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  • PHC Street Medicine Advanced Practice Provider

    Missoula, Montana United States MISSOULA COUNTY, MONTANA Full Time $46.58 - $57.10 Hourly Sep 25, 2025
    Missoula County Employer:

    MISSOULA COUNTY, MONTANA

    Missoula County consists of over 30 departments to meet the needs of our citizens, from registering a motor vehicle to providing quality medical care through the health department and our federally qualified health center, access to the justice system in the form of the Sheriff’s Department and County Attorney’s office to public works projects.  Each department strives to fulfill the County’s mission: Missoula County Mission: Provide quality public service to protect and enhance the well-being of the people, communities, and environment of Missoula County. Vision: Missoula County is a trusted community leader enhancing the quality of life so people can thrive and realize individual and collective potential. Core Values: Integrity: We are accountable, ethical and transparent. Innovation: We choose to develop sustainable solutions that pursue opportunities and foster creativity. Teamwork: We are a diverse, interdependent organization that supports collaboration to work effectively. Community: We honor diversity and respect people, heritage, culture, and natural resources.          

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    Job Description

    Definition

    Priority Application Date: October 1, 2025 by 5:00 PM (Mountain Time)

    Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled.

    TO APPLY :
      ◦ Please complete all sections of the online application, even if a resume is submitted.
      ◦ Please include with your completed application the following attachments: Cover Letter addressing your experience in street medicine and your interest in PHC, Resume, License, Transcripts, BLS Certification and Driver License.
      ◦ Incomplete applications and applications without required attachments will be disqualified.
    Complete job description available upon request to the Department of Human Resources.

    Partnership Health Center (PHC) is currently in the process of separating from Missoula County, with completion expected by the end of this year. As a result, our employee benefits package will be changing as early as January 1, 2026. While final details are not yet available, the future benefits are expected to remain comparable in value and scope to our current offerings. We are committed to keeping everyone informed and supported throughout this change and will update postings regularly.

    Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula!

    Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 18,000 individuals and families. A 14-site, co-applicant Federally Qualified Health Center with Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time.

    Provide essential medicine care to vulnerable, primarily unhoused patients in the Missoula Area.

    Representative Examples of Work

    Provides primary care to patients as an independent practitioner, providing comprehensive medical care to patients in the street setting. Diagnose, treat, and manage acute and chronic health conditions.

    Work closely with our community partners, including the Poverello, Missoula Street Team (MST), All Nations Health Center, the Crisis Receiving Center, and other local community-based outreach organizations to ensure coordinated care and support for patients.

    Engage in outreach activities to identify and connect with unhoused individuals who may benefit from medical care. Build trust and rapport with patients to facilitate ongoing care

    Identify and address barriers to healthcare access for vulnerable patients. Advocate for services and resources that improve their overall well-being and performs medical history and conducts physical and psychosocial examinations.

    Formulates diagnosis and prescribes treatment including writing prescriptions for medications.

    Performs minor clinical procedures.

    Reviews lab results and provides follow-up as necessary.

    Maintain accurate and up-to-date patient records, using standard SOAP format and in a timely manner, including billing and coding for billable visits.

    Participates in quality assurance reviews and in patient chart audits with the medical director.

    Maintains expertise and certification in field of practice, including completion of required hours of CME (Continuing Medical Education.)

    Assist in educating the PHC team and partners on best practices for delivering healthcare in non-traditional settings.

    OTHER DUTIES :
    Performs related work as required or directed. Provide coverage at satellite locations on an as-needed basis when requested by the organization.

    Minimum Qualifications

    EDUCATION :
    Requires a current license, APRN or PA, to practice in Montana, or eligibility for an appropriate Montana medical license and willingness to relocate.

    EXPERIENCE :
    Requires two years’ experience in a clinical setting, health center preferred. One year experience working with vulnerable populations, preferably working with unhoused populations. Ability to work collaboratively in a multidisciplinary team preferred,

    SPECIAL REQUIREMENTS :Requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person.

    SUPERVISION RECEIVED : Works under the direction of the Partnership Health Center Medical Director, CMO, and (Pas only) the designated physician mentor.

    SUPERVISION EXERCISED : No direct supervision exercised. May supervise students during rotations.

    WORKING RELATIONSHIPS : Has numerous contacts with the general public, PHC clinic staff, other Health Department employees and professionals in the allied health fields. Acts as an expert in a professional field to inform people of their health status and problems and to influence patients to comply with health care recommendations.

    REQUIRED KNOWLEDGE, SKILLS & ABILITIES:

    KNOWLEDGE : Considerable knowledge in the field of primary health care including diagnosis, treatment and pharmacology. Considerable knowledge of the field of public health including: wellness and prevention; dealing with communicable disease and appropriate referral procedures. Working knowledge of community health care and social service resources. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Basic knowledge of the principles and practices of clinical assessments and health care management.

    SKILLS : Skill in basic lab procedures and interpreting lab results; skill in clinical examination procedures, charting and the use of related instruments and equipment.

    ABILITIES : Ability to respond in a sensitive manner to the needs and concerns of people from a broad range of socio-cultural backgrounds. Ability to work independently with a minimum of supervision. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups.

    Physical/Environmental Demands

    Works primarily in a non-traditional setting, in a mobile van located near unhoused populations and/or traveling to provide care in a mobile capacity where needed. Requires occasional physical exertion such as bending, lifting (30 lbs.), standing and walking. Involves exposure to biomedical hazards including blood borne pathogens and communicable diseases. This position does not have a work from home option.

    This summary outlines the benefit programs; actual benefits may vary depending on bargaining unit and employment status.

    Missoula County will reward your contributions to our community with competitive compensation and generous benefits, including but not limited to:

    Excellent Medical Health Benefits- Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $258.00 per pay period.

    Medical deductible is $500 for an individual and $1,000 for a family.

    Flexible Benefits Plan- Pre-tax out-of-pocket medical expenses and day care expenses.

    Voluntary Life Insurance Coverage, Long and Short-Term Disability, Critical and Accident Insuranceare offered through Mutual ofOmaha.

    Public Employees Retirement System- Montana public employees of the state, university system, local governments and certain employees of school districts are covered by the Public Employees Retirement System (PERS). New members to the PERS have an opportunity to choose between two retirement plan options: the Defined Benefit Plan or the Defined Contribution Plan.

    Sheriffs' Retirement System (SRS)- A public pension plan for all Montana Sheriffs hired after July 1, 1974 and Detention Officers hired after July 1, 2005.

    Public Service Loan Forgiveness- Working for Missoula County may qualify you to receive student loan forgiveness. Look here to learn more and understand whether you may be eligible.

    Supplemental Retirement Benefitsare offered through Valic or Nationwide.

    Sick Leave- Full-time employees accrue 7.38hours per month and are eligible to use sick leave once you have been an employee for 90 days.The accrual is pro-rated for part-time employees.

    Vacation Leave- Full-time employees accrue 9.24 hours per month and are eligible to use leave after continuous employment for a period of 6 full months. The accrual is pro-rated for part-time employees.

    Holidays- The County observes eleven legal holidays in even numbered years and ten legal holidays in odd numbered years.

    Paid Parental Leave (PPL)-In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Missoula County 6 continuous weeks of PPL to eligible full-time employees that have been with the county for 180 days. The hours are pro-rated for part-time employees.

    Tuition Assistance- Because we value the professional and personal development of our employees, Missoula County is proud to offer reimbursement of certain education expenses.

    Closing Date/Time: Continuous
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