Executive Director

Job Details
Description

Jamestown Healing Clinic (JHC) is seeking an experienced and mission-driven Executive Director to provide executive, clinical, and administrative leadership for JHC’s integrated healthcare services, including primary care, dental care, behavioral health, and opioid treatment services.

This is a high-impact leadership opportunity for an experienced healthcare executive, physician, or advanced practice provider who is passionate about integrated care, addiction medicine, patient-centered services, and culturally responsive healthcare.

The Executive Director is responsible for the overall operation of the Opioid Treatment Program (OTP), organizational performance, regulatory compliance, fiscal stewardship, workforce leadership, quality improvement, and continued development of JHC programs and services.

The Executive Director leads the JHC Leadership Team and works collaboratively with the JHC Medical Director and other clinical and operational leaders to ensure safe, effective, integrated, culturally responsive, and compliant patient care.

In addition to executive leadership responsibilities, the Executive Director maintains an active clinical role and provides direct patient care within licensure and scope of practice, including services requiring prescriptive authority, to support JHC’s primary care and opioid treatment services.

The Executive Director role requires consistent on-site leadership to support staff, maintain operational continuity, and ensure effective coordination across departments. 

Schedule

On-site presence is required Monday–Friday, 5:30 a.m. – 2:00 p.m., due to the scope and responsibilities of the role.

Essential Functions

Leadership, Operations & Compliance

  • Provide executive, administrative, and clinical leadership for JHC programs and services and ensure alignment with organizational goals, policies, and standards.

  • Ensure administrative, personnel, and clinical policies and procedures are current, implemented, and consistently followed.

  • Maintain executive oversight of JHC regulatory compliance and ensure the OTP meets applicable federal, state, Tribal, accreditation, and organizational requirements.

  • Ensure development and maintenance of an internal quality management and performance improvement process addressing clinical quality, supervision, training, regulatory compliance, patient outcomes, and continuous improvement.

  • Monitor program performance, utilization, authorization processes, clinician productivity, quality measures, and patient outcomes; identifies and addresses operational or clinical workflow concerns.

  • Lead continued development and growth of JHC programs and services through workforce planning, recruitment, community engagement, quality review, strategic planning, and program development.

  • Oversee fiscal performance, budget management, resource allocation, and operational planning in collaboration with JCARE leadership.

  • Provide administrative supervision and leadership support to the JHC Medical Director, Substance Use Disorder Counseling Lead, Director of Integrated Behavioral Health, Clinic Administrative Officer, and other designated leadership positions.

  • Oversee Security and Behavioral Health operations to ensure staffing, service delivery, and operational practices align with JHC and organizational standards.

  • Conduct performance evaluations and provide ongoing leadership, coaching, and performance feedback to direct reports.

  • Ensure compliance with applicable JHC and JCARE policies, safety requirements, confidentiality standards, and workplace practices.

 

Clinical & Integrated Care Leadership

  • Provide direct patient care within licensure and scope of practice, including OTP assessments, medication management and prescribing, medication adjustments, primary care services, and other clinical services necessary to support patient care and program operations.

  • Maintain applicable professional licensure, credentials, and prescriptive authority necessary to perform assigned clinical responsibilities.

  • Lead the JHC Leadership Clinical Review Group and participates in clinical consultation, case review, quality improvement, and other interdisciplinary activities.

  • Collaborate with the JHC Medical Director and dental, behavioral health, primary care, and other clinical and operational leaders to support clinical quality, patient safety, continuity of care, and effective integration of services across JHC.

  • Serve in designated SAMHSA/OTP clinical or regulatory roles, including as the SAMHSA Delegate when assigned, consistent with applicable requirements and scope of practice.

  • Provide clinical consultation and after-hours support, as needed, and participate in provider coverage arrangements necessary to support continuity of care and applicable OTP requirements.

  • Ensure appropriate coordination of care with hospitals, correctional facilities, community providers, and other partners to support continuity of patient care.

 

Community & Organizational Leadership

  • Develop and maintain collaborative relationships with community partners, referral sources, payers, regulatory agencies, and other stakeholders.

  • Provide community outreach and education and represents JHC professionally in local, regional, Tribal, and other appropriate forums.

  • Participate in JCARE-wide performance improvement, strategic planning, leadership meetings, and other organizational initiatives as requested.

  • Perform other duties as assigned by the JCARE CEO.

Required Qualifications
  • Doctorate of Nursing Practice (DNP) with current ARNP licensure, or Medical Degree (MD/DO) with professional credentials appropriate to the required clinical scope of the position.

  • Current, unrestricted Washington State professional license and prescriptive authority sufficient to perform the clinical responsibilities of the position.

  • Minimum of five (5) years of progressively responsible clinical experience as an advanced practice provider or physician.

  • Minimum of five (5) years of leadership, management, and/or program development experience in a healthcare setting.

  • Demonstrated experience in primary care and addiction medicine, including opioid treatment services and/or medication treatment for opioid use disorder.

  • Demonstrated knowledge of medication management, co-occurring behavioral health conditions, and chronic disease management within an integrated care environment.

  • Current knowledge of primary care, behavioral health, addiction medicine, and integrated care practices.

  • Demonstrated knowledge of applicable federal and Washington State healthcare and OTP laws, regulations, confidentiality requirements, and accreditation standards.

  • Experience with healthcare operations, personnel leadership, regulatory compliance, quality improvement, budgeting, and program performance.

  • Current CPR/First Aid certification, or ability to obtain within the timeframe established by JHC.

  • Ability to work effectively in a cross-cultural environment and demonstrate understanding of trauma, historical and intergenerational impacts, community and family systems, and culturally responsive approaches to wellness and recovery.

  • Exceptional interpersonal, written, and verbal communication skills, including demonstrated conflict-resolution and relationship-management abilities.

  • Demonstrated sound judgment, ethical conduct, professional boundaries, organizational skills, initiative, and ability to manage competing priorities.

  • Proficiency with electronic health records and standard business technology.

  • Ability to travel locally and regionally as assigned.

  • Valid Washington State Driver’s License.

  • Must successfully complete required background screening.

Preferred Qualifications
  • Experience providing executive or senior leadership within an Opioid Treatment Program, integrated healthcare organization, behavioral health organization, Tribal health system, or comparable healthcare environment.

  • Experience with federal and Washington State OTP regulatory and accreditation requirements.

  • Experience working within Tribal healthcare and/or demonstrated knowledge of American Indian/Alaska Native communities, Tribal sovereignty, and culturally responsive healthcare delivery.

  • American Indian/Alaska Native preferences apply.

Physical Requirements/Working Conditions
  • Must maintain sufficient schedule flexibility to meet executive and clinical responsibilities, including occasional evenings, weekends, holidays, and after-hours clinical consultation or provider coverage as operational needs require.

  • Must be able to lift, push and carry up to 25 lbs. unassisted.

  • Physical ability to access all areas of the property applicable to your position.

  • Must be able to withstand prolonged standing, sitting, walking, bending, climbing, squatting and twisting without restriction.

  • Requires eye/hand coordination and manual dexterity; ability to distinguish letters, numbers and symbols.

  • Must have the ability to reach at or below/above shoulder level on a continuous basis.

  • Must be able to work in a fast-paced, busy, and somewhat stressful environment and maintain physical stamina, proper mental attitude while dealing effectively with patients, management, team members, and outside contacts while working under pressure and meeting deadlines.

Why Join JHC?

This is an opportunity to make a meaningful impact at the executive and clinical level while helping advance integrated, culturally responsive healthcare services for the community. The Executive Director will play a critical role in shaping the future of JHC’s programs, strengthening clinical and operational excellence, and expanding access to high-quality primary care, behavioral health, dental, and opioid treatment services.

If you are an experienced healthcare leader who is ready to combine executive leadership with meaningful clinical impact, we encourage you to apply.

MMU Dispensing Nurse I – LPN

Job Details
Description

The Jamestown Healing Clinic (JHC) is seeking a Dispensing Nurse I – LPN to join our Mobile Medication Unit (MMU) healthcare team. This position provides compassionate, high-quality healthcare services to individuals in rural and underserved communities throughout Clallam County, Washington.

The Dispensing Nurse I – LPN administers medications as ordered by medical providers while maintaining accurate accounting of all medications received and dispensed through the MMU. This position is also responsible for the safekeeping of medications and maintaining accurate medication records in accordance with DEA, FDA, and Washington State Board of Pharmacy requirements.

Schedule
  • Part-Time

  • Monday–Friday, 8:00 AM–1:30 PM

Essential Functions
  • Administer Methadone or Buprenorphine/Naloxone or Monotherapy Buprenorphine (Suboxone/Subutex) as ordered by the Medical Director and staff providers

  • Maintain accurate accounting of all medication received (from supplier) and dispensed (to the patient)

  • Responsible for the safekeeping of all medication stock and the records required by the DEA, State Board of Pharmacy, and JHC

  • Conducts breath alcohol testing, urine collection and processing, reading test results as needed; ensures accurate completion of all forms documenting these procedures

  • Works within scope of license to include measure and record patients’ vital signs, nursing-level physical assessment, patient care or treatment (to include wound care), and patient education

  • Assess patient physical condition, reporting observations to providers either verbally or in writing

  • Alert treatment staff of any observed changes in patient status

  • Enter and update prescriptions and medications in the patient’s electronic health record

  • Accurately chart patient encounters and patient incidents within the required guidelines

  • Record all inter-agency communications relating to the patient in a timely manner upholding all applicable guidelines

  • Explain the proper use of dispensed medication and its effects to patients

  • Maintain current statistical records

  • Communication with multi-disciplinary teams to facilitate patient care.

  • Consistently follow workflows/protocols as set by JHC and the DEA

  • Adhere to all JHC policies and procedures, including but not limited to standards for safety, and work practices as described in the Occupational Exposure Control Plan and HIPAA

  • Other duties as assigned

Requirements
  • Graduation from an accredited school of nursing; current LPN license in the state of Washington; unrestricted license to practice within the state of Washington

  • Three years of experience in a clinic setting

  • Previous substance abuse treatment and/or primary care experience

  • Knowledge of the current medical practices in primary care, mental health, and addiction medicine

  • Knowledge of substance use disorders and their effects on individuals, families, and communities

  • Phlebotomy skills

  • Experience working with patients in observing and obtaining urine specimens

  • Exceptional personal and ethical boundaries, empathy, and effective communications skills

  • Ability to work in a cross-culture environment, understands the social and cultural context of the patients at the JHC. Understands the role of trauma, historical, community, family, and personal experience in wellness and recovery

  • Flexibility may be required to accommodate some evenings and weekend work around the MMU schedule; some work may also be conducted at JHC primary site in Sequim, WA

  • Understands and adheres to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2). Applicants must always conduct self ethically and professionally

  • Effective communication; written, verbal, and interpersonal skills, including conflict resolution

  • Strong computer and electronic medical record (EMR) skills

  • Must be able to successfully pass a criminal background investigation

  • Uphold all current vaccine requirements for employment

  • Ability to travel locally and regionally as assigned

  • Valid Washington State Driver’s License

Preferred Qualifications
  • CPR/First Aide Certification (if not currently a certification holder, will complete employer provided training upon hire)

  • Experience and knowledge of Epic and/or Methasoft EMR

  • Knowledge of Local, State, and Federal Laws and Regulations

  • Knowledge of office administrative operations, including personnel management, and compliance

  • Excellent organization skills and the ability to prioritize multiple tasks

  • Effective time management, decision-making, and problem-solving skills

  • Demonstrate initiative, work independently with little supervision

  • American Indian/Alaska Native preferences apply

Physical Reuirements/Working Conditions
  • Significant drive time in the MMU that requires sitting in a moving vehicle up to four (4) hours per day

  • MMU requires preparation for unit set-up and take down that may include lifting and carrying items

  • Due to weather conditions, there are times the MMU may be unusually hot or cold while providing healthcare services

  • Must be available to work any shift (to include all hours, weekends, and/or holidays as job duties require)

  • Must be able to lift, push and carry up to 25 lbs. unassisted

  • Physical ability to climb in and out of the MMU and access all areas of the MMU that includes working in tight and narrow spaces

  • Must be able to withstand prolonged standing, sitting, walking, bending, climbing, squatting and twisting without restriction

  • Requires eye/hand coordination and manual dexterity; ability to distinguish letters, numbers and symbols

  • Must have the ability to reach at or below/above shoulder level on a continuous basis

  • Must be able to work in a fast-paced, busy, and somewhat stressful environment and maintain physical stamina, proper mental attitude while dealing effectively with patients, management, team members, and outside contacts while working under pressure and meeting deadlines

Join the JHC Team

This is an opportunity to use your nursing expertise in a unique mobile healthcare setting while helping expand access to essential healthcare services for rural and underserved communities throughout Clallam County.

If you are an experienced LPN who is compassionate, adaptable, and committed to providing respectful, patient-centered care, we encourage you to apply!

Essential Functions

Dispensing Nurse II – RN

Job Details
Description

Jamestown Healing Clinic is seeking a compassionate and experienced Registered Nurse to join our integrated care team. This position plays a vital role in supporting patients through medication-assisted treatment services while working alongside primary care, dental, behavioral health, and opioid use disorder treatment professionals in a collaborative clinic environment.

The Dispensing Nurse II-RN is responsible for administering medications as ordered by medical providers, maintaining accurate medication inventory and dispensing records, and ensuring compliance with DEA, FDA, State Board of Pharmacy, and clinic standards. This position also provides direct patient care, nursing assessments, patient education, and support for individuals navigating recovery and wellness.

Schedule

Clinic schedule is Monday – Friday, 5:30 a.m. – 2:00 p.m. and Saturdays, 5:30 a.m. – 10:30 a.m. This position requires varied hours and days based on clinic and patient care needs.

Essential Functions
  • Administer Methadone or Buprenorphine/Naloxone or Monotherapy Buprenorphine (Suboxone/Subutex) as ordered by the Medical Director and staff providers

  • Maintain accurate accounting of all medication received from suppliers and dispensed to patients

  • Safeguard medication stock and maintain records required by the DEA, State Board of Pharmacy, and JHC

  • Conduct breath alcohol testing, urine collection and processing, and interpret test results as needed

  • Measure and record patient vital signs, complete nursing-level physical assessments, provide patient care and treatment including wound care, and deliver patient education

  • Assess patient physical condition and report observations to providers verbally and/or in writing

  • Alert treatment staff of observed changes in patient status

  • Enter and update prescriptions and medications within the electronic health record system

  • Accurately chart patient encounters and incidents according to required guidelines

  • Record inter-agency communications relating to patients in a timely and confidential manner

  • Educate patients on the proper use and effects of dispensed medications

  • Maintain current statistical records

  • Sterilize equipment and supplies using appropriate infection control procedures

  • Adhere to all JHC policies and procedures including HIPAA, safety standards, and Occupational Exposure Control Plan requirements

  • Perform other duties as assigned

Required Qualifications
  • Graduation from an accredited school of nursing

  • Current, unrestricted RN license in the State of Washington

  • Minimum three years of experience in a clinic setting

  • Experience using Electronic Health Records (EHRs)

  • Knowledge of current medical practices in primary care, mental health, and addiction medicine

  • Knowledge of substance use disorders and their effects on individuals, families, and communities

  • Strong professional and ethical boundaries, empathy, and communication skills

  • Ability to work effectively in a cross-cultural environment and understand the impact of trauma, historical experiences, family, community, and personal experiences on recovery and wellness

  • Understanding of and adherence to state and federal confidentiality regulations including 42 CFR Part 2, RCW, and WAC requirements

  • Effective written, verbal, interpersonal, conflict resolution, and organizational skills

  • Computer proficiency in Microsoft Office Suite

  • Ability to successfully pass a criminal background investigation

  • Ability to meet all current vaccine requirements for employment

  • Valid Washington State Driver’s License

  • CPR/First Aid Certification, or ability to complete employer-provided training upon hire

  • Ability to travel locally and regionally as assigned

Preferred Qualifications
  • Previous substance abuse treatment and/or primary care experience

  • Knowledge of local, state, and federal laws and regulations

  • Knowledge of office administrative operations, personnel management, and compliance practices

  • Excellent organizational skills with the ability to prioritize multiple tasks

  • Strong time management, decision-making, and problem-solving abilities

  • Ability to demonstrate initiative and work independently with minimal supervision

  • American Indian/Alaska Native preference applies

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