Full-Time

Advanced Practice Provider: Physician Assistant / Nurse Practitioner

OneTogether Solutions

OneTogether Solutions

Deliver tribal health services and partnerships

Compensation Overview

$110/hr

Tacoma, WA, USA

In Person

On-site in Tacoma, WA; no remote work.

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Active PA board certification
  • Active PA license
  • Active RN License
  • Active board certification as a Nurse Practitioner
  • Active DEA license or ability to obtain one prior to working with us
  • Ability to pass drug and background screening
  • Ability to provide health and TB clearance
  • Licensure in good standing and adhere to all applicable legal requirements
Responsibilities
  • Conducts comprehensive health history and physical assessment of patients with acute health problems
  • Performs history and physical, develops, manages, and modifies treatment plans
  • Dispense Medications and Maintain records for controlled substances
  • Participates in daily huddle and collaborates with multidisciplinary health care team as needed to adjust plans of care
  • Facilitates referrals to appropriate community health facilities, agencies, and resources when indicated
  • Comply with applicable drug laws as regulated by the applicable jurisdiction
  • Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation, and epidemiology of substance use disorders as well as medical conditions
  • Performs history and physical assessments of patients that are accurate, complete, concise, relevant, and appropriate for age, gender, and clinical problem
  • Orders appropriate diagnostic studies and correctly interprets the results
  • Utilizes critical thinking to synthesize and analyze collected data
  • Develops, implements, evaluates, and alters the plan of care as needed
  • Manages general medical and addiction medicine based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities
  • Counsels and educates patients and families
  • Demonstrates proficiency in procedural skills pertinent to practice area
  • Maintains accurate, complete, concise, and timely documentation in the electronic medical record
  • Provides care that is patient and family centered, compassionate, appropriate, and effective for the promotion of health, prevention of illness and treatment of disease
  • Facilitates consistent, coordinated care and clear communication among all members of the healthcare team
  • Incorporates the patient and family in care planning and treatment across settings
  • Serves as an advocate for patients and families
  • Communicates and collaborates effectively with physicians/team members and health related agencies
  • Works effectively with multidisciplinary team members
  • Promotes mutual respect and trust working within a team model
  • Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities, and sexual orientation
  • Follows ethical principles regarding patient confidentiality
  • Participates in education of students and other health care professionals
  • Maintains effectiveness where circumstances and priorities are changing. Is flexible, resilient and change oriented
  • Welcomes and participates in opportunities to advance the mission of the clinic through service, science, and social responsibility
  • Participates in organizational and departmental meetings, educational opportunities, committees, and workgroups as necessary
  • Participates in quality initiative/performance activities
  • Conducts comprehensive health history and physical assessment of patients with acute health problems
  • Performs history and physical, develops, manages, and modifies treatment plans
  • Dispense Medications and Maintain records for controlled substances
  • Participates in daily huddle and collaborates with multidisciplinary health care team as needed to adjust plans of care
  • Facilitates referrals to appropriate community health facilities, agencies, and resources when indicated
  • Comply with applicable drug laws as regulated by the applicable jurisdiction
  • Laceration repair with sutures, staples, or Dermabond
  • Splinting fractures
  • Foreign body removal
  • Incision and drainage
  • Suture/staple removal
  • Pelvic exam
Desired Qualifications
  • Active American Heart Association Basic Life Support or Advanced Cardiac Life Support
  • 2 years of recent/previous work experience in substance use disorder setting
OneTogether Solutions

OneTogether Solutions

View

OneTogether Solutions (OTS Health) partners with tribal communities to deliver targeted health care services, harm reduction strategies, and wellness programs for underserved populations. It offers addiction medicine, wellness initiatives, and collaborative care through service contracts with tribal organizations and healthcare providers, enabling tailored solutions that meet local needs. Unlike many generic health providers, OTS Health focuses on long-term, sustainable health improvements by building collaborative partnerships with tribes and offering culturally informed care. The company’s goal is to reduce opioid-related harm and broader health crises in tribal communities by expanding access to addiction treatment, harm reduction resources, and wellness opportunities through durable, community-driven programs.

Company Size

N/A

Company Stage

Seed

Total Funding

$400K

Headquarters

Boulder, Colorado

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Tribal 638 self-governance expands services, reduces wait times, and enables culturally relevant care for opioid and mental health.
  • Culturally grounded substance use programs reduce suicide attempts and improve follow-up by blending Western and traditional practices.
  • SDPI federal funding prevents adult diabetes growth and reduces kidney failure, validating targeted prevention investments for tribal wellness.

What critics are saying

  • Federal 638 compact rejection (e.g., Pechenga Band, July 2025) blocks OTS's core model with 40–60% probability in 12–18 months.
  • Drug diversion exposure in OTS clinics risks $148M DEA fines and liability from worsened patient care within 6–12 months.
  • Cyberattacks on OTS third-party vendors could disrupt 4 clinics and delay 2026 launch with 35–50% probability in 12–18 months.

What makes OneTogether Solutions unique

  • OTS is Native-owned and operates 638 opioid clinics delivering whole-patient care with wraparound services.
  • OTS uniquely combines addiction medicine, mental health, dental care, and transportation under tribal 638 compacts.
  • OTS builds deep tribal partnerships to save lives against the opioid epidemic through sustainable, sovereignty-focused mechanisms.

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Benefits

Training Programs

Professional Development Budget