The Recovery Village jobs - 8,226 jobs

At New Directions Northwest in Baker City, our Psychiatric Nurse Practitioners play a vital role in delivering compassionate, high-quality mental health care to individuals across our community. As a PMHNP, you will provide comprehensive psychiatric evaluations, medication management, and collaborative treatment planning-helping clients achieve stability, recovery, and improved quality of life. New Directions Northwest is committed to supporting the professionals who make this work possible. We offer competitive salary, excellent benefits, and a supportive, team-based environment that values clinical expertise, autonomy, and work-life balance. Our integrated care model allows PMHNPs to work closely with counselors, case managers, and crisis teams to ensure coordinated, client-centered care. If you are driven by clinical excellence, compassion, and a desire to make a meaningful impact in a rural community, New Directions Northwest in Baker City offers an opportunity to practice at the top of your license while truly changing lives. Psychiatric Mental Health Nurse Practitioner (PMHNP) The Psychiatric Mental Health Nurse Practitioner (PMHNP) provides comprehensive psychiatric evaluation, diagnosis, and medication management services to adults and youth in multiple behavioral health settings, including outpatient, addiction residential, detox, crisis respite, and correctional/jail-based programs. The PMHNP ensures all care is compliant with OAR 309-019 (outpatient standards), OAR 309-018 (residential and detox standards), and the Oregon State Board of Nursing (OSBN) scope of practice. The position also ensures adherence to MHACBO ethical standards for integrated behavioral health and addiction care. Essential Duties and Responsibilities 1. Clinical Evaluation & Treatment Conducts comprehensive psychiatric evaluations, diagnostic assessments, and risk screenings. Develops individualized medication and treatment plans consistent with OAR 309-019 and OAR 309-018 standards. Provides Medication-Assisted Treatment (MAT), including Suboxone and other FDA-approved pharmacotherapies for substance use disorders. Evaluates and manages mental health and co-occurring disorders in outpatient, residential, detox, and crisis respite settings. Coordinates with jail staff and behavioral health providers to deliver psychiatric care to incarcerated individuals. 2. Medication Management Prescribes, monitors, and adjusts psychiatric and addiction-related medications according to clinical guidelines. Ensures all prescriptions, MARs, and medication orders are documented in the Electronic Health Record (EHR) accurately and timely. Responds promptly to refill requests and pharmacy communications. Monitors for adverse effects, withdrawal symptoms, or medication non-adherence. Provides patient education regarding medications, potential side effects, and adherence strategies. 3. Coordination of Care Collaborates with therapists, RNs, case managers, and addiction counselors to ensure integrated, team-based care. Maintains communication with external prescribers, primary care providers, hospitals, and specialty clinics for continuity of care. Participates in interdisciplinary treatment team meetings and care planning. Refers clients appropriately for higher or lower levels of care as clinically indicated. 4. Documentation & Reporting Completes progress notes, treatment plans, and medication records consistent with OAR 309-019-0130 and OAR 309-018-0105 documentation standards. Documents all encounters within required timeframes, ensuring compliance for billing, audits, and quality review. Documentation completed within 36 hours of start of service? Maintains accurate medication logs, prescribing records, and encounter summaries. Ensures documentation meets OHA, OSBN, MHACBO, and HIPAA requirements. 5. Compliance & Ethics Practices in alignment with OAR 851-050 (OSBN Nurse Practitioner Scope of Practice). Adheres to the MHACBO Code of Conduct and Ethics and Oregon State Board of Nursing ethical guidelines. Maintains confidentiality under OAR 309-019-0115, HIPAA, and 42 CFR Part 2. Reports suspected abuse or neglect in accordance with ORS 419B.010 and 430.765. Participates in quality improvement initiatives and clinical peer review as requested. 6. Professional Conduct & Collaboration Demonstrates clear, respectful, and professional communication with clients, staff, and external partners. Participates in clinical meetings, case staffings, and continuing education opportunities. Maintains a cooperative working relationship with all program areas to ensure quality care transitions between outpatient, residential, and crisis programs. Consults with the Medical Director and other prescribers as needed for case review or medication coordination. 7. Attendance & Workplace Standards Maintains reliable, in-person attendance as an essential job function. Requests vacation and personal leave at least 30 days in advance. Complies with BOLI OAR 839-020 regarding work hours, rest, and meal periods. Submits time documentation and clinical records promptly. Adheres to New Directions Northwest professional standards for workplace behavior, dress, and safety. Minimum Qualifications Licensure: Active Oregon Nurse Practitioner (NP) license with Psychiatric-Mental Health (PMHNP) certification. DEA registration for prescribing controlled substances. Buprenorphine waiver (DATA 2000 / MAT authorization) preferred or ability to obtain within 90 days. Minimum two (2) years of psychiatric experience in behavioral health or addiction treatment. Familiarity with OAR 309-019 and OAR 309-018 program standards. Strong knowledge of DSM-5, ASAM Criteria, and trauma-informed care. Excellent written and verbal communication skills; ability to work in a multidisciplinary setting. Must pass background check under OAR 407-007-0200 to 407-007-0370 Preferred Qualifications Experience providing MAT in detox or jail-based environments. Familiarity with EHR systems and integrated documentation workflows. Experience in rural or frontier behavioral health settings. Work Environment Clinical work may occur in outpatient clinics, residential programs, medical detox units, crisis respite centers, or jail facilities. May involve limited travel between program sites. Must adhere to all facility and infection-control safety requirements. Supervision Reports To: Clinical Director

Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases. Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications: Experience Minimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP. Education Certification of Completion from AORN recognized RNFA course. Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program. License, Certification, Registration Registered Nurse License (Oregon) Nurse Operating Room Certificate Basic Life Support Additional Requirements: Meets all qualification of an RNFA as outlined in AORN Position Statement. Must maintain CNOR and RN licensure with the required amount of Continuing Education. Preferred Qualifications: Minimum two (2) years of practice as an RNFA. CRNFA certification preferred. Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred. Notes: Fair share call

Under direct supervision, operates CT scanners and other radiographic equipment to produce high quality diagnostic images. To perform all duties, including clerical duties as needed, in a manner which promotes team concepts and reflects the KPNW mission and philosophy. Essential Responsibilities: Performing diagnostic procedures, using knowledge, skills and abilities required for age of patient served to include: routine, emergent, biopsy, and/or special procedure examinations in accordance with department policies and procedures. Communicate all necessary information to other members of the health care team. Provides service-orientated communication with the patient; explaining procedure; answering questions. Applies appropriate measures (ALARA principles) for minimizing radiation exposure. File work/Reception/computer including PACs functions. Administering contrast media as directed, in accordance with all policies and procedures. Protocol exams according to established departmental directives. Assist with screening patients for contraindications. Quality Assurance functions and troubleshoot equipment. Restocking supplies/cleaning. Maintains general order and cleanliness of room assigned. Performs other duties as assigned. Assist with patient transport as needed. Reports equipment malfunctions appropriately. Participate in on-call or standby schedule as assigned. Basic Qualifications: Experience Minimum one (1) year experience as a CT technologist within the past 2 years or minimum six (6) months experience in an acute hospital setting within the last year. Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Diagnostic Radiologic Technologist License (Oregon) required at hire OR Certified Radiologic Technologist (Washington) required at hire American Registry of Radiologic Technologists Certificate - Computed Tomography required at hire Radiologic Technologist Certification required at hire from American Registry of Radiologic Technologists Basic Life Support within 1 months of hire Additional Requirements: Proof of continuing education. Mandatory Infection control education and training will occur on an annual basis. Knowledge and skills in Infection Control shall be evaluated annually on an oral or written bases per KPNW policy and/or requirements. Demonstrates customer-focused service skills. Ability to use and apply excellent communication and interpersonal skills with peers and administration. Performs all functions at a high level of competence without direct supervision. IV Certification will be obtained annually. Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: Prior CT work experience using helical and/or multi-detector technology. Attendance at CT and cross-sectional anatomy courses. Organizational skills, time management, prioritization, planning; attention to detail; problem solving, decision making, judgment; technical skills; initiative; communication, interpersonal skills, customer relations, organizational relations; adaptability; flexibility. Knowledge of cross-sectional anatomy. Knowledge of Policies and Procedures. Associates degree or higher in Radiologic Science or related field. Bachelors degree in Radiologic Science. Notes: - Will support operations for Radiation Therapy CT scanner in IROC and NucMed PET scanner in South Interstate as coverage for contrast exams permits.

PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. PRINCIPAL DUTIES AND RESPONSIBILITIES: Supervision Responsibilities Ensures the extent, kind, and quality of counseling performed is consistent with the education, training, and experience of the supervisee. Monitors and evaluates the supervisee's assessment, diagnosis, and treatment decisions and providing regular feedback. Monitors and evaluates the supervisee's ability to provide services at the site or sites where he or she is practicing and to the particular clientele being served. Monitors and addresses clinical dynamics, including, but not limited to, countertransference , intrapsychic-, interpersonal-, or trauma-related issues that may affect the supervisory or practitioner-patient relationship. Ensures the supervisee's compliance with laws and regulations governing the practice of marriage and family therapy. Reviews the supervisee's progress notes, process notes, and other patient treatment records, as deemed appropriate by the supervisor. With the client's written consent, provides direct observation or review of audio or video recordings of the supervisee's counseling or therapy, as deemed appropriate by the supervisor. Patient Assessment / Care Planning / Counseling As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. Provides educational and goal directed counseling to patients who are seeking transplant. Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. Documents based on MSW interaction and interventions provided to patient and/or family. Quality Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. Patient Education Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. Collaborates with the team on appropriate QAI activities. Patient Admission and Continuity of Care Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. Insurance and Financial Assistance Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. In collaboration with Financial Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills. Staff Related Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Provides training to staff pertaining to psychosocial topics as needed. Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. Adheres to work defined caseload guidelines based on state regulatory requirements. Performs other related duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Travel required (if multiple facilities) SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Masters in Social Work State Specific Licensure Required EXPERIENCE AND SKILLS: 2 - 5 years' related experience Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

To provide diagnostic services in a hospital and/or clinical setting, to include clerical duties as required. To perform all duties in a manner that promotes team concepts and reflects the KPNW Mission and philosophy. Essential Responsibilities: Performing diagnostic radiological procedures, utilizing diagnostic radiographic equipment. Using skills and abilities required for age of patient served to include: routine, emergent, portable, surgical and fluoroscopic examinations in accordance with department policies and procedures. Image processing. Understands, use the current RIS and PACS system. Work under the supervision of radiologist on an as needed basis. Work with radiologist: on film Quality Assurance, exam clarification. Perform ECG (As required). Patient/transport. File work. Restocking supplies/cleaning. Responsible for patient registration and patient scheduling. Participate in an on-call or standby schedule as required. Other duties as assigned. Basic Qualifications: Experience N/A Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Diagnostic Radiologic Technologist License (Oregon) OR Certified Radiologic Technologist (Washington) Basic Life Support within 1 months of hire Radiologic Technologist Certification required at hire from American Registry of Radiologic Technologists Additional Requirements: Daily use of diagnostic equipment, Imaging and health care computer system. Demonstrates customer-focused service skills. Ability to use and apply excellent communication and interpersonal skills with all personnel. Proficient knowledge of radiology equipment and exams to perform fluoroscopy, DXA, surgery, portable and routine radiographic exams. Preferred Qualifications: Experience performing general radiographic exams using digital equipment within the last three (3) years. Organizational skills; time management, prioritization, planning; attention to detail; problem solving, decision making, judgment; technical skills; initiative, communication, interpersonal skills, customer relations, organizational relations. Adaptability; following Policies and Procedures; flexibility. Experience with McKesson PACS. Experience with EPIC electronic medical records system. Associates degree in Radiologic Science or related field.

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum nine (9) months of RN experience. One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the ED. Education Graduate of an accredited nursing program License, Certification, Registration Emergency Nursing Pediatric Course within 6 months of hire OR Pediatric Advanced Life Support within 6 months of hire. Registered Nurse License (Oregon). NIH Stroke Scale Certificate within 3 months of hire. Advanced Cardiac Life Support. Basic Life Support required at hire. Additional Requirements: Computer keyboarding skills. Emergency Nursing Pediatric Course. Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. CEN preferred. TNCC preferred. Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred. A desire and ability to function within the nursing process preferred. A desire and ability to function within professional and personnel standards as defined. Ability to use and apply effective communication and interpersonal relationship skills preferred.

We save lives while providing the opportunity for people to realize their healthy selves.: Family Therapist (Bilingual in Spanish preferred) Clementine West Linn West Linn, Oregon Clementine West Linn, located in West Linn, OR, is a residential treatment program exclusively for adolescents seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. At Clementine, we support adolescents and their families on the path to full recovery by preparing each adolescent to navigate the challenges of life free of the eating disorder. We provide the empathy, education, and support to families as partners in the recovery process. We help each adolescent to replace the eating disorder with healthy skills and a deep understanding of how to live a life that reflects their own unique individuality. We are seeking a full-time Family Therapist to provide therapy to our clients and their families. Schedule: Tuesday - Saturday; Day shift; 1 late night per week (12:00 to 8:00 PM) #LI-ONSIT Total Rewards:: Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: Competitive compensation Medical, dental, and vision insurance coverage (Benefits At a Glance) Retirement Company-paid life insurance, AD&D, and short-term disability Employee Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Paid time off Professional development And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Responsibilities Include:: Provide weekly family therapy and caregiver coaching calls Facilitate group therapy for clients and families Provides meal support with clients Participate in ongoing care management Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications:: Master's degree, at minimum, in clinical counseling or related discipline. Bilingual in Spanish Licensed (or license-eligible) preferred in a counseling field (e.g., Psychologist, LMFT, LCSW, etc.). Prior experience treating those with eating disorders in a residential or inpatient setting is very helpful. Knowledge of diversity, equity and inclusion practices #clementine

Are you a skilled Respiratory Therapist looking for a role where your expertise makes a real difference? Join the dedicated Respiratory Therapy team at the Samaritan North Lincoln Hospital, where you'll work alongside a supportive team to make a difference in the lives of our patients every day. Where: Lincoln City, located 90 minutes from the bustling city of Portland, is ideally situated along seven miles of sandy beach on the central Oregon Coast. Enjoy the many benefits of this close-knit community known for residents who are generous, caring, and involved. Enjoy the beaty of nature in the area's beaches, forests, rivers, and Devils Lake. Why This Role Is Special: Impactful Work: As a Respiratory Therapist, you'll provide effective respiratory care through comprehensive assessments, diagnostics, therapeutics, and patient education. Your care will be initiated by physician orders and established protocols, making a direct impact on the health and well-being of our patients. Supportive Team Environment: Our staff genuinely cares about each other, creating a responsive and lighthearted atmosphere. About Our Respiratory Therapy Department: Our Respiratory Therapy team at Samaritan Health Services delivers treatment and diagnostic services to both critical and non-critical patients across all age groups. We use evidence-based techniques to treat cardiopulmonary conditions and provide compassionate care that makes a difference in the lives of our patients every day. What You'll Bring: Credentials: Current registration by the National Board of Respiratory Care (NBRC-RRT) required. Licensing: Current Oregon Respiratory Care License required. Certifications: Healthcare Provider BLS certification is required. ACLS and PALS certifications required within 90 days of hire. NRP certification required within six (6) months of hire. Experience: Two (2) years of clinical experience in Respiratory Care preferred. Skills That Set You Apart: Patient Care: Apply your knowledge to provide high-quality care, recognizing symptoms, drug interactions, and preventive measures within your scope of practice. Communication: Use strong written and verbal communication skills to clearly explain complex issues, present information to groups, and facilitate team collaboration. Time Management: Thrive in a dynamic environment by effectively prioritizing tasks and managing multiple responsibilities under pressure. Conflict Resolution: Resolve conflicts constructively by handling complaints and disputes with a positive, solution-oriented approach. Social Perceptiveness: Work with diverse patient populations, understanding age-related differences in care and maintaining sensitivity to the needs and experiences of patients and their caregivers. Medical Terminology: Possess a solid understanding of medical records, terminology, procedures, and the ability to interpret policies and regulations. Why Join Us? Professional Growth: We support continuing education with tuition reimbursement, CME opportunities, and cross-training in different modalities. Fun & Fulfilling Environment: We push for excellence while also fostering a fun and enjoyable workplace culture.

We save lives while providing the opportunity for people to realize their healthy selves.: Primary Therapist Monte Nido Eating Disorder Center of Portland Portland, Oregon Monte Nido Eating Disorder Center for Portland, is a primary eating disorder day treatment program exclusively for aadults seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. Through partial hospitalization and intensive outpatient programming, clients participate in group and individual therapy, benefit from Monte Nido's clinical, medical, psychiatric and nutritional expertise and experience real life challenges. We are seeking a full-time Primary Therapist to join our multi-disciplinary treatment team. Schedule: Monday - Friday; Daytime hours, full time #LI-ONSITE Total Rewards:: Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: Competitive compensation Medical, dental, and vision insurance coverage (Benefits At a Glance) Retirement Company-paid life insurance, AD&D, and short-term disability Employee Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Paid time off Professional development And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Responsibilities Include:: Providing individual, group, and family therapy Serving as liaison with families and outpatient providers Interact with insurance companies for pre-certification and utilization management Participating in discharge and aftercare planning Therapeutic meal support, while modeling a healthy relationship with food Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications:: Master's degree in clinical counseling or related discipline, at minimum State license (or license-eligible) in a counseling field (e.g., Psychologist, LMFT, LCSW, LPC) Prior experience with eating disorders and higher levels of care is helpful Knowledge of diversity, equity and inclusion practices #montenido

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the EMR. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications: Experience Minimum one (1) year of labor and delivery or post partum experience. Education Graduate of an accredited nursing program. License, Certification, Registration This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire. Registered Nurse License (Washington) within 3 months of hire OR Compact License: Registered Nurse within 3 months of hire Registered Nurse License (Oregon) within 3 months of hire Neonatal Resuscitation Program required at hire Basic Life Support required at hire Additional Requirements: Computer keyboarding skills. Demonstrated knowledge of high risk medication administration (Magnesium/Oxytocin/Insulin). Demonstrated knowledge to support maternal-newborn teaching. Preferred Qualifications: Previous health care experience. Bachelors degree in nursing or related field. Minimum three (3) years of labor and delivery experience. Minimum three (3) years of postpartum experience. Minimum one (1) year of medical/surgical nursing experience.

Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed. Basic Qualifications: Experience Two (2) years of intra-operative scrubbing and circulating experience. One (1) year of recent experience, within the last two (2) years, as an RNFA or successful completion of a CCI recognized RNFA course and agreement from ASC. Education N/A License, Certification, Registration Registered Nurse License (Oregon) Advanced Cardiac Life Support Basic Life Support Nurse Operating Room Certificate Additional Requirements: Meets all qualifications of an RNFA as outlined in AORN Position Statement. Preferred Qualifications: Two (2) to five (5) years of practice as an RNFA. CRNFA Certification preferred. Ability to assist on all cases performed within Surgical Services.

The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by our health care team. In short, they are the face of wellness at Legacy. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity as an Registered Nurse on our Resource Team. Responsibilities: The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by our health care team. In short, they are the face of wellness at Legacy. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity. The primary function of this job is to be available and flexible to float to various sites throughout Legacy Health System and provide patient care. Participates as a member of the health care team in cooperation with and under the direction of a clinical manager or designee as defined by the relevant Standards and Scope of Practice for the Registered Nurse. The RN Resource Team assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Legacy Health including those for patient assessment and transfer. This job is paid at a flat rate plus appropriate differentials while working. This position will float to Randall Children's Hospital - PICU, NICU and Pediatric Floors and Salmon Creek NICU. Qualifications: Education: As required by licensure. BSN or degree in progress strongly preferred. BSN may be required for specific assignments; experienced RNs without a BSN may be hired based on clinical experience with approval of the site CNO. Experience: Three years registered nursing experience required. Three years pediatric nursing experience required (NICU, PICU, Children's Emergency Department and/or Pediatrics). PALS required. NRP required within 6 months of hire. Additional clinical experience requirements may vary dependent upon the specific department in which the position is utilized. Knowledge/Skills: Demonstrated ability of positive interpersonal and communication skills with colleagues, patients, families, physicians and the community. Keyboard skills and ability to navigate electronic systems applicable to job functions. Licensure: Both Oregon and Washington state RN licensure required. AHA BLS for Healthcare Providers required. PALS required. NRP required within 6 months of hire. Pay Range: USD $83.60 - USD $83.60 /Hr. Our Commitment to Health and Equal Opportunity: Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************

At New Directions Northwest in Baker City, the Mobile Crisis Team Supervisor plays a critical leadership role in delivering compassionate, effective care during moments of urgent need. This position is ideal for a seasoned professional who can guide, support, and mentor crisis staff while ensuring high-quality, timely crisis response for individuals and families in the community. As a supervisor, you will help shape crisis services, promote best practices, and ensure that both clients and staff are supported in high-pressure situations. New Directions Northwest values strong leadership and clinical excellence. We offer competitive salary, excellent benefits, and a collaborative, mission-driven work environment that recognizes the intensity and importance of crisis work. Supervisors receive organizational support, opportunities for professional growth, and the ability to make a meaningful impact at both the individual and system level. If you are a confident leader with a passion for crisis intervention and community-based care, the Mobile Crisis Team Supervisor role at New Directions Northwest in Baker City offers the opportunity to lead with purpose and make a lasting difference. Job Title: Mobile Crisis Team Supervisor Department: Crisis Services Reports To: Kelli Wright - Director of Community - Based Services FLSA Status: Exempt Location: Baker City, Baker, Oregon Position Summary: The Mobile Crisis Team Supervisor provides clinical and operational oversight for the Mobile Crisis Team (MCT), ensuring rapid and effective responses to behavioral health crises in the community. This role also oversees the admission and discharge processes for individuals accessing the Crisis Respite Center and the Community Stabilization Center. The supervisor ensures that services are trauma-informed, person-centered, and meet all applicable state regulations and organizational policies. The role requires strong clinical judgment, leadership skills, adaptability, and the ability to navigate complex systems of care. Essential Duties and Responsibilities: Mobile Crisis Supervision: Supervise day-to-day operations of the Mobile Crisis Team, including scheduling, staff support, and clinical oversight. Provide supervision and guidance to crisis response staff, including licensed and unlicensed clinicians, peers, and support staff. Ensure timely, trauma-informed, and culturally responsive response to community-based mental health and substance use crises. Participate in mobile response when needed, including during high-volume periods or staffing shortages. Review and approve clinical documentation, safety plans, and crisis assessments. Monitor response times, service quality, and team performance, using data to drive improvements. Coordinate with law enforcement, EMS, hospitals, schools, and other community partners to ensure appropriate crisis response and follow-up. Regular in-person attendance is mandatory to ensure timely coordination with providers, internal teams, and external agencies. Admissions and Discharges Oversight: Oversee and coordinate all admissions and discharges for the Crisis Respite Center and the Community Stabilization Center. Ensure appropriate screening, eligibility determination, and clinical appropriateness for entry into crisis respite and stabilization programs. Work collaboratively with crisis staff, outpatient teams, residential programs, and hospitals to facilitate smooth transitions and continuity of care. Ensure discharge plans are thorough, individualized, and connected to ongoing services and supports. Leadership and Administration: Provide regular clinical supervision and performance evaluations for assigned staff. Lead team meetings, case consultations, and staff debriefings to ensure coordinated care and staff wellness. Participate in program development, policy updates, and quality improvement initiatives. Ensure compliance with Oregon Health Authority (OHA), CCBHC, and other regulatory standards. Monitor and maintain program documentation, billing practices, and client records in accordance with HIPAA and agency standards. Participate in after-hours on-call rotation as needed to support 24/7 operations. Required Qualifications: Master's degree in Counseling, Social Work, Psychology, or a related behavioral health field. Licensure in Oregon (e.g., LCSW, LPC, LMFT, or Clinical Psychologist) required or eligible within 6 months. Minimum of 3 years of clinical experience in crisis intervention or emergency behavioral health services. Minimum of 1 year of supervisory or program coordination experience preferred. Knowledge of Oregon behavioral health systems, crisis intervention models, and community resources. Strong leadership, organizational, and communication skills. Ability to respond to crises in the field and provide support in dynamic, high-pressure situations. Familiarity with trauma-informed care, harm reduction, recovery-oriented practices, and culturally competent care. Working Conditions: This position requires in-person availability and on-site supervision. Frequent travel throughout the community in a provided vehicle or mileage reimbursement arrangement. May require evening, weekend, or on-call hours, depending on operational needs. Work may involve exposure to individuals in acute distress, requiring de-escalation and crisis management skills.

Serenity Hospice is seeking an RN Case Manager for our Portland Metro team. Looking for meaningful work with supportive leadership and great benefits? At Serenity Hospice, we help families through their toughest moments - and we support our nurses every step of the way. We prioritize connection over quotas, to build trust and truly focus on care. Schedule: Monday-Friday, 8am to 5pm What We offer: Great culture and team atmosphere Comprehensive benefits, including medical, dental, and vision, effective on the first of the month 401(k) retirement plan with a generous company match Generous time off accruals Paid holidays Mileage reimbursement Tuition Reimbursement Employee Referral Program Hospice Certification benefit and salary increase Merit Increases Employee Discount Programs What You'll Do: Assume primary responsibility for patient and family caseload, including the assessment, determining eligibility, admission processing, planning, implementation, and evaluation phases of the nursing process Obtain data and assess necessary information from patient physical, psychological, social, and spiritual factors that may impact the patient and family's needs and initiate intervention by other members of the interdisciplinary team Initiate communication with the attending physician, interdisciplinary team, and other agencies for the purpose of coordinating optimal care Provide regular visits to re-assess the patient's needs and update the plan of care Perform clinical pronouncement of death and provide support to the family Maintain accurate patient records, charts, progress notes, reports and prepare care plans timely Supervise and document delivery of care by the Home Health Aide as required by Federal, State, and Company guidelines Qualifications: Graduate from an accredited registered nursing program Licensed as a registered nurse in the state of practice Must possess current CPR, First Aid Certification Must be knowledgeable of quality assessment and assurance procedures Valid driver's license and proof of insurance is required #ACHOS #INDEEDHOS Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: ***************************************************************************

Assists credentialed provider with all diagnostic, interventional and therapeutic procedures within the cardiac and vascular laboratory environments. Performs all duties in a manner that promotes teamwork and reflects KPNW mission and philosophy goals. Works under direct supervision of a credentialed provider. Essential Responsibilities: Monitors radiation safety and completes the necessary administrative tasks to ensure proper documentation and compliance. Actively performs quality assurance functions of x-ray equipment and protective garments/accessories, trouble shoots equipment problems and initiates vendor service call. Assists hospital radiation safety officer in survey and compliance documentation for the CVLs. Familiarity with use of IVUS machine and Site Rite ultrasound machine. Familiarity with PACS image retrieval for presentation during active cases. Serves as scrub assistant or monitor/recorder for cardiology and radiology studies. Prepares and position patients for invasive procedures. Assists with cardiovascular tests and record patients hemodynamic activity using specialized electronic test equipment, recording devices and laboratory instruments. Obtains hemostasis at arterial and venous access sites post-procedure, including removal of sheaths and safe management of hemostatic devices. Sets up, maintains and troubleshoots Intra Aortic Balloon Pump when required. Recognizes cardiac arrhythmias and hemodynamic waveforms and alerts credentialed provider and other team members during procedures and according to protocol. Administers intra-coronary and/or intra-arterial medications under direct supervision of the physician. Prepares and maintains sterile field using aseptic technique for testing. Prepares, maintains, and operates hemodynamic and monitoring equipment. Performs basic and advanced life support when required, including defibrillation. Maintains proficiencies to perform point of care tests on lab equipment such as activated clotting time (ACT), oxygen saturations, & glucose testing, and arterial blood gases (ABG). Performs patient teaching of procedures. Works on call and is required to respond on-site within 30 minutes of call. Restocks supplies, maintains clean work area; file room work area. Assists with transportation of patients. Basic Qualifications: Experience Minimum twelve (12) continuous months of cardiac cath lab, EP, and/or Special procedures work experience within the last three (3) years. Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education Successful completion of an accredited program in radiologic technology (ARRT). License, Certification, Registration Certified Radiologic Technologist (Washington) OR Diagnostic Radiologic Technologist License (Oregon) Registered Cardiovascular Invasive Specialist Certificate within 12 months of hire OR American Registry of Radiologic Technologists Certificate - Cardiac Interventional Radiography within 12 months of hire from American Registry of Radiologic Technologists OR Registered Cardiac Electrophysiology Specialist Certificate within 12 months of hire OR American Registry of Radiologic Technologists Certificate - Vascular Interventional Radiography within 12 months of hire from American Registry of Radiologic Technologists Radiologic Technologist Certification from American Registry of Radiologic Technologists Advanced Cardiac Life Support within 2 months of hire Basic Life Support within 1 months of hire Additional Requirements: Proof of continuing education to maintain registry. Demonstrates customer-focused service skills. Ability to use and apply excellent communication and interpersonal skills with peers and administration. Performs all functions at a high level of competence without direct supervision. Must be able to comply with departmental policy for 30-minute response time for after-hour call backs. Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: Minimum two (2) years of recent EP, interventional cardiac, and/or vascular lab experience. Recent prior angio/cath lab experience. Organization skills, time management, prioritization, planning; attention to detail; problem solving, decision making, judgment; technical skills; initiative; communication, interpersonal skills, customer relations, organizational relations. Adaptability; flexibility. Cardiovascular Credentialing International (CCI) - Registered Cardiac Invasive Specialist (RCIS), or Registered Electrophysiology Specialist (RCES), or The American Registry of Radiologic Technologists Cardiac-Interventional Radiography (ARRT-CI) or Vascular-Interventional Radiography (ARRT-VI). EKG Rhythm / Dysrhythmia Recognition Notes: Fair Share Call

Schedule: Mon - Thurs 5:30 am - 3:30 pm, Fri 5:30 - 9:30 am General Purpose: The SUD Residential Medical Assistant provides essential medical support within a residential treatment setting. The role includes prescription verification, medication preparation and administration, inventory oversight, client education, and communication with healthcare providers. The Medical Assistant ensures safe medication practices, supports client recovery, and maintains compliance with regulatory and internal standards. Supervision Received: This position works under the direct supervision of the Outpatient Medical Team, with input from the Program Directors. ESSENTIAL DUTIES AND RESPONSIBILITIES Obtain patient vitals as directed by providers. Maintain clinical documentation in the EHR. Order medications and verify medication orders throughout the shift. Pick up medications from local pharmacies as needed. Prepare and administer medications per prescription instructions. Ensure proper labeling, storage, and secure handling of medications. Conduct daily medication passes. Create, edit, and verify MARs (Medication Administration Records). Per policy, oversee destruction or return of medications monthly or as needed. Educate clients on medications, including administration, storage, and safety. Convey and relay client concerns to the supervising RN/ Psychiatric provider clearly and empathetically. Collaborate with the healthcare team regarding medication changes or concerns. Check and respond to communications in Teams, Outlook, and DrCloudEHR daily. Document all medication administration, incidents, and counts accurately. Ensure cleanliness and organization of the medication room. Oversee medication practices and performance of treatment techs. Assist providers with medication management services and lab result follow-ups. Respond to medication errors and document resolutions per policy. Act as liaison and ensure good communication with the contracted pharmacy. Perform other duties as assigned by RN or Program Director. Coordinate outside medical services, including primary care, specialty, and dental Education and Experience An individual must have a CNA or MA certificate with additional work experience and/or education in the medical field. The individual must have a minimum of 3 years' experience performing business office functions. Must be computer literate and have the ability to utilize word processing, spreadsheets, and learn/use clinical software systems. Additional experience in medical office administration and team leadership is desirable. Other Skills and Abilities Knowledge: Considerable knowledge of office principles and practices; medical and medication-related documentation and the standards thereof; basic knowledge of the mental health, intellectual disabilities, and substance using population; the medications commonly prescribed to the population served and related psychiatric and medical terminology; and ability to document in EHR and other computer applications (Word, email, etc.). Skills: Must be able to draft and complete medical and medication-related documentation using an EHR in accordance with regulatory and NDN standards. Good organizational and time management skills are essential. Must have in-depth knowledge of standard office equipment to include computer, phone system, copier, and fax machines. The individual must demonstrate excellent customer service skills toward both clients and coworkers. Must be able to prioritize tasks effectively and handle sensitive situations with professionalism. Abilities: Must communicate information in both oral and written form and present and exchange information internally across teams and co-workers, as well as externally with clients and the public. Information communicated ranges from routine/basic information to complex and confidential information. The individual must be able to work effectively and constructively with supervisory staff and the general public. Must handle simple personnel matters and communicate issues appropriately with staff and supervisor. Must be able to work with minimal supervision. Must be able to work collegially with all other professions and should demonstrate tolerance of those with different opinions and/or attitudes. Must be Empathetic and client-centered. TOOLS AND EQUIPMENT USED Computer, fax/copy and scan machine, telephone, and other equipment/technology required to complete the job. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee is regularly required to reach with and fully utilize their hands and arms. The employee is frequently required to stand, walk, talk and hear. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to twenty (20) pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. VALID OREGON DRIVER'S LICENSE Must possess a valid driver's license and be insurable for client service purposes and for travel between business offices and to attend required meetings and/or trainings. Employee may also be required to provide client transportation on occasion. Utilize company owned vehicles when available. Must pass all criminal history check requirements as required by ORS 181.536 - 181.537 and in accordance with OAR 410-007-0200 - 410-007-0380. This position requires the employee to dress in a professional manner at all times at all times.

At New Directions Northwest in Baker City, becoming a Drug and Alcohol Counselor isn't just a job-it's a calling. Every day, our counselors help change lives, restore hope, and strengthen our community. Addiction touches families, workplaces, and futures, but through compassion, skill, and commitment, our team helps individuals take their first steps toward recovery and long-term wellness. New Directions is proud to offer competitive salaries and excellent benefits, recognizing the importance of supporting those who dedicate their careers to helping others. We invest in our team's professional growth, provide a positive and supportive work environment, and ensure that our employees are valued both personally and professionally. If you're looking for a career where your work truly matters-and where you're rewarded for your dedication-there's no better place to make a difference than New Directions Northwest in Baker City. Essential Duties and Responsibilities 1. Client Services Conduct comprehensive biopsychosocial and diagnostic assessments utilizing DSM-5 diagnostic criteria and ASAM Criteria to determine level of care and individualized treatment needs. Develop, implement, and regularly update individualized treatment and service plans per OAR 309-018-0135(2). Provide evidence-based individual and group counseling interventions (CBT, MI, DBT, relapse prevention, etc.). Facilitate psychoeducational and process groups supporting recovery, relapse prevention, and behavioral change. Engage family members or supports as clinically appropriate. Participate in discharge planning and aftercare coordination to ensure continuity of care and transition to community-based supports. 2. Documentation & Recordkeeping Maintain timely, accurate, and complete records per OAR 309-018-0105. Document assessments, treatment plans, progress notes, and discharges within agency timelines. Ensure documentation for re-authorization processes is completed accurately and submitted promptly to maintain client continuity of care and reimbursement compliance. Safeguard all client information under HIPAA and 42 CFR Part 2. Participate in internal chart reviews and quality improvement activities. 3. Urinalysis (UA) Administration Conduct urinalysis testing consistent with OAR 309-018 and agency protocol. Maintain integrity of the collection process, ensuring privacy and adherence to chain-of-custody procedures. Accurately document results and report abnormal findings to the supervisor. Store samples securely and maintain confidentiality and dignity throughout. 4. Medication Administration Support medication administration in collaboration with licensed medical staff per OAR 309-018-0170. Document all administrations, refusals, and side effects accurately in the Medication Administration Record (MAR). Verify counts, ensure secure storage, and report discrepancies immediately. Educate clients regarding medication adherence and related program policies. 5. Personal, Property, and Random Room Searches Conduct personal and property searches upon admission, re-entry, or as clinically indicated under OAR 309-018-0135(3)(h). Perform random room checks to maintain facility safety and compliance with program rules. Use trauma-informed, respectful, and gender-sensitive procedures at all times. Document all searches, findings, and resulting actions per agency policy. Preserve client dignity and privacy during all search activities. 6. Training & Competency Requirements Complete all orientation and continuing trainings per OAR 309-018-0125, including: Trauma-Informed Care Ethics & Boundaries (MHACBO-approved) Cultural Competency / DEI HIPAA / 42 CFR Part 2 Confidentiality Crisis Intervention & De-Escalation Suicide Prevention & Safety Planning Infection Control & Sanitation CPR / First Aid (if required by program) Receive regular clinical supervision with a CADC II or qualified supervisor per OAR 309-018-0125(4). Maintain active MHACBO registration or certification and required continuing education. 7. Professional Conduct & Ethics Follow the MHACBO Code of Conduct and Ethics at all times. Maintain clear ethical boundaries and strict confidentiality per OAR, HIPAA, and 42 CFR Part 2. Model integrity, accountability, professionalism, and cultural humility. Report ethical or clinical concerns promptly to supervision. 8. Safety, Compliance & Facility Support Maintain a safe, therapeutic environment consistent with OAR 309-018-0200. Enforce program rules, respond appropriately to crises, and document incidents accurately. Identify and report facility safety or maintenance concerns. Participate in emergency drills and follow all infection-control standards. 9. Attendance & BOLI Compliance Regular, in-person attendance is an essential function of this position. Arrive on time for assigned shifts, meetings, and trainings. Take all required meal and rest breaks under BOLI OAR 839-020. Approve timecards on schedule and communicate absences promptly. Request accommodations as needed per ADA / ORS 659A.103. 10. Collaboration & Communication Participate in multidisciplinary meetings, case reviews, and supervision. Communicate effectively with coworkers, supervisors, and external partners. Foster teamwork, respect, and trauma-informed collaboration across disciplines. Work Environment Conducted in a licensed residential facility with 24-hour client supervision. Requires regular in-person attendance; may include weekends or holidays. Physical demands include walking, standing, lifting = 25 lbs, and light cleaning duties.

The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator.Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator. The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated. The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intrashift and intershift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role. The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty. The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development. The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bonafide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person. Basic Qualifications: Experience Three (3) years of Registered Nurse experience, one year in clinical specialty. Education Graduate of accredited school of nursing. High school diploma or GED. License, Certification, Registration Registered Nurse License (in the state where care is provided) Basic Life Support Additional Requirements: N/A Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills. Preferred Qualifications: Baccalaureate degree in nursing. Two (2) years of recent Med/Surg experience in an acute care setting. Experience with insulin drips. Med/Surg Certification. Demonstrated clinical judgment with inpatient orthopedic/neuro patients.

At New Directions Northwest in Baker City, our Treatment Technicians are the heart of daily client care and support. This role is more than a job-it's an opportunity to make a real difference in people's lives every single day. Treatment Technicians work directly with clients who are on their journey to recovery, providing encouragement, structure, and compassionate support in a safe and healing environment. New Directions values and invests in the people who make recovery possible. We offer competitive pay, excellent benefits, and a strong team atmosphere where every employee is respected and supported. As a Treatment Technician, you'll be part of a mission-driven organization that believes in second chances, personal growth, and community wellness. If you're passionate about helping others, enjoy meaningful work, and want to grow in the behavioral health field, New Directions Northwest in Baker City is the perfect place to build your career and truly make an impact. Essential Duties and Responsibilities Client Supervision and Support Provide consistent and appropriate supervision of clients per OAR 309-018-0135(3). Maintain therapeutic structure, reinforce program expectations, and support daily routines. Supervise clients during community outings, appointments, and facility activities. Observe and document behaviors, providing feedback that promotes accountability and recovery. Maintain clear professional boundaries and apply trauma-informed communication at all times. Medication Administration and Documentation Administer medications safely per OAR 309-018-0170 and agency policy. Maintain accurate Medication Administration Records (MARs). Perform medication counts and ensure all medications are securely stored. Report errors, discrepancies, or client reactions immediately to a supervisor. Urinalysis (UA) Collection and Documentation Conduct UA collections following OAR and agency policy standards for confidentiality and integrity. Complete documentation and maintain chain-of-custody compliance. Secure, label, and store samples appropriately; report abnormal findings promptly. Search Procedures: Property, Physical, and Room Conduct property and physical searches upon admission, re-entry, or as clinically warranted under OAR 309-018-0135(3)(h). Perform room inspections to ensure safety, rule compliance, and contraband control. Document all searches in accordance with agency procedure while protecting client dignity and privacy. Facility Safety and Security Maintain a clean, safe, and secure environment for clients, staff, and visitors. Conduct regular facility safety checks and promptly report hazards or maintenance issues. Follow OAR 309-018-0200 emergency and evacuation procedures. Monitor visitor access and enforce program and security policies. Cleanliness and Environment Maintenance Support daily cleaning and sanitation of common and client areas. Ensure compliance with infection control and OAR 309-018-0200 standards. Encourage client participation in maintaining living spaces and facility pride. Communication, Documentation, and Team Collaboration Maintain timely, accurate EHR documentation in compliance with OAR 309-018-0105. Participate in shift handoffs and team meetings, ensuring clear communication. Report incidents, behavioral concerns, and facility issues immediately to supervisors. Collaborate with treatment, support, and clinical staff to ensure coordinated care. Ethical and Professional Conduct Adhere to MHACBO's Code of Conduct and Ethics, demonstrating integrity, accountability, and professionalism. Maintain clear ethical boundaries and strict adherence to confidentiality guidelines per OAR, HIPAA, and 42 CFR Part 2. Uphold professional boundaries and cultural competency in all client and team interactions. Comply with all BOLI standards regarding workplace rights, respectful communication, and fair treatment. Attendance, Schedule Adherence, and Conduct Maintain consistent, reliable attendance and punctuality. Adhere to assigned work schedule and notify supervisor of absences promptly. Take meal and rest breaks as required by BOLI OAR 839-020. Request accommodations as needed under ADA / ORS 659A.103. Exhibit professionalism, flexibility, and teamwork at all times. Minimum Qualifications High school diploma or GED required. Minimum one (1) year of experience in addiction recovery, residential, or behavioral health services preferred. Strong communication, organizational, and interpersonal skills. Must pass ODHS background check, LEDS clearance, and TB screening. Basic computer skills and ability to use EHR systems. Valid Oregon driver's license preferred (required if transporting clients). Work Environment Work performed in a licensed residential facility. Frequent direct interaction with clients and exposure to varying emotional states. May require working nights, weekends, or holidays to maintain 24-hour coverage. Physical requirements include standing, walking, lifting up to 25 lbs, and performing light cleaning duties.