.
• Knowledge of the ethical and medico-legal aspects of medical practice.
• Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health.
• Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs.
• Knowledge of the principles and practices of clinical quality improvement.
• Familiar with the medical charting system.

Skills and Abilities

• Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters.
• Ability to perform medical diagnostic and treatment services.
• Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives.
• Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis.
• Ability to communicate clearly, compassionately, and concisely, both verbally and in writing.
• Ability to work within a team and take direction from other team members with expertise in the care plan development.
• Ability to adhere to organizational standards, policies, and procedures.
• Ability to work effectively with diverse individuals and groups.
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions.
• Ability to accept direction and feedback, as well as tolerate and manage stress and grief.
• Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day.
• Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day.
• Ability to walk, crouch, crawl and reach for at least 3 hours/day.
• Ability to operate a motorized vehicle in all kinds of weather conditions.

Work Conditions

Work Environment(s): Indoor/Office Community Outdoor Exposure

Member/Patient Facing: None Telephonic In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards.

Equipment: General office equipment.

Travel: This position requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Work Location: Hybrid-Community 2 days/week, member facing. Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment.

Schedule: Work a flexible schedule, including evenings and weekends.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

Total Rewards Program

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date.

Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.).

We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks.

Equal Opportunity Statement

We are an equal opportunity employer.

Housecall Providers is an equal opportunity employer.

Company Culture

Housecall Providers was recognized for our people-first culture. 95% of employees feel their managers care about their concerns, ranking us in the top 10% within our industry. 90% of employees feel motivated to give their best at work. We rank in the top 6% for work-life flexibility, demonstrating our dedication to supporting employees as whole individuals.

I love my job because… “I’m surrounded by innovative, driven, caring individuals who stop at nothing to provide the best quality care for our patients. Our reputation is top notch.” “I get to help, aid, and support patients in a way I could only dream about with my previous employer. I make a positive difference in all my patients’ lives.” “I have autonomy with the support I need when I need it. I get to help take care of a vulnerable population, which gives me pride in my job. I have wonderful co-workers who work hard every day and are fun, supportive and kind.”

Mission, Vision, Values

Mission: Improving lives by bringing health care home.

Vision: To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.

Values: We are champions for social justice. We are devoted to collaboration and teamwork. We cultivate authentic relationships to foster a sense of belonging. We’re steadfast about problem solving and timely execution. We relentlessly earn our patients” and customers’ loyalty. We deliver exceptional clinical outcomes for our patients. We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.

About the Organization

Housecall Providers is a pioneering nonprofit organization that was built on reviving a classic and needed approach to medical care: the medical house call. Since 1995, we’ve provided excellent, patient-centered, in-home medical care to homebound or chronically ill residents within the Portland tri-county area, and in 2024, we expanded our primary care services to include Marion and Polk counties. Over the years, our services have grown to include community-based palliative care, which now also serves Clatsop, Tillamook, Columbia, and Jackson counties, as well as a comprehensive hospice program.

What makes working here so meaningful? Housecall Providers employees share their stories and give us a glimpse into why they love their jobs. Hear stories about the way we live our values, the real support leadership offers, Housecall Providers' emphasis on work/life balance and much more.

In this video, you’ll hear how our nonprofit model prioritizes people over profits, creating space for comfort, dignity and connection.