Qureos Mentor

Cowlitz Indian Tribe

<div>POSITION TITLE: Methadone Mobile Unit &ndash; Nursing Supervisor
DEPARTMENT: Behavioral Health / Opioid Treatment Program (OTP)
REPORTS TO: Medical Director
STATUS: Full time, salary
SALARY RANGE: $124,904.00 - $156,208.00
***If you are a Native American/Alaska Native and/or a Veteran and would like this to be considered a preference in hiring, please upload documentation with your resume and cover letter. Acceptable documentation includes Tribal Enrollment card, a letter from your Tribe stating your enrollment, or BIA 4432 and/or DD214.***<h1 class="jobSectionHeader">
Position Summary:</h1>
The Nursing Supervisor &ndash; Methadone Mobile Unit provides leadership and direct patient care oversight aboard a licensed Mobile Medication Unit (MMU) operating as a component of a SAMHSA-certified and accredited Opioid Treatment Program (OTP). Under the general direction of the Medical Director, Director of Nursing and Program Director, this position supervises staff assigned to the mobile unit, ensures safe and compliant medication-assisted treatment (MAT) services&mdash;including the preparation, dispensing, and administration of methadone and other FDA-approved medications for opioid use disorder (MOUD)&mdash;and maintains full compliance with federal regulations (42 CFR Part 8, 21 CFR Parts 1300/1301/1304), DEA requirements, and applicable state laws.
This role is the primary point of accountability on the mobile unit and serves as the liaison between field staff, the Medical Director, Director of Nursing, Program Director and the main OTP site. The Nursing Supervisor fosters a patient-centered, trauma-informed, non-judgmental care environment consistent with harm-reduction principles and shared decision-making frameworks.
Regulatory Context:
Mobile Medication Units must comply with all OTP rules under 42 CFR Part 8 as updated by SAMHSA's February 2024 final rule. The MMU is considered an extension of the parent OTP's SAMHSA certification and DEA registration. All required services not available on the unit (e.g., counseling, comprehensive assessments) must be coordinated at the main OTP site.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Key Responsibilities<ul><li>
Supervision &amp; Leadership</li></ul><ul><li>
Supervise, direct, and evaluate staff assigned to the mobile unit on a daily basis.</li><li>
Schedule staff to ensure adequate coverage for all operating days</li><li>
Conduct regular chart reviews, competency assessments, and performance evaluations for staff.</li><li>
Orient new employees to mobile unit protocols, controlled substance procedures, and patient safety standards.</li><li>
Serve as a resource and mentor, promoting continuing education in addiction nursing and OTP regulations.</li><li>
Participate in multidisciplinary team meetings with counselors, physicians, and program leadership.</li></ul>
<h2 class="jobSectionHeader">2. Medication Dispensing &amp; Patient Safety</h2><ul><li>
Oversee and directly participate in the safe preparation, dispensing, and administration of methadone and other MOUDs (buprenorphine, naltrexone, naloxone) per physician or Medical Director orders.</li><li>
Ensure all patients are assessed prior to each dose &mdash;verifying alertness and orientation, and identifying any signs of intoxication or adverse medication reactions before administration.</li><li>
Administer dosing according to individualized treatment plans; monitor patients for side effects and clinical response.</li><li>
Oversee the take-home medication program including documentation and safety protocols.</li><li>
Operate, calibrate, and maintain automated dispensing equipment and ensure functionality of unit systems before and after each operating shift.</li><li>
Ensure safe handling, storage, and transport of Schedule II controlled substances aboard the mobile unit consistent with DEA regulations.</li></ul>
<h2 class="jobSectionHeader">3. Patient Assessment &amp; Care Coordination</h2><ul><li>
Complete or supervise initial assessments and medical histories for newly admitted patients, including physical and psychosocial screening.</li><li>
Monitor patients for comorbid medical conditions (e.g., hypotension, respiratory disorders, infectious disease) that may interact with methadone therapy.</li><li>
Identify and respond to urgent clinical situations, including overdose, withdrawal, or acute medical emergencies, and coordinate EMS activation when necessary.</li><li>
Provide patient and family education on methadone therapy, drug interactions, harm reduction strategies, naloxone use, and community resources.</li><li>
Coordinate referrals for services not available on the unit (counseling, psychiatric care, primary care, social services) with the main OTP site.</li><li>
Support telehealth-based intake and screening processes per current SAMHSA guidelines where applicable.</li></ul>
<h2 class="jobSectionHeader">4. Regulatory Compliance &amp; Documentation</h2><ul><li>
Maintain strict accountability for all methadone and controlled substances dispensed during each shift, including daily sight-and-count inventories and reconciliation of all doses administered.</li><li>
Ensure accurate, timely, and complete documentation in the electronic health record (EHR) for all encounters, medication records, lab results, and patient assessments.</li><li>
Document Medical Director telephone orders and ensure timely co-signature per OTP protocol.</li><li>
Review daily, weekly, and monthly dosing reports; report discrepancies to the Medical Director, Director of Nursing and Program Director immediately.</li><li>
Ensure the unit operates in compliance with SAMHSA, DEA, state OTP authority (SOTA), and accreditation body (Joint Commission/CARF) standards.</li><li>
Maintain community relations documentation related to mobile unit service locations per licensing requirements.</li><li>
Support preparation for accreditation surveys, DEA inspections, and state licensing reviews.</li></ul>
<h2 class="jobSectionHeader">5. Mobile Unit Operations &amp; Vehicle Operation</h2><ul><li>
Perform or oversee pre-operation and post-operation vehicle and equipment inspections; report and document maintenance needs promptly.</li><li>
Ensure a clean, organized, and safe clinical environment aboard the unit at all times.</li><li>
Coordinate patient scheduling and daily clinic flow at mobile unit locations, including management of missed doses and patient intake procedures.</li><li>
Maintain emergency medications and supplies (including naloxone) in proper inventory on the unit.</li><li>
Assist with coordination of unit deployment schedules, service location routes, and community outreach efforts.</li><li>
Operate the mobile unit vehicle as required; must possess and maintain a valid state driver's license with a clean driving record and meet all organizational vehicle insurance eligibility requirements.</li><li>
Adhere to all applicable motor vehicle laws, DOT regulations, and organizational vehicle operation policies when transporting the unit between deployment sites.</li><li>
Complete any required organizational driver training, vehicle safety certification, or pre-employment motor vehicle record (MVR) check prior to operating the unit.</li></ul>
<h2 class="jobSectionHeader">6. Clinic Float Assignments</h2><ul><li>
As operationally required, float into the main OTP clinic or satellite clinic locations to provide direct nursing coverage, support staffing needs, and ensure continuity of patient care.</li><li>
Perform all clinical nursing duties within the fixed clinic setting (patient assessment, medication dispensing, documentation, patient education) consistent with clinic protocols and OTP standards.</li><li>
Maintain familiarity with both mobile unit and fixed clinic workflows, systems, and staffing structures to transition seamlessly between settings.</li><li>
Provide supervisory coverage at the clinic in the absence of the Director of Nursing or as directed by the Medical Director or Program Director</li><li>
Collaborate with Director of Nursing to ensure consistent patient care standards, controlled substance accountability, and regulatory compliance across all service settings.</li></ul><h2 class="jobSectionHeader">
</h2><h2 class="jobSectionHeader">7. Quality Improvement &amp; Program Development</h2><ul><li>
Participate in quality improvement initiatives and provide meaningful input into mobile unit program design and policy development.</li><li>
Track and report patient outcomes, adverse events, and medication incidents in accordance with organizational and regulatory requirements.</li><li>
Identify opportunities to expand access to care and improve patient engagement, particularly for underserved and rural populations.</li><li>
Remain current with evolving SAMHSA regulations, addiction medicine research, and best practices in opioid use disorder treatment.</li></ul>
Minimum Qualifications:
Education &amp; Licensure<div><div><ul><li>
Graduate of an accredited nursing program; ADN required; BSN preferred.</li></ul><ul><li>
Minimum 2&ndash;3 years of nursing experience required.</li></ul></div><div> 
<ul><li>
Current, unencumbered Registered Nurse (RN) license in the state of operation (or valid compact state license). Must maintain licensure in good standing; no history of license suspension or revocation.</li></ul><ul><li>
Minimum 1 year of supervisory or charge nurse experience preferred.</li></ul></div><div> 
<ul><li>
Flexibility and willingness to float between the mobile unit and fixed clinic location(s) as operationally needed.</li></ul><ul><li>
Prior experience in a methadone clinic, OTP, or substance use disorder treatment setting strongly preferred.</li></ul></div><div> 
<ul><li>
Valid state driver's license with clean driving record &mdash; Required for operation of the mobile unit; motor vehicle record (MVR) check will be conducted prior to employment.</li></ul><ul><li>
Experience in behavioral health, psychiatric nursing, infectious disease, or community health is advantageous.</li></ul></div> 
</div>
<h2 class="jobSectionHeader">Knowledge, Skills &amp; Abilities</h2><ul><li>
Working knowledge of federal and state laws governing methadone treatment and Schedule II controlled substance dispensing (42 CFR Part 8, 21 CFR Parts 1300&ndash;1304, 42 CFR Part 2).</li><li>
Ability to recognize signs and symptoms of opioid intoxication, withdrawal, overdose, and adverse medication reactions.</li><li>
Strong assessment skills with attention to patient safety and detail in medication management.</li><li>
Demonstrated ability to work effectively in a mobile or non-traditional clinical setting with variable environments.</li><li>
Proficiency with electronic health records (EHR), medication dispensing systems, and controlled substance accountability documentation.</li><li>
Excellent interpersonal, verbal, and written communication skills; ability to interact compassionately and non-judgmentally with patients in active recovery.</li><li>
Strong organizational and time management skills; ability to manage multiple priorities in a fast-paced environment.</li><li>
Commitment to harm reduction, trauma-informed care, and patient-centered treatment philosophies.</li><li>
Basic Life Support (BLS/CPR) certification required; naloxone administration training required.</li></ul>
Preferred Qualifications:<ul><li>
Experience working with or supervising staff in a mobile health unit or community health setting.</li><li>
Knowledge of ASAM criteria for levels of care in substance use disorder treatment.</li><li>
Familiarity with SAMHSA OTP Extranet and federal reporting processes.</li><li>
Bilingual or multilingual language skills aligned with the patient population served.</li></ul>
Work Environment:<ul><li>
Work is performed primarily aboard a mobile medical vehicle operating at various community sites; may float to the main OTP clinic or satellite locations based on operational need.</li><li>
Exposure to variable environmental conditions (weather, noise, space constraints).</li><li>
Occasional physical demands: standing for extended periods, bending, lifting supplies and equipment (up to 30 lbs).</li><li>
Weekend and holiday rotation may be required (unit must operate minimum six days/week per federal regulations).</li><li>
May require travel between mobile unit deployment sites and the main OTP clinic location; must be able to operate the mobile unit vehicle and maintain a valid driver's license throughout employment.</li><li>
Emotionally demanding work environment; strong professional boundaries and self-care practices are essential.</li></ul>
Note:
Individuals who have personal lived experience with substance use disorders and/or recovery are encouraged to apply. Our organization values diverse perspectives in delivering compassionate, effective addiction treatment services.
Compliance &amp; Regulatory Requirements
<ul><li>Must be able to successfully complete and maintain background check and drug screening requirements as applicable under state and federal law and organizational policy.</li><li>
Must comply with all HIPAA, 42 CFR Part 2, DEA, SAMHSA, and applicable accreditation body standards.</li><li>
Must maintain current BLS/CPR certification and any other certifications required for the role throughout employment.</li><li>
Required to complete all mandatory training including addiction medicine updates, OTP regulatory training, and organizational compliance education.</li></ul>
Tribal preference in accordance with Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT&rsquo;s established safety policies regarding vaccine requirements and personal protective equipment (PPE).
Background Investigation Requirements:<ul><li>
Pre-employment drug screen.</li><li>
Reference checks, education and employment verification.</li><li>
Federal, state, and/or tribal criminal history and sanction checks including fingerprint verification.</li><li>
Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children.</li></ul>
Physical Demands:
While performing the duties of this job, the employee regularly is required to stand; walk; sit; stop, kneel, bend, or crouch; use hands to manipulate, touch, or grasp objects and materials and type on a keyboard; reach with hands and arms; and perform repetitive tasks. Sufficient clarity of speech and hearing abilities to discern verbal instructions and communicate effectively in person and via telephone. The employee occasionally is required to lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.</div>

Mobile OTP Unit - Nursing Supervisor

<div>POSITION TITLE: Medical Assistant/Front Desk 
DEPARTMENT: Health and Human Services (HHS) &ndash; Opioid Treatment Program (OTP) 
LOCATION: Vancouver, WA 
REPORTS TO: Clinic Director 
STATUS: Hourly, fulltime 
WAGE RANGE: $27.15 - $31.25 per hour DOE
Open until filled
Position Summary:
Serves as a compassionate and supportive presence for patients undergoing treatment for opioid use disorder. Combines front-line administrative support with patient care responsibilities, helping patients access essential services while contributing to a respectful, team-based clinical environment focused on empathy, respect, and patient-centered values. Adheres to HIPAA and confidentiality requirements. Honors and represents the mission, vision, values of CIT and of the HHS department.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Essential Duties &amp; Responsibilities:<ul><li>
Serves as the face of the clinic to all patients and visitors, in the role of receptionist.</li><li>
Answer calls politely and professionally; refers calls to appropriate staff or takes messages; sets or clears call forwarding when necessary; checks for messages with &quot;on call&quot; person or answering machine each morning.</li><li>
Performs clerical, receptionist, and communication functions for the clinic as required.</li><li>
Conducts patient registration functions, including entering referral data, income verification and insurance data, and ensuring data remains up to date over time.</li><li>
Schedules new and returning patients with appropriate staff; maintains schedule book accurately; and records patient attendance, &quot;no shows,&quot; and cancellations.</li><li>
Participates in staff meetings and collaborates with other administrative staff as required.</li><li>
Maintains a professional and congenial attitude toward coworkers, patients, agencies, and members in the community.</li><li>
Uses appropriate technology to accomplish job functions; understands and utilizes available technology such as customer service, communications, and data-gathering tools.</li><li>
Manages inventory of office supplies; alerts Clinic Director to supply needs and orders supplies with authorization.</li><li>
Assists patients enrolling in Medi-Cal.</li><li>
Develops and works with agencies and service providers to facilitate coordination and information sharing; provides support services as applicable.</li><li>
Provides transportation support, housing referrals and PCP and specialty care coordination.</li><li>
Serves as Emergency Room liaison.</li><li>
Coordinates with jail and probation officials.</li><li>
Participates in health fairs, community events, and other events where the target population gathers.</li><li>
Maintains a calendar of outreach activities, including community events, workshops, appearances, and other communication opportunities.</li><li>
Establishes and maintains positive working relationships with current and potential referral sources.</li><li>
Maintains comprehensive working knowledge of community resources and assists patients in accessing community resources.</li><li>
Develops, creates, and maintains a resource file of available social service agencies and assistance providers in the target area for use in referring customers for needed services.</li><li>
Collects body fluid samples for patients being admitted to treatment.</li><li>
Administers TB, pregnancy, and breath alcohol tests to appropriate patients.</li><li>
Labels urine test bottles and prepare specimens for mailing or courier pick-up; re-orders supplies when shipment is depleted.</li><li>
Upholds commitment to respectful patient- and family-centered care.</li><li>
Upholds patient confidentiality and safety.</li><li>
Serves as an advocate for patients and families.</li><li>
Communicates and collaborates effectively with physicians/team members, patients, and families.</li><li>
Works effectively with multidisciplinary team members.</li><li>
Promotes mutual respect and trust working within a team model.</li><li>
Follows ethical principles regarding patient confidentiality.</li><li>
Maintains and practices confidentiality as required by HIPAA regulations regarding client confidentiality and request/release of information.</li><li>
Adapts to changes in safety protocols and procedures.
</li><li>Contributes to a team effort and accomplishes related results as required.</li><li>
Performs other duties as assigned.</li></ul>
Knowledge, Skills, and Abilities:<ul><li>
Knowledge of traditional form of government and tribal customs and traditions.</li><li>
Knowledge of basic medical terminology preferred.</li><li>
Knowledge of patient registration and healthcare front office preferred.</li><li>
Knowledge of policies and procedures related to HIPPA, Medicare, Medicaid and insurance programs.</li><li>
Knowledge of office functions, procedures, and policies.</li><li>
Skill in operating various word-processing, spreadsheet and database software programs in a Windows environment including electronic health care systems.</li><li>
Skill in data entry with a high level of accuracy.</li><li>
Ability to react to frequent changes in duties and volume of work.</li><li>
Ability to demonstrate a customer&ndash;first attitude and philosophy.</li><li>
Ability to listen empathetically.</li><li>
Ability to maintain quality, safety, and/or infection control standards.</li><li>
Ability to work both independently and in a team environment.</li><li>
Ability to communicate effectively both verbally and in writing.</li><li>
Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.</li><li>
Ability to maintain confidentiality.</li><li>
Ability to conduct activity in an ethical manner.</li><li>
Ability to analyze and evaluate situations and adopt effective courses of action.
</li><li>Ability to follow Cowlitz OTP personnel policies.</li><li>
Ability to maintain passion for assisting patients under all circumstances.</li><li>
Ability to receive constructive feedback, to share opinions, and uphold beliefs.</li><li>
Ability to maintain calm, focused, professional, and kind in highly stressful situations.</li><li>
Ability to be reliable, flexible, and versatile.</li><li>
Ability to maintain humility.</li></ul>
Minimum Qualifications:<ul><li>
High school diploma or equivalent.</li><li>
One (1) year of office or professional experience.</li><li>
A combination of relevant education and related work experience may be considered.</li><li>
Must be able to provide health and TB clearance.
</li><li>Valid driver&rsquo;s license is required when driving vehicles for work-related purposes.
</li><li>Must be able to successfully pass a background screening / investigation according to the established requirements below.</li></ul>
Tribal preference in accordance with Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT&rsquo;s established safety policies regarding vaccine requirements and personal protective equipment (PPE).
Background Investigation Requirements:<ul><li>
Pre-employment drug screen.</li><li>
Reference checks, education and employment verification.</li><li>
Federal, state, and/or tribal criminal history and sanction checks including fingerprint verification.</li><li>
Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children.</li></ul>
Physical Demands:
While performing the duties of this job, the employee regularly is required to stand; walk; sit; stop, kneel, bend, or crouch; use hands to manipulate, touch, or grasp objects and materials and type on a keyboard; reach with hands and arms; and perform repetitive tasks. Sufficient clarity of speech and hearing abilities to discern verbal instructions and communicate effectively in person and via telephone. The employee occasionally is required to lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work Environment:
Work is performed in an office and clinical setting. Employee may be exposed to unpleasant odors, bodily fluids, and infectious disease and frequent exposure to dust, fumes, airborne particles and/or allergens. Situations occur where PPE (personal protective equipment) is needed. Work may involve working with hostile, violent or offensive individuals. Overnight travel, weekend, and/or evening work is occasionally required. Tight time constraints and multiple demands are common.</div>

OTP - Medical Assistant/Front Desk

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Cowlitz Indian Tribe

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Mobile OTP Unit - Nursing Supervisor

OTP - Medical Assistant/Front Desk